Centre for Youth Substance Abuse Research, The University of Queensland, Brisbane, QLD 4072, Australia; Alcohol and Drug Assessment Unit, Princess Alexandra Hospital, Brisbane, QLD 4102, Australia.
Centre for Youth Substance Abuse Research, The University of Queensland, Brisbane, QLD 4072, Australia.
Addict Behav. 2018 Dec;87:97-100. doi: 10.1016/j.addbeh.2018.06.025. Epub 2018 Jun 26.
Poor attendance increases the likelihood of relapse in alcohol dependence treatment. Evidence for improved attendance rates following introduction of short message service (SMS) appointment reminders is available in other health care domains. Patients high in impulsivity, characterized by a lack of planning, may particularly benefit from reminders. The study investigated the impact of SMS reminders on outpatient treatment attendance for alcohol dependence, and whether effects were moderated by impulsivity.
Prospective natural history study, with historical case control. Alcohol-dependent outpatients attending treatment received SMS appointment reminders (n = 102). These were compared to a historical control group (n = 91) treated prior to the introduction of SMS (totalling 1149 scheduled sessions).
A metropolitan university hospital alcohol and drug outpatient clinic.
193 alcohol-dependent patients participated in a 12-week cognitive-behavioral therapy (CBT) program with a treatment goal of abstinence.
Trait impulsivity, severity of dependence, psychological distress at baseline. Attendance at each scheduled session.
SMS reminders significantly increased probability of session attendance (0.90 versus 0.84, p = .02). The effect was qualified by a significant SMS x Impulsivity interaction whereby reminders became less effective with increasing patient impulsivity (p = .003).
SMS appointment reminders improve treatment attendance for alcohol-dependent outpatients. More impulsive patients benefited less from reminders, suggesting their non-attendance may be related more to motivational factors.
不良的出勤率会增加酒精依赖治疗中复发的可能性。在其他医疗保健领域，有证据表明，短信息服务（SMS）预约提醒可以提高出勤率。冲动性高的患者，表现为缺乏计划性，可能特别受益于提醒。本研究调查了 SMS 提醒对酒精依赖门诊治疗出勤率的影响，以及冲动性是否会调节这些影响。
前瞻性自然史研究，具有历史病例对照。接受治疗的酒精依赖门诊患者会收到 SMS 预约提醒（n=102）。这些患者与在引入 SMS 之前接受治疗的历史对照组（n=91）进行了比较（共 1149 次预约）。
一所大都市大学医院的酒精和药物门诊诊所。
193 名酒精依赖患者参加了为期 12 周的认知行为疗法（CBT）计划，治疗目标是戒酒。
特质冲动性、依赖严重程度、基线时的心理困扰。每次预约的出席情况。
SMS 提醒显著增加了预约出席的可能性（0.90 与 0.84，p=0.02）。这种效果受到 SMS x 冲动性交互作用的限制，即随着患者冲动性的增加，提醒的效果变得越来越差（p=0.003）。
SMS 预约提醒可提高酒精依赖门诊患者的治疗出勤率。更冲动的患者从提醒中获益较少，这表明他们的缺勤可能更多地与动机因素有关。
