通过基于网络的干预来预防处方兴奋剂转移和滥用:一个随机对照试验
Laura J Holt1, Alison Looby2, Richard Feinn3
1Trinity College, Hartford, CT, USA.
Journal of attention disorders
|December 30, 2025
概括
在大学生中滥用处方兴奋剂的网络干预表明了可行性和可接受性. 虽然它没有直接减少转移或非医疗用途,但它改善了风险感知和自我有效性,表明未来改进的潜力.
科学领域:
- 心理学 心理学 心理学
- 公共卫生 公共卫生
- 行为科学 行为科学
背景情况:
- 处方兴奋剂转移和非医疗用途在本科生中普遍存在.
- 很少有基于证据的干预措施来解决这些特定的行为.
研究的目的:
- 评估简短,交互式基于网络的干预措施的有效性和可行性,针对大学生处方兴奋剂转移和非医疗用途.
- 评估干预对主要结果 (转移,非医疗用途,意图) 和次要结果 (感知规范,风险,自我有效性,处方者沟通) 的影响.
主要方法:
- 一项随机的,单盲研究,涉及249名来自美国三所大学的本科生,处方有兴奋剂.
- 参与者被分配到一个30分钟的基于网络的干预或注意力匹配的安慰剂中,随访时间为1,2,3个月和6个月.
- 干预包括精神教育,拒绝实践和坚持策略.
主要成果:
- 干预措施并没有显著减少转移或非医疗用途的初级结果.
- 观察到的小到中等效应是增加风险感知,感知非医疗用途规范和自我有效性以避免非医疗用途.
- 后期分析显示,在6个月内,任何转移 (76%) 和任何非医疗用途 (60%) 的几率显著降低.
结论:
- 基于网络的干预是可以接受的,并且可以在大学生中实施.
- 虽然没有直接减少滥用情节,但该干预措施在修改相关的心理社会因素方面显示出希望.
- 未来的干预措施可能会受益于量身定制的内容,解决不同程度的转移和滥用风险.
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