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一项基于远程医疗支持性咨询的简短动机干预减少饮酒量的临床试验。

A clinical trial on a brief motivational intervention in reducing alcohol consumption under a telehealth supportive counseling.

机构信息

Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Ligue 132- Serviço Nacional de Orientações e Informações sobre Prevenção do Uso de Drogas (VIVAVOZ), Rua Sarmento Leite, 245 - Porto Alegre, Rio Grande do Sul, Brasil CEP 90050-170; Departamento de Neuropsicobiología, Metodología y Psicología Social Facultad de Psicología Universidad Católica de Valencia "San Vicente Mártir" Sede de San Juan Bautista.

Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Ligue 132- Serviço Nacional de Orientações e Informações sobre Prevenção do Uso de Drogas (VIVAVOZ), Porto Alegre, Rio Grande do Sul, Brasil.

出版信息

Psychiatry Res. 2021 Sep;303:114068. doi: 10.1016/j.psychres.2021.114068. Epub 2021 Jun 20.

DOI:10.1016/j.psychres.2021.114068
PMID:34217102
Abstract

It is known that among those seeking to cease consumption of alcohol, there can be as high as a 50% relapse rate in the first 12 months. Different tools for treatments have been developed, such as telehealth, with the aim of helping this population. As a result of this demand, technology has gained strength in recent years. A new point of view about the treatment will broaden our knowledge far beyond just efficacy. It seems that understanding the mechanisms that lead to treatment success is as important as knowing its effectiveness. Therefore, the present study examined the relationships between Brief Motivational Intervention by telephone (BMI), motivational stage, outcome, and coping strategies using path analysis. In the post-evaluation, variables such as BMI (randomized individuals), motivational stage and decreased consumption of alcohol reached statistical significance (p<.001), suggesting that BMI might improve motivational stage and reduced consumption of alcohol. In terms of coping, the results also indicate that positive thinking might be a variable of interest when planning to decrease alcohol consumption. More research is needed to recognize the potential of new technology in the health area and to uncover the innumerable possibilities of using these tools as a strategy to help alcohol users.

摘要

据了解,在那些试图戒酒的人中,在最初的 12 个月内,复发率高达 50%。为了帮助这一人群,已经开发出了不同的治疗工具,如远程医疗。由于这种需求,技术在近年来得到了发展。关于治疗的新观点将拓宽我们的知识,远远超出仅仅关注疗效。似乎理解导致治疗成功的机制与了解其有效性同样重要。因此,本研究使用路径分析检查了电话简短动机干预(BMI)、动机阶段、结果和应对策略之间的关系。在后期评估中,BMI(随机个体)、动机阶段和酒精摄入量减少等变量达到了统计学意义(p<.001),这表明 BMI 可能会改善动机阶段和减少酒精摄入量。就应对策略而言,结果还表明,积极思考可能是计划减少饮酒时需要关注的一个变量。需要进一步研究来认识新技术在健康领域的潜力,并揭示使用这些工具作为帮助酒精使用者的策略的无数可能性。

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