一个数字认知行为疗法计划,用于成年人的酒精使用障碍:一个随机临床试验
Brian D Kiluk1, Bryan Benitez1, Elise E DeVito1
1Yale School of Medicine, New Haven, Connecticut.
JAMA network open
|September 26, 2024
概括
与标准护理相比,数字认知行为疗法 (CBT) 在8个月内显著增加了酒精戒断率. 这项数字CBT计划有望提高酒精使用障碍治疗的可访问性和有效性.
科学领域:
- 成 药物 药物 药物 药物
- 数字治疗学数字治疗学
- 行为健康 行为健康
背景情况:
- 认知行为疗法 (CBT) 对酒精使用障碍有效,但面临着访问限制.
- 数字疗法为改善患者获得基于证据的治疗提供了一个潜在的解决方案.
研究的目的:
- 为了比较数字CBT程序 (CBT4CBT) 与临床医生提供的CBT和标准治疗减少酒精消费的疗效.
- 评估数字CBT在增加禁欲率方面的长期有效性.
主要方法:
- 一个三臂随机临床试验,涉及99名患有酒精使用障碍的成年人.
- 参与者被分配到通常的治疗 (TAU),临床医生提供的CBT或基于网络的数字CBT.
- 结果,包括禁酒天数 (PDA) 的百分比,每周和1,3和6个月的随访时进行评估.
主要成果:
- 虽然在8周的治疗期间没有观察到任何显著差异,但数字CBT在8个月的研究中显示了PDA增长的速度更快.
- 在6个月的随访期间,数字CBT参与者与TAU和临床医生提供的CBT相比,实现了显著更高的戒断率.
- 平均PDA从基线增加到6个月的随访:TAU (49.3%至69.6%),CBT (53.7%至70.2%) 和数字CBT (47.6%至82.6%).
结论:
- 数字CBT程序 (CBT4CBT) 在8个月的时间内证明了提高酒精戒断率的有效性.
- 数字CBT代表了一种可行的和有效的替代方案,或是传统治疗酒精使用障碍的补充.
- 这项研究支持使用数字疗法来提高成治疗的获取和结果.
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