Tarp Kristine, Mejldal Anna, Nielsen Anette S
Unit of Clinical Alcohol Research, Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
Addict Disord Their Treat. 2017 Jun;16(2):70-79. doi: 10.1097/ADT.0000000000000103. Epub 2017 May 26.
The objectives of this study are (1) to compare the satisfaction between patients who have received treatment as usual face-to-face (TAU group) and patients who have received optional videoconferencing-based treatment for alcohol use disorders (TAU+I group); and (2) to elaborate on the TAU+I group's satisfaction with the treatment in general and the technical equipment.
The design consisted of mixed methods: a survey and a qualitative study. Data consisted of self-reported data from questionnaires filled out by both groups and semistructured interviews with the TAU+I group. Data from the questionnaires were analyzed statistically using Stata. The semistructured interviews were analyzed using a general inductive approach.
The survey indicated that the TAU+I group and TAU group were equally satisfied with the elements in the treatment. The interview indicated that the TAU+I group seemed to have a high satisfaction with most elements in the treatment. Patients who used videoconferencing were satisfied with establishing the videoconferencing connection and with the picture quality but less satisfied with the sound quality.
Overall, the patients were satisfied with the treatment. We saw a nonsignificant tendency that the TAU+I group were more satisfied with the treatment in general, compared with the TAU group. It is a possibility that patients in this group felt more satisfied with the treatment as they had the opportunity to choose videoconferencing. Offering videoconferencing-based treatment may be a positive feature in the treatment and lead to improved outcomes of the treatment courses. The technical equipment and routine using it should be improved in future studies or during implementation.
本研究的目的是：（1）比较接受常规面对面治疗的患者（常规治疗组）和接受酒精使用障碍的选择性视频会议治疗的患者（常规治疗+视频会议组）之间的满意度；（2）详细阐述常规治疗+视频会议组对总体治疗及技术设备的满意度。
研究设计包括混合方法：一项调查和一项定性研究。数据包括两组填写的问卷中的自我报告数据以及对常规治疗+视频会议组的半结构化访谈。问卷数据使用Stata进行统计分析。半结构化访谈采用一般归纳法进行分析。
调查表明，常规治疗+视频会议组和常规治疗组对治疗中的各项内容满意度相同。访谈表明，常规治疗+视频会议组似乎对治疗中的大多数内容满意度较高。使用视频会议的患者对建立视频会议连接和图像质量感到满意，但对声音质量不太满意。
总体而言，患者对治疗感到满意。我们发现一种不显著的趋势，即与常规治疗组相比，常规治疗+视频会议组总体上对治疗更满意。该组患者可能因有机会选择视频会议而对治疗更满意。提供基于视频会议的治疗可能是治疗中的一个积极特征，并导致治疗过程的结果得到改善。技术设备及其常规使用在未来研究或实施过程中应加以改进。
