使用综合行为干预措施改善酒精相关肝病治疗参与度:一项随机试点试验
Jessica L Mellinger1,2, Sarah Medley3, Kelley M Kidwell3
1Michigan Medicine, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Ann Arbor, Michigan, United States.
Hepatology communications
|September 14, 2023
概括
对酒精使用障碍 (AUD) 治疗的移动健康应用程序干预对于酒精相关性肝病 (ALD) 患者来说是可行的和可以接受的. 该干预措施在增加AUD治疗和减少酒精消费方面显示出有希望的结果.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 成 药物 药物 药物 药物
- 数字健康数字健康
背景情况:
- 戒酒显著提高了与酒精相关的肝病 (ALD) 的死亡率.
- 然而,大量的ALD患者没有接受必要的酒精使用障碍 (AUD) 治疗.
- 需要新的干预措施来改善这一群体寻求治疗的行为.
研究的目的:
- 评估移动健康 (mHealth) 干预措施的可行性和可接受性,旨在增加ALD患者的AUD治疗参与度.
- 探索该干预措施对寻求AUD治疗和酒精消费的影响.
主要方法:
- 一项试点随机对照试验与60名成人ALD患者进行.
- 参与者被随机分配到一个mHealth应用程序进行AUD治疗或增强常规护理.
- 结果,包括可行性,可接受性,AUD治疗参与度和酒精使用,在3个月和6个月后进行评估.
主要成果:
- 该研究实现了46%的招聘率和6个月的保留率65%,表明可行性良好.
- 移动健康干预措施的接受度很高,满意度为91%,95%的人认为治疗匹配良好.
- 干预组显示AUD治疗参与度增加 (27.3%对13.3%),并趋向于降低饮酒风险水平.
结论:
- 对于ALD患者来说,用于AUD治疗的移动健康干预是可行的和可以接受的.
- 这种数字健康方法证明了有希望的早期结果,可以改善治疗参与度,并减少这种脆弱人群的酒精使用.
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