电子查,短暂干预和转诊治疗 (e-SBIRT) 对于上障碍:系统审查和元分析
Matthew Jones1, Christopher J Seel1, Simon Dymond1,2
1School of Psychology, Swansea University, Swansea, UK.
Substance use & addiction journal
|May 17, 2024
概括
电子查,简短干预和转诊治疗 (e-SBIRT) 在减少饮酒频率方面显示出有限的短期有效性. 需要更多的研究来确定e-SBIRT对成障碍的整体疗效.
科学领域:
- 公共卫生 公共卫生
- 行为科学 行为科学
- 数字健康数字健康
背景情况:
- 成障碍是一个重大的全球健康挑战,治疗参与度低,结果可变.
- 电子查,简短干预和转诊治疗 (e-SBIRT) 为改善治疗寻求和改善结果提供了一个潜在的途径.
- 现有的文献缺乏关于e-SBIRT干预中毒障碍的疗效的全面审查.
研究的目的:
- 系统地审查和元分析有关e-SBIRT对成障碍有效性的现有文献.
- 确定 e-SBIRT 干预措施的共同组成部分并评估证据质量.
- 突出研究中的差距,特别是关于行为成的差距.
主要方法:
- 在主要数据库 (MEDLINE,PubMed,Web of Science,Scopus,Embase,PsycInfo) 进行了系统的文献搜索,截至2023年1月17日.
- 分析中包括了十篇评估e-SBIRT对物质使用障碍的文章.
- 进行了元分析,以综合治疗结果的发现.
主要成果:
- 只有在短期内,e-SBIRT干预措施才有效减少饮酒频率.
- 对于戒断或其他治疗结果,没有观察到e-SBIRT与对照条件相比具有显著的优势.
- 审查发现缺乏关于行为成的研究,并指出证据质量普遍不佳.
结论:
- 目前关于e-SBIRT的研究重点集中在更高风险的物质使用上,对其对成障碍的整体有效性缺乏共识.
- 在e-SBIRT程序设计中的变性阻碍了最佳组件的识别.
- 需要高质量的实验研究来更严格地评估e-SBIRT治疗结果.
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