セーフティネットプライマリケア施設における薬物使用問題に対する短期的介入:ランダム化臨床試験
Peter Roy-Byrne1, Kristin Bumgardner1, Antoinette Krupski1
1Department of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, Seattle.
JAMA
|August 7, 2014
まとめ
短期的な介入は,セーフティネットクリニックの患者における問題薬物使用を減らすことはできませんでした. この研究は,プライマリケア施設での薬物使用に対するこのアプローチを採用する際の注意を促しています.
科学分野:
- 公衆衛生は公衆衛生である.
- 依存症医学 薬物中毒医学
- プライマリケア研究 プライマリケア研究
背景:
- 問題薬物使用は,セーフティネットの設定でケアを受ける恵まれない集団で一般的です.
- 短期的な介入はアルコール使用に対して効果的ですが,薬物使用に対する影響はあまり理解されていません.
研究 の 目的:
- 薬物の問題使用を減らすために,強化された通常のケアと比較して,短い介入の有効性を評価する.
主な方法:
- ランダム化臨床試験は7つのセーフティネットプライマリケアクリニックで実施されました.
- 868人の薬物使用問題を抱えた患者がランダムに分けられ,短期的な介入または通常治療の強化を受けた.
- 結果は,自己報告された薬物使用とアディクション・セイバリティ・インデックス・ライト (ASI) を用いて,ベースラインと3,6,9,および12ヶ月で評価されました.
主要な成果:
- 薬物使用問題日数やASI薬物使用複合スコアにおける自己報告の有意な差異は,短期的介入と3か12ヶ月後の通常ケア強化群の間で見つかりませんでした.
- 治療への入院および他のASI複合スコアを含む二次的アウトカムも,グループ間の有意な違いを示さなかった.
結論:
- 試用電話ブースターによる単一の短い介入は,セーフティネット初等医療施設内の患者における問題薬物使用の軽減に効果的ではなかった.
- 調査結果は,プライマリケアにおける薬物使用に関するこの短い介入の広範な実施に関して注意が必要であることを示しています.
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