Kourgiantakis Toula, Ashcroft Rachelle
Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada.
BMJ Open. 2018 Jan 13;8(1):e019433. doi: 10.1136/bmjopen-2017-019433.
Families are significantly impacted by addictions and family involvement in treatment can reduce the harms and can also improve treatment entry, treatment completion and treatment outcomes for the individual coping with an addiction. Although the benefits of family-focused practices in addictions have been documented, services continue to have an individual focus and research on this topic is also limited. The objective of this study is to map the extent, range and nature of evidence available examining family interventions in addictions and identify gaps to guide future research, policy and practice.
This is a scoping review using the five-stage framework developed by Arksey and O'Malley. We will include published and unpublished empirical studies focusing on any type of family interventions in addiction treatment between 2000 and the present in English or French. A reviewer will search for literature that meets the inclusion criteria through the following electronic databases: MEDLINE, PsycINFO and Social Services Abstracts. For a comprehensive search, we will also hand-search reference lists, web sites and key journals. Data will be charted and sorted using a thematic analysis approach.
This review will be the first to examine all forms of family-focused practices for both substance use and problem gambling treatment for adults. It will provide information about existing service provisions and gaps in practice. This review can be used to start moving towards the development of best practices for families in addiction treatment. The results will be disseminated through a peer-reviewed journal and at mental health and addiction conferences.
成瘾对家庭影响重大，让家庭参与治疗可减少危害，还能改善成瘾者的治疗参与度、治疗完成率及治疗效果。尽管以家庭为中心的成瘾治疗方法的益处已有文献记载，但服务仍以个体为重点，且关于该主题的研究也很有限。本研究的目的是梳理现有证据的范围、广度和性质，这些证据用于考察成瘾方面的家庭干预措施，并找出差距，以指导未来的研究、政策和实践。
这是一项采用阿克西和奥马利开发的五阶段框架的范围综述。我们将纳入2000年至今以英文或法文发表的、未发表的实证研究，这些研究聚焦于成瘾治疗中任何类型的家庭干预措施。一名评审员将通过以下电子数据库搜索符合纳入标准的文献：医学索引数据库（MEDLINE）、心理学文摘数据库（PsycINFO）和社会服务摘要数据库。为进行全面搜索，我们还将人工检索参考文献列表、网站和主要期刊。将使用主题分析方法对数据进行制表和分类。
本次综述将首次考察针对成年人物质使用和问题赌博治疗的所有形式的以家庭为中心的治疗方法。它将提供有关现有服务提供情况及实践差距的信息。本次综述可用于推动成瘾治疗中针对家庭的最佳实践的发展。研究结果将通过同行评审期刊以及在心理健康和成瘾问题会议上进行传播。
