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低收入和中等收入国家的酒精使用和酒精使用障碍的数字干预:系统性审查

Payal Khatore¹, Hizkia Yolanda¹, Jaeden Joyner¹

¹Centre for Global Mental Health, London School of Hygiene and Tropical Medicine, Keppel Street, London WC1E 7HT, UK.

Oxford open digital health

|April 15, 2025

概括

数字干预 (DIs) 在低收入和中等收入国家 (LMICs) 的酒精使用障碍 (AUDs) 治疗方面显示出前景. 虽然它通常是有效和受欢迎的,但需要更多的研究来克服方法上的局限性.

科学领域:

数字健康数字健康
全球健康全球健康
药物使用障碍药物使用障碍

背景情况:

低收入和中等收入国家 (LMICs) 面临着酒精使用障碍 (AUDs) 的高负担,获得医疗保健的机会有限.
数字干预 (DIs) 提供了一个潜在的解决方案,以克服成本,专业短缺和LMIC中的耻辱等障碍.

研究的目的:

系统地审查LMIC中AUDDI的DI的有效性和实施的证据.

主要方法:

进行了全面的系统审查,搜索EMBASE,MEDLINE和PsycINFO从创立到2023年6月.
包括的研究报告了关于在LMIC中AUDDI的DI的有效性和/或实施的初级数据.
搜索词组合DIs (例如,短信,电子健康),酒精使用 (例如,危险饮酒) 和LMICs.

主要成果:

包括19项研究 (21份报告),包括从移动应用程序到由人类交付的数字平台的DI.
十二项研究报告了积极或部分积极的酒精使用结果,如减少饮酒日或戒酒.
涉及人类支持的干预措施比独立的DI更有效,报告的可接受性和可行性高.

结论:

数字干预 (DIs) 在低收入和中等收入国家 (LMICs) 解决酒精使用障碍 (AUDs) 是可以接受和可行的,并显示出广泛的有效性.
方法上的局限性,包括小样本规模和短的随访时间,阻碍了坚定的结论.
增加投资,改进研究方法和专注于实施结果对于实现LMICs中DI的潜力至关重要.

关键词:

使用酒精使用酒精使用酒精酒精使用障碍酒精使用障碍数字干预是数字干预.低收入和中等收入国家.使用物质使用物质.系统性审查系统性审查

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