连接到护理 (C2C):为两站点随机对照试验的协议,以改善患有危险饮酒和PTSD和/或抑郁症状的患者的结果

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A Prediction Error-driven Retrieval Procedure for Destabilizing and Rewriting Maladaptive Reward Memories in Hazardous Drinkers

Published on: January 5, 2018

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Michael A Cucciare^1,2,3, Kathy Marchant¹, Cristy Benton¹

¹Center for Mental Healthcare and Outcomes Research, Central Arkansas Veterans Affairs Healthcare System, North Little Rock, AR, 72205, USA.

Addiction science & clinical practice

|August 17, 2023

概括

这项研究试点Connect To Care (C2C),这是一个基于优势的干预措施,旨在帮助患有危险饮酒和PTSD/抑郁症 (HD+) 的初级保健患者开始并参与酒精护理. 通过共享决策来解决障碍,研究结果可能会改善治疗结果.

科学领域:

临床心理学临床心理学
公共卫生公共卫生
实施科学实施科学

背景情况:

许多患有危险饮酒和PTSD/抑郁症 (HD+) 的初级保健患者没有启动或参与与酒精有关的护理.
在有效地将这些患者与必要的治疗服务联系起来方面存在差距.
连接到护理 (C2C) 干预是基于优势的方法,旨在解决这一差距.

研究的目的:

为患有危险饮酒和PTSD/抑郁症 (HD+) 的初级保健患者适应和试验Connect To Care (C2C) 干预措施.
确定C2C在初级保健环境中的可行性和可接受性.
探索C2C在改善退伍军人患者开始和参与酒精护理方面的有效性.

主要方法:

在退伍军人事务 (VA) 系统中通过利益相关者焦点小组和采访来调整C2C.
一个双站点试点随机对照试验 (RCT) 评估可行性,可接受性和初步疗效.
在3个月的随访中探索C2C对酒精使用,PTSD和抑郁症结果的有效性的机制.

主要成果:

将在HD+初级保健患者中收集C2C的试点可行性和可接受性数据.
将收集关于改善酒精护理启动和参与的初步有效性数据.
将探索了解C2C如何改善患者的治疗结果.

结论:

通过利用患者的优势和共享决策,C2C干预表明将HD+患者与酒精治疗联系起来是有前途的.
预计这些发现将为临床实践和未来的有效性-实施混合试验提供信息.
成功实施C2C可以提高患有危险饮酒和精神健康状况的个体的治疗结果.

关键词:

酒精饮料酒精饮料酒精饮料酒精饮料关怀的参与关怀的参与护理启动的开始抑郁症抑郁症抑郁症创伤后应激障碍 (PTSD) 是一种主要的护理是初级保健.分享决策的共同决策基于优势的案例管理.

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