多站点患者教育对酒精使用障碍退伍军人药物治疗的影响
Julie R Beauchamp1, Robert Malmstrom1, Ramona Shayegani1
1VA Sierra Pacific Network (VISN 21).
概括
在退伍军人中,直接向消费者提供教育并没有显著增加酒精使用障碍治疗的开始. 需要进一步的研究来探索有效的分娩方法和对AUD治疗的初级保健参与.
科学领域:
- 公共卫生
- 医疗服务研究
- 药物成
背景情况:
- 在美国,过度饮酒是可预防的死亡原因之一.
- 酒精使用障碍 (AUD) 的治疗是有效的, 但未得到充分利用.
- 低治疗率需要创新的患者参与策略.
研究的目的:
- 评估直接向消费者 (DTC) 患者教育在增加AUD治疗中的有效性.
- 评估DTC教育对退伍军人的药物治疗启动和服务咨询的影响.
- 探索退伍军人事务 (VA) 医疗保健系统中的质量改善策略.
主要方法:
- 一个质量改善项目,涉及5个退伍军人综合服务网络 (VISN) 的21个地点.
- 包括标准:患有AUD或高AUD风险的退伍军人 (AUDIT-C分数) 不接受药物治疗.
- 干预:在预定的约会前2周邮寄DTC教育材料;与倾向性得分匹配的历史队列相比.
主要成果:
- 1260名退伍军人获得了DTC教育材料.
- 干预组和对照组之间没有药物治疗开始的统计学意义上的差异 (主要结果) (P > .59).
- 心理健康或SUD服务咨询没有统计学意义上的差异 (次要结果).
结论:
- 直接向消费者提供教育并没有在统计学上显著改善AUD治疗的开始.
- 该项目激发了VISN 21内部关于AUD和治疗选择的讨论.
- 未来的研究应研究多种DTC输送方法,初级保健整合以及AUD治疗的长期影响.
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