减少艾滋病毒和C型肝炎患者饮酒的干预措施:试点随机对照试验
Jennifer C Elliott1,2,3, Mahnoor Ali2, Olga Radecka2
1Department of Psychology, Molloy University, Rockville Centre, New York.
Journal of studies on alcohol and drugs
|November 10, 2023
概括
这项试点研究发现,通过HealthCall应用程序修改的临床指南干预措施,减少了艾滋病毒/HCV共感染患者的重度饮酒. 该干预措施显示,该干预措施有望在这个脆弱人群中减少酒精消费.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 数字健康干预措施 数字健康干预措施
背景情况:
- 过度饮酒显著增加了艾滋病毒和C型肝炎病毒 (HCV) 感染者的健康风险,特别是那些同时感染的人.
- 需要量身定制的干预措施来解决艾滋病毒/HCV共感染人口的重度饮酒问题.
研究的目的:
- 适应NIAAA临床指南,并将其与HealthCall智能手机应用程序集成,为艾滋病毒/HCV共同感染的重饮者创建一种新的干预措施.
- 试点测试这种干预措施,以评估其降低酒精消费的潜力.
主要方法:
- 一项试点随机对照试验,涉及31名艾滋病毒/HCV共同感染的重饮者.
- 参与者被分配到干预组 (修改后的临床指南+HealthCall应用程序) 或对照组 (精神教育和简要咨询).
- 一个60天的计划,包括基线和增强疗程,随后是90天的随访,使用时间线随访来测量结果.
主要成果:
- 干预参与者在干预后的60天和90天,每天饮酒的平均饮料量显著减少.
- 在90天的干预组中,观察到饮酒日数显著减少.
- 在研究期间,干预组中注意到自我效率的增加.
结论:
- 经过修改的临床指南干预措施与HealthCall应用程序相结合,在减少艾滋病毒/HCV共感染个体的重度饮酒方面表现出有效性.
- 干预措施是简短的,可传播的,并显示出在这个人群中管理酒精使用的潜力.
- 需要进行更大规模的研究来进一步验证这些有希望的发现.
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