保留在国家药物滥用研究所临床试验网络妇女与创伤研究中：对试验后实施的影响。
Retention in the National Institute on Drug Abuse Clinical Trials Network Women and Trauma Study: implications for posttrial implementation.
机构信息
Columbia University School of Social Work, 1255 Amsterdam Avenue, New York, NY 10027, USA.
出版信息
Am J Orthopsychiatry. 2011 Apr;81(2):211-7. doi: 10.1111/j.1939-0025.2011.01090.x.
Abstract
This study aimed to identify factors that influenced retention in the National Institute on Drug Abuse-funded Women and Trauma Study, conducted within the Clinical Trials Network (CTN). Women (N=346) were recruited from and received treatment in 6 CTN-affiliated sites. Log-linear and logistic models were used to explore factors associated with retention. The mean number of treatment sessions attended was 6.8 (SD=3.9). Women with more education, higher attendance at 12-step meetings, and strong therapeutic alliance between facilitator and participant had better retention rates. Significant site differences were found; the site with the highest retention rate provided child care and had the lowest average monthly intake. To retain women with histories of trauma and substance abuse in "real world" psychiatric settings, emphasis on regulating individual-level and site-related modifiable variables are crucial.
摘要
本研究旨在确定影响国家药物滥用研究所资助的女性和创伤研究（在临床试验网络（CTN）内进行）保留率的因素。研究从 CTN 附属的 6 个机构招募了女性（N=346）并为其提供治疗。使用对数线性和逻辑模型探讨与保留率相关的因素。治疗次数的平均值为 6.8（SD=3.9）。具有较高教育程度、更多参加 12 步会议以及治疗师和参与者之间有较强治疗联盟的女性，其保留率更高。发现了显著的机构差异；保留率最高的机构提供了儿童保育服务，且每月平均摄入量最低。为了在“真实世界”精神科环境中留住有创伤和药物滥用史的女性，强调调节个体水平和机构相关可调节变量至关重要。
相似文献
1
Retention in the National Institute on Drug Abuse Clinical Trials Network Women and Trauma Study: implications for posttrial implementation.保留在国家药物滥用研究所临床试验网络妇女与创伤研究中：对试验后实施的影响。
Am J Orthopsychiatry. 2011 Apr;81(2):211-7. doi: 10.1111/j.1939-0025.2011.01090.x.
2
Gender research in the National Institute on Drug Abuse National Treatment Clinical Trials Network: a summary of findings.国家药物滥用研究所国家治疗临床试验网络中的性别研究：研究结果概述。
Am J Drug Alcohol Abuse. 2011 Sep;37(5):301-12. doi: 10.3109/00952990.2011.596875.
3
Helping alliance, retention, and treatment outcomes: a secondary analysis from the NIDA Clinical Trials Network Women and Trauma Study.帮助联盟、保留和治疗结果：NIDA 临床试验网络妇女和创伤研究的二次分析。
Subst Use Misuse. 2012 May;47(6):695-707. doi: 10.3109/10826084.2012.659789. Epub 2012 Apr 4.
4
Identifying and responding to trial implementation challenges during multisite clinical trials.在多中心临床试验中识别并应对试验实施过程中的挑战。
J Subst Abuse Treat. 2020 Mar;112S:63-72. doi: 10.1016/j.jsat.2020.02.004.
5
The application of digital health to the assessment and treatment of substance use disorders: The past, current, and future role of the National Drug Abuse Treatment Clinical Trials Network.数字健康在物质使用障碍评估与治疗中的应用：国家药物滥用治疗临床试验网络的过去、当前及未来作用。
J Subst Abuse Treat. 2020 Mar;112S:4-11. doi: 10.1016/j.jsat.2020.02.005.
6
Maximizing Effectiveness Trials in PTSD and SUD Through Secondary Analysis: Benefits and Limitations Using the National Institute on Drug Abuse Clinical Trials Network "Women and Trauma" Study as a Case Example.通过二次分析优化创伤后应激障碍和物质使用障碍的有效性试验：以美国国立药物滥用研究所临床试验网络的“女性与创伤”研究为例探讨益处与局限
J Subst Abuse Treat. 2015 Sep;56:23-33. doi: 10.1016/j.jsat.2015.04.001. Epub 2015 Apr 7.
7
Quality assurance of research protocols conducted in the community: the National Institute on Drug Abuse Clinical Trials Network experience.在社区开展的研究方案的质量保证：美国国立药物滥用研究所临床试验网络的经验。
Clin Trials. 2009 Apr;6(2):151-61. doi: 10.1177/1740774509102560.
8
The first decade of the National Drug Abuse Treatment Clinical Trials Network: bridging the gap between research and practice to improve drug abuse treatment.国家药物滥用治疗临床试验网络的第一个十年：弥合研究与实践之间的差距，以改善药物滥用治疗。
J Subst Abuse Treat. 2010 Jun;38 Suppl 1(Suppl 1):S4-13. doi: 10.1016/j.jsat.2010.01.011.
9
Site selection in community-based clinical trials for substance use disorders: strategies for effective site selection.基于社区的物质使用障碍临床试验中的研究点选择：有效研究点选择的策略。
Am J Drug Alcohol Abuse. 2011 Sep;37(5):400-7. doi: 10.3109/00952990.2011.596975.
10
NIDA's Clinical Trials Network: an opportunity for HIV research in community substance abuse treatment programs.NIDA 的临床试验网络：在社区药物滥用治疗计划中进行 HIV 研究的机会。
Am J Drug Alcohol Abuse. 2011 Sep;37(5):283-93. doi: 10.3109/00952990.2011.596977.
引用本文的文献
1
Role of Momentary Alcohol Cognitions in Event-Level Relations Between PTSD Symptoms and Alcohol Outcomes: Le rôle des cognitions momentanées liées à l'alcool au niveau de l'événement entre les symptômes du TSPT et la consommation d'alcool.创伤后应激障碍症状与酒精使用结果在事件层面关系中即时酒精认知的作用：创伤后应激障碍症状与酒精使用结果在事件层面关系中与酒精相关的即时认知的作用。
Can J Psychiatry. 2025 Jan;70(1):32-40. doi: 10.1177/07067437241300082. Epub 2024 Dec 10.
2
Adaptation of an evidence-based parenting intervention for integration into maternal-child home-visiting programs: Challenges and solutions.将基于证据的育儿干预措施进行调整以纳入母婴家访项目：挑战与解决方案。
Implement Res Pract. 2023 Jan-Dec;4. doi: 10.1177/26334895221151029. Epub 2023 Jan 22.
3
Peer-based Retention Of people who Use Drugs in Rural Research (PROUD-R): a multisite, randomised, 12-month trial to compare efficacy of standard versus peer-based approaches to retain rural people who use drugs in research.基于同伴的农村地区吸毒者保留研究（PROUD-R）：一项多中心、随机、12 个月的试验，旨在比较标准方法与基于同伴的方法在保留农村地区吸毒者参与研究方面的疗效。
BMJ Open. 2022 Jun 15;12(6):e064400. doi: 10.1136/bmjopen-2022-064400.
4
Predictors of therapeutic alliance, treatment feedback, and clinical outcomes among African American women in treatment for co-occurring PTSD and SUD.治疗共病 PTSD 和 SUD 的非裔美国女性的治疗联盟、治疗反馈和临床结局的预测因素。
J Subst Abuse Treat. 2022 Aug;139:108766. doi: 10.1016/j.jsat.2022.108766. Epub 2022 Mar 22.
5
Seeing the forest for the trees: Predicting attendance in trials for co-occurring PTSD and substance use disorders with a machine learning approach.见林忘树：采用机器学习方法预测共病 PTSD 和物质使用障碍试验的参与度。
J Consult Clin Psychol. 2021 Oct;89(10):869-884. doi: 10.1037/ccp0000688.
6
Prevalence of childhood maltreatment among people with opioid use disorder: A systematic review and meta-analysis.患有阿片类药物使用障碍人群中心理虐待的流行率：系统评价和荟萃分析。
Drug Alcohol Depend. 2021 Feb 1;219:108459. doi: 10.1016/j.drugalcdep.2020.108459. Epub 2020 Dec 20.
7
Identifying and responding to trial implementation challenges during multisite clinical trials.在多中心临床试验中识别并应对试验实施过程中的挑战。
J Subst Abuse Treat. 2020 Mar;112S:63-72. doi: 10.1016/j.jsat.2020.02.004.
8
The "Women and Trauma" study and its national impact on advancing trauma specific approaches in community substance use treatment and research.“女性与创伤”研究及其在推进社区药物使用治疗与研究中针对创伤的特定方法方面的全国性影响。
J Subst Abuse Treat. 2020 Mar;112S:12-17. doi: 10.1016/j.jsat.2020.02.003.
9
Treatment processes and demographic variables as predictors of dropout from trauma-focused cognitive behavioral therapy (TF-CBT) for youth.治疗过程和人口统计学变量对青少年创伤聚焦认知行为疗法（TF-CBT）脱落的预测。
Behav Res Ther. 2018 Aug;107:10-18. doi: 10.1016/j.brat.2018.05.008. Epub 2018 May 23.
10
Incentivizing attendance to prolonged exposure for PTSD with opioid use disorder patients: A randomized controlled trial.激励患有阿片类物质使用障碍的创伤后应激障碍患者接受延长暴露治疗：一项随机对照试验。
J Consult Clin Psychol. 2017 Jul;85(7):689-701. doi: 10.1037/ccp0000208. Epub 2017 Apr 17.
本文引用的文献
1
The Revised Helping Alliance Questionnaire (HAq-II) : Psychometric Properties.修订后的帮助联盟问卷（HAq-II）：心理测量特性。
J Psychother Pract Res. 1996 Summer;5(3):260-71.
2
Male-to-Female Transgender Individuals Building Social Support and Capital From Within a Gender-Focused Network.男变女跨性别者在以性别为重点的网络中建立社会支持与资本。
J Gay Lesbian Soc Serv. 2008 Sep 1;20(3):203-220. doi: 10.1080/10538720802235179.
3
Multisite randomized trial of behavioral interventions for women with co-occurring PTSD and substance use disorders.多地点随机试验对同时患有创伤后应激障碍和物质使用障碍的女性进行行为干预。
J Consult Clin Psychol. 2009 Aug;77(4):607-19. doi: 10.1037/a0016227.
4
"You've gotta know the community": minority women make recommendations about community-focused health research.“你必须了解社区”：少数族裔女性对以社区为重点的健康研究提出建议。
Women Health. 2008;47(1):83-104. doi: 10.1300/J013v47n01_05.
5
Barriers to recruiting urban African American women into research studies in community settings.在社区环境中招募城市非裔美国女性参与研究的障碍。
Appl Nurs Res. 2008 May;21(2):90-7. doi: 10.1016/j.apnr.2006.05.001.
6
Adherence and retention of female injection drug users in a phase III clinical trial in inner city Baltimore.巴尔的摩市中心城区一项三期临床试验中女性注射吸毒者的依从性和留存率
Am J Drug Alcohol Abuse. 2007;33(1):71-80. doi: 10.1080/00952990601082696.
7
Retention in a breast cancer risk information trial: motivations of a population-based sample of women.
Health Educ Behav. 2006 Oct;33(5):591-603. doi: 10.1177/1090198106288493. Epub 2006 Jul 21.
8
HIV-positive black women with histories of childhood sexual abuse: patterns of substance use and barriers to health care.有童年性虐待史的艾滋病毒呈阳性的黑人女性：物质使用模式及医疗保健障碍
J Health Care Poor Underserved. 2005 Nov;16(4 Suppl B):9-23. doi: 10.1353/hpu.2005.0120.
9
Client-related predictors of early treatment drop-out in a substance abuse clinic exclusively employing individual therapy.在一家专门采用个体治疗的药物滥用诊所中，与早期治疗退出相关的患者预测因素。
J Subst Abuse Treat. 2004 Apr;26(3):189-95. doi: 10.1016/S0740-5472(03)00210-1.
10
Predictors of retention in dual-focus self-help groups.双焦点自助小组留存率的预测因素。
Community Ment Health J. 2003 Aug;39(4):281-97. doi: 10.1023/a:1024085423488.
Zotero 插件