Grant Louise P, Haughton Betsy, Sachan Dileep S
Nutrition and Food Service, James H Quillen VA Medical Center, Mountain Home, TN, USA.
J Am Diet Assoc. 2004 Apr;104(4):604-10. doi: 10.1016/j.jada.2004.01.008.
The scope and types of nutrition services provided in substance abuse treatment programs has not been well defined nor has there been an attempt to determine if associations exist between the provision of nutrition services and substance abuse treatment outcomes. The objectives of this study were to assess the provision (use and extent) of nutrition education in substance abuse treatment programs in facilities that provide a single or two or more substance abuse treatment programs, and to determine the possible association between nutrition intervention and substance abuse treatment program outcome measures (defined as changes in Addiction Severity Index [ASI] composite scores). A descriptive, single, cross-sectional survey of registered dietitians with clinical nutrition program management responsibility (n=152) was used to define the use and extent of nutrition services in substance abuse treatment programs. Positive associations between nutrition services provided, particularly nutrition education services and substance abuse treatment program outcome measures, were detected. When group nutrition/substance abuse education was offered, ASI psychological and medical domain scores improved by 68% and 56%, respectively (P<.05). Individual nutrition/substance abuse education was a predictor of ASI family/social domain change scores improving by 99% (P<.05). In those programs where group nutrition/substance abuse education was offered, moderate to strong correlations with various nutrition education services were observed, specifically in individual nutrition/substance abuse education (r=0.51; P<.05), group normal/nutrition education (r=0.64; P<.01), and individual normal/nutrition education (r=0.46; P<.05). Substance abuse treatment programs offering group nutrition/substance abuse education offered significantly (P<.05) more nutrition services overall. Findings support the position that nutrition education is an essential component of substance abuse treatment programs and can enhance substance abuse treatment outcomes. Dietitians should promote and encourage the inclusion of nutrition education into substance abuse treatment programs.
药物滥用治疗项目中提供的营养服务的范围和类型尚未得到明确界定，也没有人尝试确定营养服务的提供与药物滥用治疗结果之间是否存在关联。本研究的目的是评估在提供单一或两种及以上药物滥用治疗项目的机构中，药物滥用治疗项目中营养教育的提供情况（使用情况和程度），并确定营养干预与药物滥用治疗项目结果指标（定义为成瘾严重程度指数[ASI]综合得分的变化）之间可能存在的关联。对负责临床营养项目管理的注册营养师进行了一项描述性、单一横断面调查（n = 152），以确定药物滥用治疗项目中营养服务的使用情况和程度。研究发现，所提供的营养服务，尤其是营养教育服务与药物滥用治疗项目结果指标之间存在正相关。当提供团体营养/药物滥用教育时，ASI心理和医学领域得分分别提高了68%和56%（P <.05）。个体营养/药物滥用教育是ASI家庭/社会领域变化得分提高99%的一个预测因素（P <.05）。在那些提供团体营养/药物滥用教育的项目中，观察到与各种营养教育服务存在中度至强相关性，特别是在个体营养/药物滥用教育方面（r = 0.51；P <.05）、团体正常/营养教育方面（r = 0.64；P <.01）以及个体正常/营养教育方面（r = 0.46；P <.05）。提供团体营养/药物滥用教育的药物滥用治疗项目总体上提供的营养服务显著更多（P <.05）。研究结果支持这样一种观点，即营养教育是药物滥用治疗项目的一个重要组成部分，可以提高药物滥用治疗效果。营养师应促进并鼓励将营养教育纳入药物滥用治疗项目。
