短信提醒和激励面试在越南坚持甲治疗的有效性:一个随机对照试验
Uyen Thanh Nu Le1, Thuan Thien Tran1, Giang Truong Le2
1Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City. 217 Hong Bang, District 5, Ho Chi Minh City 70000, Viet Nam.
Journal of public health (Oxford, England)
|January 27, 2025
概括
激励面试 (MI) 和短信提醒 (TMR) 在越南患者中改善了甲维持治疗 (MMT) 的坚持. 这些干预措施提供了有效的策略,以提高患者的遵从性,并减少与阿片类药物依赖相关的风险.
科学领域:
- 临床医学 临床医学
- 公共卫生 公共卫生
- 药理学 药理学是指药理学的学科.
背景情况:
- 甲维持治疗 (MMT) 是阿片类药物依赖管理的基石.
- 不遵守MMT会带来重大风险,包括戒断,复发和过量服用.
- 需要有效的策略来提高MMT坚持率.
研究的目的:
- 评估短信提醒 (TMR) 和激励面试 (MI) 在改善MMT坚持方面的有效性.
- 在阿片类药物依赖患者中,将TMR,MI和对照组之间的坚持率进行比较.
- 评估不同的遵守指标,包括完全,连续和周末的遵守.
主要方法:
- 一项基于社区的随机对照试验,涉及越南450名阿片类药物依赖患者.
- 患者被随机分配到三个手臂:对照,TMR和MI.
- 在六个月的时间里,每三个月评估一次遵守.
主要成果:
- 激励面试 (MI) 在6个月后显著增加了完全遵守 (RR=1.36).
- 短信提醒 (TMR) 在3个月和6个月后改善了完全遵守 (RR=1.27和RR=1.28,分别).
- 6个月后,TMR也显示了更高的周末坚持 (RR=1.19).
结论:
- 两种MI和TMR都是有效的干预措施,以提高MMT的坚持,特别是完全坚持.
- 这些发现支持将MI和TMR纳入越南的MMT计划.
- 该研究强调了技术辅助和基于咨询的干预措施的潜力,以改善患者在成治疗中的结果.
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