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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 Gustafson^1,2, 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.

关键词:

一个A-车.这是ABCT的ABCT.在 AUD 中,AUD 是 AUD.酒精行为治疗情侣治疗综合健康增强支持系统酒精使用障碍饮酒障碍情侣疗法是一项夫妻疗法.移动健康移动健康移动健康移动健康移动健康的移动健康手机电话手机电话手机电话智能手机的智能手机智能手机的智能手机.

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