对物质使用障碍患者的虚拟团队治疗转换为混合模型
Tyler S Oesterle1, Nicholas L Bormann1, Domenic A Ochal2
1Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
Substance abuse and rehabilitation
|April 29, 2024
概括
药物使用障碍 (SUD) 治疗的混合远程医疗模型显示完成率高于仅虚拟的选择. 这项研究表明,结合面对面的元素可以提高SUD患者的治疗参与度和治疗结果.
科学领域:
- 成 药物 药物 药物 药物
- 远程医疗研究 远程医疗研究
- 心理健康服务 心理健康服务
背景情况:
- 远程医疗为医疗保健提供了许多好处.
- 有限的数据存在于混合 (面对面和虚拟) 群体治疗设置中物质使用障碍 (SUD) 治疗结果.
- 在混合模型中了解治疗完成率对于优化SUD护理至关重要.
研究的目的:
- 确定实物使用障碍 (SUD) 虚拟治疗和混合群体治疗之间的治疗完成率是否有所不同.
- 评估混合群体暴露对SUD治疗结果的影响.
主要方法:
- 在明尼苏达农村的七个密集门诊 (IOP) 计划中进行了一项自然主义的观察性队列研究.
- 追溯收集了858名参与者 (18岁以上,SUD诊断) 的数据,这些参与者在2020年6月至2022年7月期间开始和结束治疗.
- 用赫尔默特对比来分析混合群体暴露对治疗完成的影响,而不是仅提供虚拟治疗.
主要成果:
- 混合组暴露与与虚拟单独交付相比显著更高的治疗完成率相关 (单变几率比:1.88,95% CI:1.50-2.41,p < 0.001).
- 在参与的IOP站点之间没有观察到完成率的显著差异.
- 研究样本来自较大的IOP人群,其中29.8%为女性,64.1%为18-40岁.
结论:
- 这项研究为虚拟SUD护理中的混合群体方法提供了新的结果数据.
- 结果表明,将人身组件纳入远程医疗可能有利于SUD治疗完成.
- 需要进一步的研究来探索面对面互动所影响的特定动态及其在虚拟环境中的可复制性.
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