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专注于情侣的智能手机干预减少问题饮酒:试点随机对照试验
David H Gustafson1,2, David H Gustafson1, Marie-Louise Mares3
1Center for Health Enhancement Systems Studies, University of Wisconsin-Madison, Madison, WI, United States.
JMIR formative research
|November 1, 2024
概括
智能手机应用程序用于酒精使用障碍治疗显示可行性,以夫妇为中心的干预措施可能减少大量饮酒的日子. 仅为患者和专注于夫妇的应用程序都被认为是有帮助的,并在六个月内保持了参与.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 行为健康 行为健康
- 药物使用障碍治疗 药物使用障碍治疗
背景情况:
- 酒精使用障碍 (AUD) 是美国普遍存在的疾病,影响30%的人口.
- 在AUD治疗中建议基于证据的行为干预措施.
- 基于智能手机的干预提供了诸如便携性和避免耻辱感等优势.
- 涉及夫妇的干预措施可能比仅针对患者的方法产生更好的结果.
研究的目的:
- 评估仅为患者 (A-CHESS) 与以夫妇为中心 (Partner-CHESS) 的电子健康应用程序对酒精滥用进行比较的可行性.
- 评估用户的感知和应用程序的使用情况.
- 检查两个应用组之间的初步临床结果差异.
主要方法:
- 一项试点研究将33对夫妇随机分配给6个月的A-CHESS或Partner-CHESS应用程序使用.
- 参与者包括AUD患者和他们的恋爱伴侣.
- 测量的主要结果是大量饮酒和任何饮酒日的百分比,通过时间线追踪评估.
主要成果:
- 应用程序的参与度很高,78%的合作伙伴-CHESS和73%的A-CHESS患者在6个月后使用了干预措施.
- 两种应用程序都被大多数用户评价为有用 (89%的合作伙伴-CHESS,87%的A-CHESS).
- 与A-CHESS患者相比,合作伙伴-CHESS患者的重度饮酒日减少的趋势,尽管在统计学上不显著 (P=.07).
结论:
- 这项研究支持基于智能手机的酒滥用干预措施的可行性,无论是针对患者还是针对夫妇.
- 这两种干预类型都表明了用户的帮助和持续参与.
- 建议进行更大规模,更强大的试验,以确认这些数字健康工具在AUD治疗中的相对有效性.


