应急管理和解决问题的治疗干预措施的可行性和可接受性,以加强酒精戒断:单臂混合方法试点临床试验
Hagar Hallihan1, Sangeun Lee2, Kathleen M Rospenda3
1Department of Medicine, University of Illinois Chicago, Chicago, Illinois, USA hhalli2@uic.edu.
BMJ open
|August 19, 2025
概括
这项研究发现,结合应急管理和问题解决疗法 (CM-PST) 的远程综合疗法对于患有酒精使用障碍 (AUD) 的年轻人来说是可行的和可接受的. 观察到高坚持,虽然保留率需要未来的改进.
科学领域:
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
- 行为科学 行为科学
背景情况:
- 患有酒精使用障碍 (AUD) 的年轻人经常面临难以获得传统面对面治疗的挑战.
- 结合应急管理 (CM) 和问题解决疗法 (PST) 的综合行为疗法在AUD治疗中表现有前途.
- 一个完全远程的交付模式可以改善这个人口群体的可访问性.
研究的目的:
- 评估一种新的,完全远程综合行为疗法 (CM-PST) 对被诊断患有AUD的年轻成年人 (18-24岁) 的可行性和可接受性.
- 评估参与者对远程CM-PST干预的参与度和满意度.
主要方法:
- 一项单臂临床试验与20名患有AUD的年轻成年人 (18-24岁) 进行.
- 该干预包括12周的8个远程会议,包括CM用于激励和PST用于技能建设.
- 可行性和可接受性通过招聘率,坚持 (100%的PST会议),保留 (未达到85%的基准) 和客户满意度得分 (≥3) 来衡量.
主要成果:
- 所有20名参与者都完成了这项研究,证明了高可行性.
- 实现了100%的解决问题的治疗 (PST) 会议的坚持,这表明参与者的强烈参与.
- 参与者的反表明,应急管理 (CM) 影响了行为和决策,而PST有效地解决了生活挑战.
结论:
- 远程CM-PST干预对于患有AUD的年轻人来说是可行的和可以接受的.
- 高坚持表明该模型有效地吸引参与者.
- 提高保留率的策略应在未来的研究中探索,以优化治疗结果.
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