酒精中毒电话持续护理反应的调节因素。
Moderators of response to telephone continuing care for alcoholism.
作者信息
Lynch Kevin G, Van Horn Deborah, Drapkin Michelle, Ivey Megan, Coviello Donna, McKay James R
机构信息
Universityof Pennsylvania, 3440 Market St, Philadelphia, PA 19104, USA.
出版信息
Am J Health Behav. 2010 Nov-Dec;34(6):788-800. doi: 10.5993/ajhb.34.6.13.
OBJECTIVES
To evaluate potential moderators of the effect of adding extended telephone monitoring (TM) and telephone monitoring and counseling (TMC) continuing care to treatment as usual (TAU) for alcoholism. Continuing care was predicted to be more effective for patients with severe substance-use histories, poor initial response to treatment, and other risk factors for relapse.
METHODS
Randomized study with 18-month follow-up. Outcomes were frequency of drinking and any drinking.
RESULTS
Main effects favored TMC over TAU on alcohol outcomes. However, none of the 11 variables examined moderated these effects. Conversely, main effect and moderator analyses indicated TM was more beneficial than TAU only for women and for participants with lower readiness to change.
CONCLUSIONS
TMC improves drinking outcomes when added to standard care, regardless of alcohol use history, early response to treatment, or other risk factors for relapse. TM is recommended for women and less motivated patients.
目的
评估在酒精成瘾常规治疗（TAU）基础上增加延长电话监测（TM）以及电话监测与咨询（TMC）持续护理的效果的潜在调节因素。预计持续护理对有严重物质使用史、对治疗初始反应不佳以及其他复发风险因素的患者更有效。
方法
进行为期18个月随访的随机研究。结局指标为饮酒频率和任何饮酒情况。
结果
在酒精相关结局方面，主要效应显示TMC优于TAU。然而，所考察的11个变量均未调节这些效应。相反，主要效应和调节因素分析表明，仅对女性以及改变意愿较低的参与者而言，TM比TAU更有益。
结论
在标准护理基础上增加TMC可改善饮酒结局，无论酒精使用史、对治疗的早期反应或其他复发风险因素如何。建议对女性和积极性较低的患者采用TM。
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