评估面临风险饮酒者的远程医疗和基于文本的干预措施:关于可行性和有效性的试点研究
Jon Morgenstern1, Svetlana Levak2, Sean P Madden2
1Northwell Health, 270-05 76 Ave., New Hyde Park, NY 11040, United States of America; Zucker School of Medicine at Hofstra/Northwell, 500 Hofstra University, Hempstead, NY 11540, United States of America.
Journal of substance use and addiction treatment
|August 10, 2025
概括
这项试点研究发现,数字饮酒减酒服务是可行的,并且对有风险的饮酒者来说是有前途的. 研究结果表明,个性化的数字干预措施可能会改善减少酒精的结果.
科学领域:
- 公共卫生 公共卫生
- 数字健康数字健康
- 成 药物 药物 药物 药物
背景情况:
- 风险饮酒,超出安全指南而没有严重的酒精使用障碍,是一个广泛的公共卫生问题.
- 虽然存在有效的面对面干预措施,但它们的有限可用性需要可访问的替代方案.
- 数字干预提供了一个可扩展的解决方案,以改善风险饮酒者的获取和治疗.
研究的目的:
- 评估完全远程数字化减酒支持服务的可行性和有效性.
- 为了比较短信干预和混合远程医疗/数字工具干预之间的结果.
主要方法:
- 一项试点研究通过一个网站招募了163名风险饮酒者 (平均年龄为46.2岁,59.5%为女性).
- 参与者可以在为期8周的适应性短信干预 (文本支持) 或使用数字工具的混合远程医疗疗 (教练) 之间进行选择.
- 干预任务是72.4%的文字支持和27.6%的辅导.
主要成果:
- 文字支持参与者显示出较低的酒精消费和严重性,相比于教练,他们更喜欢适度而不是禁酒.
- 两组都报告了从基线到8周的显著饮酒减少.
- 对结果测量的低遵守性限制了全面的疗效评估.
结论:
- 混合干预证明了可行性和试点有效性.
- 结果表明,风险饮酒者之间存在显著的异质性.
- 一些个人可能更喜欢完全自动化的数字干预,而不是治疗师支持的选择.
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