为后COVID世界开发数字干预措施:基于智能手机的方法 - 避免培训以减少对酒精的渴望
Nele Peerenboom1, Natalie V Guzman1,2, Timo Kvamme1,3
1Department of Psychiatry, University of Cambridge, Cambridge, UK.
Scandinavian journal of psychology
|October 19, 2023
概括
基于智能手机的认知偏差修改训练显著减少了重饮者对酒精的渴望. 这种数字干预为管理有害酒精使用提供了有希望的方法,特别是当亲自治疗具有挑战性时.
科学领域:
- 心理学 心理学 心理学
- 公共卫生 公共卫生
- 数字治疗学数字治疗学
背景情况:
- 有害的酒精使用对公众健康构成重大挑战.
- 由于COVID-19流行病的限制,人们无法获得传统的亲身成治疗.
- 需要为重度饮酒者提供可访问的家庭干预措施.
研究的目的:
- 评估基于智能手机的认知偏差修改培训 (接近避免培训或AAT) 对重度饮酒消费者的有效性.
- 评估AAT对酒精渴望和问题性酒精使用的影响.
主要方法:
- 实验1:62名重饮者 (每周14个以上单位) 接受了20-30分钟的智能手机AAT或被列入等待名单;渴望在1天后续评估.
- 实验2:107名重饮者 (20+单位/周) 接受了更新的智能手机AAT或主动对照;AUDIT分数和渴望在1周后续评估.
主要成果:
- 实验1表明,在训练后,图像诱导的酒精渴望显著减少.
- 实验2显示,在1周的随访期内,酒精使用障碍识别测试 (AUDIT) 的得分显著降低.
- 对软饮料的渴望保持不变,表明AAT干预对酒精的特异性.
结论:
- 基于智能手机的AAT是减少酒精渴望的可行概念证明.
- 在一周的随访中,AAT干预显示了对问题酒精使用的持续影响.
- 数字认知偏差修改为解决有害饮酒问题提供了可扩展的解决方案.
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