在急诊室的青少年和新兴成年人中,针对滥用酒精和暴力行为的自适应性干预:来自连续多项分配随机对照试验的结果
Maureen A Walton1, Laura Seewald2, Patrick M Carter2
1Addiction Center, Department of Psychiatry, University of Michigan, Ann Arbor, MI 48109, USA; Injury Prevention Center, University of Michigan, Ann Arbor, MI 48109, USA; Institute on Firearm Injury Prevention, University of Michigan, Ann Arbor, MI 48109, USA.
Drug and alcohol dependence
|February 28, 2025
概括
数字健康干预措施有望减少青少年的饮酒滥用和侵略. 虽然增强剂类型没有显著差异,但参与者的整体结果随着时间的推移而有所改善.
科学领域:
- 数字健康干预措施 数字健康干预措施
- 青少年行为健康问题
- 药物使用研究研究 药物使用研究
背景情况:
- 青少年急诊室的访问往往涉及过度饮酒和侵略.
- 基于技术的干预措施可能会降低年轻人患病率.
- 一个顺序,多重分配,随机试验 (SMART) 旨在测试干预措施.
研究的目的:
- 评估数字干预措施在减少青少年饮酒和攻击性的有效性.
- 为了在两阶段的适应性试验中比较不同的助推干预措施 (文本消息与健康教练).
- 根据参与者对初始干预措施的反应分析结果.
主要方法:
- 在ED的400名年轻人 (14-20岁) 接受了简短的干预,并随机分配到短信或健康教练助推器.
- 参与者在8个月内完成了评估酒精消费,侵略性和相关后果的调查.
- 第二个随机化阶段根据参与者的反应 (反应者与非反应者) 调整了干预措施.
主要成果:
- 在第一阶段和第二阶段的辅助干预之间没有发现显著差异.
- 随着时间的推移,观察到参与者的整体结果有显著的改善.
- 酒精戒断的几率在4个月和8个月增加,而侵略的几率减少了8个月.
结论:
- 数字健康干预表明,有潜力治疗青少年过度饮酒和侵略.
- 这项研究支持在向有风险的年轻人提供行为健康服务时使用技术.
- 可以利用适应性试验设计来定制干预措施以获得更好的结果.
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