在初级保健中治疗物质使用障碍的处方数字疗法:混合方法试点实施研究的评估
Jessica Mogk1, Abisola E Idu1, Jennifer F Bobb1
1Kaiser Permanente Washington Health Research Institute, Seattle, WA, United States.
JMIR formative research
|September 2, 2024
概括
在初级保健中实施处方数字治疗物质使用障碍 (SUD) 面临挑战. 这项试点研究突出了员工和工作流程等障碍,为未来关于实施策略的试验提供了信息.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 初级保健实施科学初级保健实施科学
- 药物使用障碍治疗 药物使用障碍治疗
背景情况:
- 初级保健机构提供了一个潜在的途径,通过处方数字治疗 (PDT) 增加患者获得物质使用障碍 (SUD) 治疗的机会.
- 在初级保健中,PDT的最佳实施策略仍未确定.
研究的目的:
- 试点测试实施策略,特别是实践促进 (PF) 和健康指导 (HC),作为更大试验的先驱.
- 评估在初级保健机构为SUD提供PDT的可行性和结果.
- 收集对实施过程的定性见解.
主要方法:
- 一项混合方法试点研究,涉及2个初级保健实践中的3名心理健康专家.
- 实施策略包括初步培训,支持工具,其次是后半年PF和HC.
- 从电子健康记录和供应商数据中收集的数据;对遵守,障碍和促进者的定性评估.
主要成果:
- 在18名被处方PDT的患者中,10名 (56%) 激活了PDT,8名 (44%) 完成了至少一个模块.
- 平均每周完成1个模块;只有1名患者 (6%) 符合理想使用标准 (每周4个模块,每月一次SUD访问).
- 临床医生提到竞争的优先事项,技术问题和工作流程的复杂性;工作人员的流动和流行病的影响.
结论:
- 该试点确定了在初级保健中实施PDT的重大障碍,包括人员问题和竞争需求.
- 需要进一步的研究,包括一个更大的随机试验,以确定PF和HC在改善PDT实施方面的有效性.
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