アルコール使用障害のある退役軍人の薬剤療法に対する多サイト患者教育の影響
Julie R Beauchamp1, Robert Malmstrom1, Ramona Shayegani1
1VA Sierra Pacific Network (VISN 21).
まとめ
退役軍人のアルコール使用障害の治療開始を 大きく増加させなかった. AUD治療の有効な配達方法とプライマリケアへの関与を調査するには,さらなる研究が必要です.
科学分野:
- 公衆衛生
- 医療サービス研究
- 依存症 医学
背景:
- 過剰なアルコール摂取は,米国で予防可能な主要な死因です.
- アルコール使用障害 (AUD) の治療は効果的ですが,あまり使われていません.
- 低治療率では 革新的な患者への関与戦略が必要になります
研究 の 目的:
- 患者への直接的な教育 (DTC) がAUD治療の効果を高めることを評価する.
- 退役軍人の薬剤療法開始とサービス相談に対するDTC教育の影響を評価する.
- ベテラン事務 (VA) の医療制度における品質改善戦略を探求する.
主な方法:
- 5つの退役軍人統合サービスネットワーク (VISN) 21のサイトを含む品質改善プロジェクト.
- 薬剤療法を受けていないAUDまたは高いAUDリスク (AUDIT-Cスコア) の退役軍人
- 介入:予定された診察の2週間前にDTCの教育資料を郵送し,傾向スコアで一致した過去のコホートと比較した.
主要な成果:
- 1260人の退役軍人はDTCの教育資料を受け取った.
- 介入群と比較群の薬剤療法開始 (主要結果) の統計的に有意な差は認められませんでした (P > .59).
- メンタルヘルスやSUDサービスでの相談では統計的に有意な差はありません (二次的結果).
結論:
- 消費者への直接的な教育は,AUD治療の開始において統計的に有意な改善をもたらさなかった.
- このプロジェクトは,AUDとVISN 21内の治療オプションに関する議論を刺激しました.
- 将来の研究は,さまざまなDTC投与方法,初等医療統合,およびAUD治療の長期的な影響を調査する必要があります.
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