短信提醒对门诊患者的免费运输 药物使用障碍治疗:试点随机鼓励研究
Krisda H Chaiyachati1,2, Nandita Mitra3,4, David Grande5,3
1Department of Medicine, The University of Pennsylvania Perelman School of Medicine, 3400 Civic Center Boulevard, Philadelphia, PA, 19104, USA. Krisda.chaiyachati@pennmedicine.upenn.edu.
Journal of general internal medicine
|April 29, 2025
概括
对于运输的每周文本提醒并没有改善药物使用障碍治疗中的整体保留率. 然而,在接受阿片类药物使用障碍药物治疗的患者中,在12周内发现了适度的益处.
科学领域:
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 药物使用障碍 (SUD) 在美国是一个重大的公共卫生挑战.
- 运输障碍限制了患者获得门诊SUD治疗的机会,影响了保留时间.
- 利用免费的运输服务是改善治疗坚持治疗的潜在策略.
研究的目的:
- 为了评估每周短信提醒的有效性,安排运输.
- 评估这些提醒对门诊SUD治疗的保留的影响.
- 探索基于SUD和SUD类型的药物的差异效应.
主要方法:
- 在俄俄州西南部 (2020年11月 - 2022年7月) 进行实用试点研究.
- 面临运输障碍的SUD参与者在12周内获得免费运输.
- 随机 1: 1 收到每周的文本提醒 (干预) 或没有提醒 (控制).
主要成果:
- 干预 (45.0%) 和对照 (42.6%) 组之间12周保留时间没有统计学上显著的差异.
- 两组之间24周保留时间没有显著差异 (干预组25.7%,对照组28.4%).
- 在接受SUD药物治疗的患者中,干预组的患者在12周内保持更大的趋势,但在24周内并不显著.
结论:
- 对于运输安排的每周文本提醒并没有显著改善整体SUD治疗保留率.
- 在接受SUD药物的患者中,在12周观察到潜在的益处,需要进一步调查.
- 根据SUD的类型,没有观察到保留的差异.
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