在日常实践中实施大麻使用障碍的简短动机干预措施的障碍和促进者:系统审查
Sidharth Mishra1, Sayali Mishra1, Sibanarayan Rath2
1Department of Psychiatric, Kalinga Institute of Medical Sciences, KIIT University, Bhubaneswar, India.
Journal of addictive diseases
|October 31, 2025
概括
简短的动机干预 (BMI) 可以帮助治疗大麻使用障碍 (CUD). 成功实施需要提供者培训,系统支持和文化敏感的护理,以便在临床环境中更广泛地采用.
科学领域:
- 公共卫生 公共卫生
- 行为科学 行为科学
- 临床心理学 临床心理学
背景情况:
- 大麻使用障碍 (CUD) 构成了日益严重的全球公共卫生挑战,因合法化日益加剧而加剧.
- 许多患有CUD的人因耻辱和有限的服务机会等障碍而没有接受治疗.
- 简短的动机干预 (BMI) 为医疗机构中CUD管理提供了一种实用,具有成本效益的方法.
研究的目的:
- 系统地审查关于实施CUDBMI的障碍和促进者的定性证据.
- 了解医疗保健提供者,患者和利益相关者对BMI交付的看法.
- 为提高BMI在日常实践中的采用和有效性的策略提供信息.
主要方法:
- 在主要数据库 (PubMed,Embase,PsycINFO,CINAHL,Web of Science,Scopus) 进行系统的文献搜索.
- 包括2000年以来发表的定性和混合方法研究.
- 在使用Joanna Briggs Institute (JBI) 检查清单进行方法性质量评估后,对数据进行主题综合.
主要成果:
- 确定了影响BMI实施和成功的关键上下文因素.
- 强调了提供者准备,适当的培训和组织支持的重要性.
- 强调需要在为CUD提供BMI时采用文化敏感的方法.
结论:
- 对CUD的BMI的成功实施取决于多层次的因素,包括提供者准备和系统支持.
- 解决已识别的障碍和促进因素对于提高BMI在临床实践中的广泛采用至关重要.
- 本综述提供了指导政策,培训和实施战略的证据,以有效干预大麻.
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