Department of Population Health, New York University School of Medicine, 227 East 30th Street 7th Floor, New York, NY 10016, USA; Division of General Internal Medicine, New York University School of Medicine, New York, NY 10016, USA.
Butler Hospital, Department of Psychiatry and Human Behavior, Behavioral Medicine and Addictions Research, Butler, PA, USA; Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA.
Med Clin North Am. 2018 Jul;102(4):715-731. doi: 10.1016/j.mcna.2018.02.011.
The burden of alcohol and drug use disorders (substance use disorders [SUDs]) has intensified efforts to expand access to cost-effective psychosocial interventions and pharmacotherapies. This article provides an overview of technology-based interventions (eg, computer-based and Web-based interventions, text messaging, interactive voice recognition, smartphone apps, and emerging technologies) that are extending the reach of effective addiction treatments both in substance use treatment and primary care settings. It discusses the efficacy of existing technology-based interventions for SUDs, prospects for emerging technologies, and special considerations when integrating technologies in primary care (eg, privacy and regulatory protocols) to enhance the management of SUDs.
酒精和药物使用障碍(物质使用障碍[SUD])的负担加剧了人们努力扩大获得经济有效的心理社会干预和药物治疗的机会。本文概述了基于技术的干预措施(例如,基于计算机和基于网络的干预措施、短信、交互式语音识别、智能手机应用程序和新兴技术),这些措施扩大了有效的成瘾治疗方法在物质使用治疗和初级保健环境中的应用范围。本文讨论了现有基于技术的 SUD 干预措施的疗效、新兴技术的前景以及在初级保健中整合技术时的特殊考虑因素(例如,隐私和监管协议),以加强 SUD 的管理。