虚拟混合与个人管理超越自我治疗的退伍军人与物质使用障碍
James M Bjork1,2, Jaclyn S Sadicario1,3, Nabila F Jahan1,3
1Richmond Veterans Affairs Medical Center, Richmond, VA, USA.
Substance use : research and treatment
|May 28, 2024
概括
对退伍军人的物质使用障碍 (SUD) 进行超越自我治疗 (TST) 的远程医疗服务显示,与面对面治疗相比,生活质量得到了相似的改善. 这种远程模型有效地提供了群体治疗,证明了患者的接受性和积极的结果.
科学领域:
- 心理健康 心理健康
- 远程医疗远程医疗
- 药物使用障碍治疗 药物使用障碍治疗
背景情况:
- 由于后勤障碍,患有物质使用障碍 (SUD) 的退伍军人经常面临难以获得基于证据的治疗的挑战.
- 远程医疗已经成为改善获得SUD治疗格式的有希望的解决方案.
- 远程医疗对由单一远程治疗师管理的开放群体治疗的有效性仍未得到充分研究.
研究的目的:
- 评估远程医疗为SUD退伍军人提供超越自我治疗 (TST) 的有效性.
- 为了比较远程TST的结果与在住宅环境中传统的面对面的TST.
- 为了评估患者的满意度和生活质量的变化,在两种治疗方式.
主要方法:
- 这项研究涉及一项项目评估,比较了从面对面的治疗师与单个远程治疗师那里接受TST的退伍军人.
- 远程模型涉及在同一房间接受治疗的退伍军人,在28天的住宅计划期间通过屏幕从场外的治疗师接受治疗.
- 测量结果包括生活质量 (QoL) 的变化,治疗满意度和小组治疗结果.
主要成果:
- 面对面和远程医疗的TST组都显示了从基线到治疗后的QoL得分的显著改善.
- 在面对面和远程医疗交付方法之间,在QoL改善方面没有统计学上显著的差异.
- 两组退伍军人都报告了解治疗驱动的技能,并将TST评为有帮助和可以理解的.
结论:
- 远程传递的SUD治疗,包括与远程治疗师的开放组治疗,是患者可以接受的.
- 远程医疗 (TST) 是改善SUD退伍军人的QOL的有效方式,与亲临分娩相似.
- 这些发现支持远程医疗服务的扩展,以提高退伍军人获得SUD治疗的机会.
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