基于虚拟现实的正念导向恢复增强 (MORE-VR) 作为治疗阿片类药物使用障碍的药物辅助:一期试验
Eric L Garland1, Marc Recasens2, Bayley J Taple2,3
1Center on Mindfulness and Integrative Health Intervention Development, College of Social Work, University of Utah, Salt Lake City, Utah, USA.
Annals of medicine
|August 22, 2024
概括
虚拟现实以正念为导向的恢复增强 (MORE-VR) 是对阿片类药物使用障碍 (OUD) 的可行的辅助治疗方法. 这种干预措施显示了高的保留率和可接受性,减少了非法阿片类药物使用和渴望.
科学领域:
- 数字治疗学数字治疗学
- 心理健康干预措施 心理健康干预
- 药物使用障碍治疗 药物使用障碍治疗
背景情况:
- 对阿片类药物使用障碍 (MOUD) 的药物是有效的,但患者的保留是一个挑战.
- 辅助的心理社会治疗可以改善保留和减少OUD的复发.
- 对受过培训的提供者的有限访问限制了基于证据的心理社会干预.
研究的目的:
- 评估虚拟现实提供的正念导向恢复增强 (MORE-VR) 干预的可行性.
- 评估MORE-VR作为阿片类药物使用障碍 (OUD) 患者的MOUD的辅助.
主要方法:
- 一项涉及34名接受MOUD (布普诺芬或美沙) 的患者的第一阶段研究.
- 参与者每周接受8次MORE-VR.会议.
- 收集的数据包括入学/保留率,可用性,可接受性,阿片类药物使用,渴望,影响和心率.
主要成果:
- 23名参与者完成了≥4次MORE-VR会议,证明了高可行性.
- 报告的高可用性和可接受性,具有出色的安全性.
- 非法阿片类药物使用,渴望和负面影响的显著减少;观察到积极影响的增加.
结论:
- MORE-VR是MOUD的可行,引人入胜和安全的辅助干预.
- 研究结果表明,MORE-VR可能会改善OUD治疗结果,并调节自主反应.
- 第二阶段试验将进一步测试MORE-VR的有效性.
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