一个随机对照试验对初级保健患者的康复管理检查:十二个月的结果
Christy K Scott1, Michael L Dennis2, Christine E Grella1
1Chestnut Health Systems, Chicago, Illinois, USA.
Alcohol, clinical & experimental research
|October 21, 2023
概括
恢复管理检查 (RMC-PC) 与查,简短干预和转诊治疗 (SBIRT) 结合,显著增加了物质使用障碍治疗联系,并在初级保健机构减少了物质使用.
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:
- 联邦合格卫生中心 (FQHC) 是识别有物质使用障碍 (SUD) 个人的关键地点.
- 从初级保健中将患者与SUD治疗联系起来仍然是一个挑战.
- 初级保健的康复管理检查 (RMC-PC) 显示出改善SUD治疗参与度的前景.
研究的目的:
- 评估RMC-PC与SBIRT结合在FQHC中需要SUD治疗的个体的有效性.
- 评估对治疗联系,治疗持续时间和减少物质使用的影响.
主要方法:
- 一个随机对照试验,涉及四个FQHC地点的266名参与者.
- 参与者接受单独SBIRT或SBIRT加季度RMC-PC.
- 测量结果包括12个月的SUD治疗日,禁欲和物质使用频率.
主要成果:
- SBIRT+RMC-PC显著增加了接受任何SUD治疗的可能性 (AOR=3.85) 和治疗日数.
- SBIRT+RMC-PC组报告了更多的禁酒日和减少的酒精,大麻和联合物质使用.
- 治疗日调解了SBIRT+RMC-PC对禁欲的影响.
结论:
- 将SBIRT与RMC-PC结合起来,可以提高SUD患者在初级保健中的治疗转诊和参与度.
- 重复检查对于改善长期治疗和物质使用结果是有价值的.
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