在安全网初级保健机构问题药物使用的简短干预:一个随机临床试验
Peter Roy-Byrne1, Kristin Bumgardner1, Antoinette Krupski1
1Department of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, Seattle.
JAMA
|August 7, 2014
概括
简短的干预措施并没有减少安全网诊所患者的问题药物使用. 这项研究表明,在初级保健机构采用这种药物使用方法时,应该谨慎.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 初级保健研究研究初级保健研究
背景情况:
- 问题药物使用在接受在安全网设置中的护理的弱势群体中普遍存在.
- 简短的干预措施对酒精使用是有效的,但它们对药物使用的影响不太清楚.
研究的目的:
- 评估短期干预与加强常规护理相比对减少问题药物使用的有效性.
主要方法:
- 在7个安全网初级保健诊所进行了一项随机临床试验.
- 868名药物滥用问题患者被随机分配,接受简短的干预或加强常规护理.
- 结果在基线和3,6,9和12个月被评估,使用自我报告的药物使用和成严重性指数-轻 (ASI).
主要成果:
- 在短期干预和3个月或12个月后的增强常规护理组之间,在自我报告的麻烦药物使用日或ASI药物使用复合得分中没有发现显著差异.
- 二次结果,包括治疗入院和其他ASI综合分数,也没有显示群体之间的显著差异.
结论:
- 试用电话助听器进行一次简短的干预,无效地减少了安全网初级保健机构内患者的问题药物使用.
- 调查结果表明,在初级保健中广泛实施这种短暂的药物使用干预措施时,需要谨慎.
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