Laboratoire de psychiatrie/SANPSY, CNRS USR 3413, Univ. Bordeaux, Bordeaux, France.
Drug Alcohol Depend. 2012 Nov 1;126(1-2):118-23. doi: 10.1016/j.drugalcdep.2012.04.025. Epub 2012 May 28.
Despite growing use of computerized ambulatory monitoring in substance dependence research, little is known about the comparative feasibility and validity of these novel methods by substance type. This study compares the feasibility and validity of computerized ambulatory monitoring in outpatients seeking treatment for alcohol, tobacco, cannabis or opiate dependence.
A total of 109 participants were recruited from an outpatient treatment center and completed standard clinical instruments followed by 2 weeks of computerized ambulatory monitoring of daily life experiences and substance use.
Individuals with cannabis dependence had the lowest rates of study acceptance (31%) as well as compliance with the repeated electronic interviews (79.9%), while those with tobacco dependence had the highest rates (62% and 91.0%, respectively). Concurrent validity was found between scores from standard clinical instruments and similar constructs assessed in daily life, with no difference by substance group. While no fatigue effects were detected, change in some variables was observed as a function of time in the study.
Computerized ambulatory protocols are feasible and provide valid data in individuals with diverse forms of dependence, but compliance to repeated sampling methodology may vary by substance type.
尽管在物质依赖研究中越来越多地使用计算机化的动态监测，但对于这些新方法在不同物质类型中的相对可行性和有效性知之甚少。本研究比较了计算机化动态监测在寻求治疗酒精、烟草、大麻或阿片类物质依赖的门诊患者中的可行性和有效性。
共有 109 名参与者从门诊治疗中心招募，并完成了标准的临床仪器评估，随后进行了 2 周的日常生活体验和物质使用的计算机化动态监测。
大麻依赖者的研究接受率最低（31%），重复电子访谈的依从性也最低（79.9%），而烟草依赖者的接受率和依从性最高（分别为 62%和 91.0%）。标准临床仪器评分与日常生活中评估的相似结构之间存在相关性，且与物质组无关。虽然没有发现疲劳效应，但随着研究时间的推移，一些变量发生了变化。
计算机化动态监测方案在具有不同形式依赖的个体中是可行的，并提供了有效数据，但重复采样方法的依从性可能因物质类型而异。
