Wechsberg Wendee M, Zule William A, Riehman Kara S, Luseno Winnie K, Lam Wendy K K
Substance Abuse Treatment Evaluations and Interventions Program, Behavioral Health and Criminal Justice Research Division , RTI International, 3040 Cornwallis Road, Research Triangle Park, NC 27709-2194, USA.
Subst Abuse Treat Prev Policy. 2007 Mar 29;2:10. doi: 10.1186/1747-597X-2-10.
Individual and sociocultural factors may pose significant barriers for drug abusers seeking treatment, particularly for African-American crack cocaine abusers. However, there is evidence that pretreatment interventions may reduce treatment initiation barriers. This study examined the effects of a pretreatment intervention designed to enhance treatment motivation, decrease crack use, and prepare crack abusers for treatment entry.
Using street outreach, 443 African-American crack users were recruited in North Carolina and randomly assigned to either the pretreatment intervention or control group.
At 3-month follow-up, both groups significantly reduced their crack use but the intervention group participants were more likely to have initiated treatment.
The intervention helped motivate change but structural barriers to treatment remained keeping actual admissions low. Policy makers may be interested in these pretreatment sites as an alternative to treatment for short term outcomes.
个人因素和社会文化因素可能给寻求治疗的药物滥用者，尤其是非裔美国快克可卡因滥用者带来重大障碍。然而，有证据表明，治疗前干预措施可能会减少治疗启动障碍。本研究考察了一种治疗前干预措施的效果，该措施旨在增强治疗动机、减少快克可卡因使用，并帮助快克可卡因滥用者为进入治疗做好准备。
通过街头宣传，在北卡罗来纳州招募了443名非裔美国快克可卡因使用者，并将他们随机分为治疗前干预组或对照组。
在3个月的随访中，两组的快克可卡因使用量均显著减少，但干预组参与者更有可能开始接受治疗。
该干预措施有助于推动改变，但治疗的结构性障碍依然存在，导致实际入院人数较低。政策制定者可能会对这些治疗前干预点感兴趣，将其作为短期内替代治疗的一种选择。
