基于技术的应急管理在物质使用障碍治疗中的应用
Technology-Based Contingency Management in the Treatment of Substance-Use Disorders.
作者信息
Dallery Jesse, Raiff Bethany R, Grabinski Michael J, Marsch Lisa A
机构信息
1Department of Psychology, University of Florida, PO Box 112250, Gainesville, FL 32611 USA.
2Rowan University, Glassboro, NJ USA.
出版信息
Perspect Behav Sci. 2019 Jul 9;42(3):445-464. doi: 10.1007/s40614-019-00214-1. eCollection 2019 Sep.
Contingency management is one of the most efficacious interventions to promote drug abstinence. Contingency management has traditionally been delivered in person so that clinicians could confirm drug abstinence and provide access to additional therapeutic services. Now, new technologies not only permit remote confirmation of abstinence, but also remote delivery of incentives. We discuss several technology-based tools to assess substance use, and new ways to deliver contingency management to promote tobacco, alcohol, and cannabis abstinence. These new tools have the potential to dramatically increase access while maintaining high levels of treatment fidelity. Technology-based methods also allow arranging group contingencies that harness online communities, and they permit targeting multiple health-risk behaviors with a combination of sensor-based technologies. Overall, there are unprecedented opportunities to link technology with contingency management to promote drug abstinence.
应急管理是促进戒毒的最有效干预措施之一。传统上，应急管理是通过面对面进行的，以便临床医生能够确认戒毒情况并提供获得其他治疗服务的机会。现在，新技术不仅允许远程确认戒毒情况，还能远程提供奖励。我们讨论了几种基于技术的工具来评估物质使用情况，以及提供应急管理以促进戒烟、戒酒和戒大麻的新方法。这些新工具有可能在保持高治疗保真度的同时大幅增加可及性。基于技术的方法还允许安排利用在线社区的团体应急措施，并且它们允许结合基于传感器的技术针对多种健康风险行为。总体而言，将技术与应急管理相联系以促进戒毒存在前所未有的机会。
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