探讨在肯尼亚治疗阿片类药物使用障碍的人群中通过短信交付干预的用户体验:一种定性研究
Sarah Kanana Kiburi1,2, Saeeda Paruk2, Edith Kamaru Kwobah3
1Department of Medicine, Aga Khan University Hospital, Nairobi, Kenya.
PLOS digital health
|November 6, 2023
概括
肯尼亚患有阿片类药物使用障碍的参与者报告说,他们对数字认知行为疗法 (CBT) 短信干预感到满意,获得了管理物质使用的宝贵技能,并为未来的数字心理健康治疗提供了建议.
科学领域:
- 数字心理健康干预数字心理健康干预
- 药物使用障碍治疗 药物使用障碍治疗
- 认知行为疗法应用 认知行为疗法应用
背景情况:
- 阿片类药物使用障碍对全球健康造成重大负担.
- 治疗通常包括药物治疗和心理社会干预.
- 认知行为治疗 (CBT) 的数字交付为药物使用障碍治疗提供了一个可扩展的方法,但在肯尼亚对阿片类药物使用障碍的采用是有限的.
研究的目的:
- 探索参与肯尼亚基于短信的CBT干预的阿片类药物使用障碍患者的经验和反.
- 确定对这一群体的数字心理健康干预措施的感知好处,挑战和改进领域.
主要方法:
- 从可行性试验的干预部分的参与者收集定性数据.
- 通过开放式问卷和深度访谈收集的数据.
- 分析采用了框架方法.
主要成果:
- 24名参与者 (83.3%是男性,平均年龄为32.5岁) 被录取.
- 关键主题包括:获得CBT技能 (例如,识别触发因素,药物拒绝,应对策略),开发治疗联盟,对干预设计 (频率,持续时间) 的反,经验中的挑战 (技术问题,交付障碍),以及改进建议.
- 参与者报告了对管理物质使用模式的满意度和技能发展.
结论:
- 基于短信的CBT干预措施在肯尼亚的阿片类药物使用障碍的参与者中普遍受到好评.
- 参与者的反为优化数字心理健康解决方案的可接受性,有效性和可持续性提供了关键的见解.
- 这些发现支持数字CBT干预措施的潜力,以解决资源有限的环境中物质使用障碍治疗的差距.
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