Psychiatric Research Center, Dartmouth Medical School, Lebanon, NH 03766, USA.
J Subst Abuse Treat. 2012 Sep;43(2):161-7. doi: 10.1016/j.jsat.2011.10.028. Epub 2011 Dec 3.
Previous research has documented the difficulty individuals with alcohol use disorders have initiating alcohol treatment. This study assessed the feasibility of a brief, cognitive-behavioral intervention designed to increase treatment initiation among individuals with alcohol use disorders.
This randomized controlled trial included 196 participants who screened positive for a possible alcohol use disorder on the alcohol use disorders identification test. Randomly assigned intervention participants were administered a brief cognitive-behaviorally-based intervention by telephone designed to modify beliefs that may interfere with treatment-seeking behavior. Beliefs about treatment and treatment-seeking behavior were assessed postintervention.
Participants receiving the intervention had significantly improved their attitudes toward addiction treatment (p < .002) and increased their reported intention-to-seek treatment (p < .000) postintervention. Further, intervention participants were almost three times more likely to attend treatment within a 3-month period (odds ratio = 2.60, p < .025) than participants in the control group.
A brief, cognitive-behavioral intervention delivered by telephone and focused on modifying treatment-interfering beliefs holds promise for increasing alcohol treatment seeking among individuals in need.
先前的研究记录了患有酒精使用障碍的个体在开始接受酒精治疗方面所面临的困难。本研究评估了一种简短的认知行为干预措施的可行性，该措施旨在增加有酒精使用障碍的个体开始治疗的可能性。
这项随机对照试验纳入了 196 名在酒精使用障碍识别测试中筛查出可能患有酒精使用障碍的参与者。随机分配的干预组参与者通过电话接受了一项简短的基于认知行为的干预，旨在改变可能干扰寻求治疗行为的信念。在干预后评估了对治疗的信念和寻求治疗的行为。
接受干预的参与者对成瘾治疗的态度明显改善（p<.002），并增加了他们报告的寻求治疗的意愿（p<.000）。此外，干预组参与者在 3 个月内接受治疗的可能性几乎是对照组的三倍（优势比=2.60，p<.025）。
通过电话提供的简短的认知行为干预措施，重点是改变治疗干扰信念，有望增加有需要的个体寻求酒精治疗的可能性。
