National Development and Research Institutes, Inc., NY 10010-3509, USA.
J Subst Abuse Treat. 2012 Jul;43(1):1-11. doi: 10.1016/j.jsat.2011.10.005. Epub 2011 Nov 25.
Of the 13 principles of drug addiction treatment disseminated by the National Institute on Drug Abuse (NIDA), 7 were meta-analyzed as part of the Evidence-based Principles of Treatment (EPT) project. By averaging outcomes over the diverse programs included in the EPT, we found that 5 of the NIDA principles examined are supported: matching treatment to the client's needs, attending to the multiple needs of clients, behavioral counseling interventions, treatment plan reassessment, and counseling to reduce risk of HIV. Two of the NIDA principles are not supported: remaining in treatment for an adequate period and frequency of testing for drug use. These weak effects could be the result of the principles being stated too generally to apply to the diverse interventions and programs that exist or unmeasured moderator variables being confounded with the moderators that measured the principles. Meta-analysis should be a standard tool for developing principles of effective treatment for substance use disorders.
在国家药物滥用研究所（NIDA）传播的 13 项成瘾治疗原则中，有 7 项作为循证治疗原则（EPT）项目的一部分进行了荟萃分析。通过对 EPT 中包含的各种项目的结果进行平均，我们发现，所检查的 NIDA 原则中有 5 项得到了支持：根据客户的需求进行治疗、关注客户的多种需求、行为咨询干预、治疗计划重新评估以及咨询以降低 HIV 风险。有 2 项 NIDA 原则不被支持：在治疗中保持足够的时间和药物使用测试的频率。这些较弱的效果可能是由于这些原则表述得过于笼统，无法适用于现有的各种干预措施和方案，或者与衡量这些原则的调节变量混淆的未测量的调节变量。元分析应该成为开发有效的物质使用障碍治疗原则的标准工具。
