重复剂量行为干预,以减少阿片类药物过量剂量在阿片类药物使用障碍过量幸存者的阿片类药物过量剂量:一个两个站点的第三期随机对照试验
Phillip O Coffin1,2, Glenn-Milo Santos1,2, Vanessa M McMahan1
1Center on Substance Use and Health, San Francisco Department of Public Health, San Francisco, CA, USA.
激励性采访干预并没有显著减少在芬太尼普遍存在的城市中阿片类药物过量事件. 需要进一步的研究来解决阿片类药物过量危机.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 行为科学 行为科学
背景情况:
- 芬太尼在非法阿片类药物市场的普及使过量预防复杂化.
- 由于芬太尼的功效,现有的干预措施可能不那么有效.
- 预防阿片类药物过量服用是关键的公共卫生优先事项.
研究的目的:
- 评估一种行为干预措施 (REBOOT) 以预防阿片类药物过量服用.
- 测试激励面试在减少过量事件中的有效性.
- 评估这项干预措施在美国两个 fentanyl 流行率高的城市的影响.
主要方法:
- 第三阶段,双部位,单盲随机对照试验 (RCT).
- 268名患有阿片类药物使用障碍 (OUD) 的参与者接受了激励采访 (REBOOT) 或注意力控制.
- 干预涉及过量预防计划;结果被测量了16个月.
主要成果:
- 在REBOOT干预没有显示统计学上对过量发生的首要结果显著的影响.
- 在过量事件或治疗日数方面没有发现显著差异.
- 后期分析表明,没有近期过量使用史的参与者中,过量使用事件较少.
结论:
- 重复剂量激励面试干预并没有显著减少阿片类药物过量服用.
- 这些发现强调了在芬太尼时代预防过量服用的挑战.
- 针对特定的参与者小组,可能需要针对性的策略.
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