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门诊药物滥用诊所中三种“干预措施”对治疗前退出率的比较。

A comparison of three "interventions" on pretreatment dropout rates in an outpatient substance abuse clinic.

作者信息

Stasiewicz P R, Stalker R

机构信息

Research Institute on Addictions, Clinical Research Center, Buffalo, NY 14203, USA.

出版信息

Addict Behav. 1999 Jul-Aug;24(4):579-82. doi: 10.1016/s0306-4603(98)00082-3.

DOI:10.1016/s0306-4603(98)00082-3
PMID:10466854
Abstract

Studies examining pretreatment dropout in outpatient substance abuse clinics have consistently demonstrated that fewer days between phone contact and scheduled intake appointment result in higher client show rates. To compare time to intake with two other interventions hypothesized to increase show rates, individuals (N = 128) seeking treatment were randomly assigned to one of four groups. Individuals in Group 1 were scheduled within 48 hours of the telephone intake. Individuals in Groups 2, 3, and 4 were scheduled 48 hours or more after the telephone intake and received either a reminder call 24 hours prior to their appointment (Group 2), an appointment card and clinic brochure in the mail (Group 3), or no intervention (Group 4). The results show that Group 1 had a higher show rate as compared to the other three groups, and receiving a reminder call or an appointment card did not improve show rates beyond that of the no-contact control group. Implications for intake procedures are discussed.

摘要

针对门诊药物滥用诊所中治疗前退出情况的研究一直表明,电话联系与预定入院预约之间的天数越少,客户的就诊率就越高。为了将入院时间与另外两种假设可提高就诊率的干预措施进行比较,将寻求治疗的个体(N = 128)随机分配到四个组中的一组。第1组的个体在电话入院后的48小时内安排就诊。第2、3和4组的个体在电话入院48小时或更长时间后安排就诊,并分别在预约前24小时收到提醒电话(第2组)、通过邮件收到预约卡和诊所宣传册(第3组)或不接受任何干预(第4组)。结果显示,与其他三组相比,第1组的就诊率更高,并且收到提醒电话或预约卡并没有使就诊率高于无联系对照组。文中讨论了对入院程序的启示。

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