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自主进度条可激励兴奋剂使用障碍和大麻使用障碍患者完成治疗。

The Autonomic Progress Bar Motivates Treatment Completion for Patients of Stimulant Use Disorder and Cannabis Use Disorder.

作者信息

Chen I-Chun, Teng Gloria, Chen Chur-Jen, Lan Tsuo-Hung, Liu Hung-Jen

机构信息

Department of Psychiatry, Taichung Veterans General Hospital, Taichung, Taiwan.

Ph.D. Program in Translational Medicine, National Chung Hsing University, Taichung, Taiwan.

出版信息

Front Psychiatry. 2020 Jan 13;10:944. doi: 10.3389/fpsyt.2019.00944. eCollection 2019.

Abstract

The intrinsic motivation behind the "need to complete" is more influential than external incentives. We introduced a novel progress-bar tool to motivate the completion of programs designed to treat stimulant and cannabis use disorders. We further examined the effectiveness of the progress bar's scoring approach in forecasting consistently negative urine tests. This study's participants included 568 patients with stimulant, amphetamine-type, and cannabis use disorders who were undergoing 12-month mandatory treatment programs at Taichung Veterans General Hospital in Taiwan. Patients were given scores of 1, -1, or 0 depending on whether they received negative, positive, or missing urinalysis reports, respectively. The autonomic progress bar generated weekly score totals. At the group level, score donated scores from all patients for a given week (i denoted the week). Score was standardized to adjusted score. We then conducted Autoregressive Integrated Moving Average (ARIMA) Model of time-series analyses for the adjusted score. A total of 312 patients maintained treatment progress over the 12-month program. The autonomic score calculator totaled the shared achievements of these patients. The coefficients of the lag variables for mean (p), lag variables for residual error term (q), and number of orders for ensuring stationary (d) were estimated at p = 3, d = 4, and q = 7 for the first half of the treatment program, and were estimated at p = 2, d = 2, and q = 3 for the second half. Both models were stationary and tested as fit for prediction (p < 0.05). Sharply raised adjusted scores were predicted during the high-demand treatment phase. This study's novel progress-bar tool effectively motivated treatment completion. It was also effective in forecasting continually negative urine tests. The tool's free open-source code makes it easy to implement among many substance-treatment services.

摘要

“完成需求”背后的内在动机比外部激励更具影响力。我们引入了一种新颖的进度条工具,以激励完成旨在治疗兴奋剂和大麻使用障碍的项目。我们进一步研究了进度条评分方法在预测持续阴性尿检结果方面的有效性。本研究的参与者包括568名患有兴奋剂、苯丙胺类和大麻使用障碍的患者,他们正在台湾台中荣民总医院接受为期12个月的强制治疗项目。根据患者尿检报告是阴性、阳性还是缺失,分别给予1分、-1分或0分。自动进度条生成每周的总分。在组水平上,分数表示给定一周内所有患者的分数(i表示周)。分数经标准化得到调整分数。然后,我们对调整分数进行了自回归积分滑动平均(ARIMA)时间序列分析模型。共有312名患者在12个月的项目中保持了治疗进展。自动评分计算器汇总了这些患者的共同成就。在治疗项目的前半段,均值的滞后变量系数(p)、残差项的滞后变量系数(q)以及确保平稳性的阶数(d)估计分别为p = 3、d = 4和q = 7,后半段估计为p = 2、d = 2和q = 3。两个模型均为平稳的且经检验适合预测(p < 0.05)。在高需求治疗阶段预测到调整分数急剧上升。本研究中新颖的进度条工具有效地激励了治疗的完成。它在预测持续阴性尿检结果方面也很有效。该工具的免费开源代码使其易于在许多物质治疗服务中实施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3152/6970339/8681c5158f70/fpsyt-10-00944-g001.jpg

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