Haug Severin, Lucht Michael J, John Ulrich, Meyer Christian, Schaub Michael P
Swiss Research Institute for Public Health and Addiction at Zurich University, Zurich, Switzerland
Department of Psychiatry and Psychotherapy, University of Greifswald at HELIOS Hanseklinikum Stralsund, Stralsund, Germany.
Alcohol Alcohol. 2015 Mar;50(2):188-94. doi: 10.1093/alcalc/agu107. Epub 2015 Jan 19.
To test the feasibility, acceptability and initial effectiveness of a text message-based aftercare treatment programme among alcohol outpatients.
Clients treated for alcohol use disorders from three Swiss outpatient alcohol treatment centres were invited by their counsellors to participate in a study testing an interactive aftercare programme employing the use of text messages and personal phone calls. Fifty study participants were randomly assigned to either the 6-month aftercare programme (n = 25) or treatment as usual (n = 25). The intervention consisted of (a) monitoring of self-selected drinking goals at regular intervals, (b) motivational text messages to stick to self-selected drinking goals and (c) proactive telephone calls from counsellors when participants neglected to stick to their drinking goals or expressed a need for support. Follow-up interviews were conducted 6 months after randomization.
Throughout the programme, participants received a total of 421 text message prompts. Out of these, participants provided valid replies to 371 (88.1%) within 48 h. Out of the 25 participants in the intervention group, 11 (44.0%) sent at least one call-for-help reply. Based on complete case data, at risk alcohol use at follow-up was 41.7% in the control group and 28.6% in the intervention group (OR = 0.56, 95% CI = 0.16-1.95, P = 0.36).
The interactive low-intensive aftercare programme was well accepted by the participants. Testing its efficacy within an adequately powered randomized controlled trial might be reasonable.
测试基于短信的后续护理治疗方案在酒精门诊患者中的可行性、可接受性和初步有效性。
来自瑞士三个门诊酒精治疗中心的酒精使用障碍患者被其咨询师邀请参加一项研究，该研究测试了一个采用短信和个人电话的交互式后续护理方案。50名研究参与者被随机分配到6个月的后续护理方案组（n = 25）或常规治疗组（n = 25）。干预措施包括：（a）定期监测自我选择的饮酒目标；（b）发送激励性短信以坚持自我选择的饮酒目标；（c）当参与者未能坚持饮酒目标或表示需要支持时，咨询师主动打电话。随机分组6个月后进行随访访谈。
在整个方案中，参与者共收到421条短信提示。其中，参与者在48小时内对371条（88.1%）给出了有效回复。在干预组的25名参与者中，11名（44.0%）至少发送了一条求助回复。基于完整病例数据，随访时对照组有风险饮酒的比例为41.7%，干预组为28.6%（比值比 = 0.56，95%可信区间 = 0.16 - 1.95，P = 0.3）。
参与者对这种交互式低强度的后续护理方案接受度良好。在有足够样本量的随机对照试验中测试其疗效可能是合理的。
