Center for Innovation to Implementation, Department of Veterans Affairs Health Care System, Palo Alto, CA, 94304, USA; Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA, 94305, USA.
Center for Innovation to Implementation, Department of Veterans Affairs Health Care System, Palo Alto, CA, 94304, USA; Center for Health Policy/Center for Primary Care and Outcomes Research, Stanford University School of Medicine, Stanford, CA, 94305, USA.
Drug Alcohol Depend. 2021 Nov 1;228:108983. doi: 10.1016/j.drugalcdep.2021.108983. Epub 2021 Aug 27.
This study of dyads composed of patients in treatment for alcohol use disorders (AUDs) and their Concerned Others (COs) examined (1) COs' attendance at three types of help (educational sessions, treatment sessions with the patient, and treatment sessions without the patient) during a 3-month period after patients' admission, and (2) whether COs' use of help was associated with better treatment outcomes reported by COs about patients, and patients about themselves.
Dyads (n = 277) were assessed when patients entered AUD treatment and 3 months later (80 %). COs rated their patient's AUD, and patients rated their own AUD, on the Brief Addiction Monitor. At 3-month follow-up, COs answered three items about help (education, treatment with patient, treatment without patient) from their patient's treatment program. Main analyses were analyses of covariance to examine associations between COs' help use and patients' outcomes.
At 3-month follow-up, COs who had obtained one type of help were significantly more likely to have also obtained the other two types of help. However, relatively few COs (39 %) obtained any type of help. COs who obtained help rated their patient as having more protection against future substance use. And, when COs had obtained help, patients rated themselves as having less risk of future substance use, and had attended a greater number of AA meetings, than when COs had not obtained help.
Findings suggest that COs' use of help can benefit patients in AUD treatment. Clinicians and researchers should increase the availability and use of help among COs.
本项由患者及其关注者组成的双元组研究，调查了（1）患者入院后 3 个月内，关注者参加三种帮助（教育课程、与患者一起的治疗课程、没有患者的治疗课程）的情况；（2）关注者使用帮助是否与关注者报告的患者更好的治疗结果，以及患者报告的自身更好的治疗结果有关。
在患者进入酒精使用障碍（AUD）治疗时以及 3 个月后（80%）评估双元组。关注者使用简短成瘾监测量表评估患者的 AUD，患者评估自己的 AUD。在 3 个月随访时，关注者回答了来自患者治疗方案的关于帮助（教育、与患者一起的治疗、没有患者的治疗）的三个项目。主要分析为协方差分析，以检验关注者使用帮助与患者结果之间的关联。
在 3 个月随访时，获得一种帮助的关注者更有可能也获得了其他两种帮助。然而，只有少数关注者（39%）获得了任何类型的帮助。获得帮助的关注者认为他们的患者对未来物质使用有更多的保护。并且，当关注者获得帮助时，患者认为自己未来物质使用的风险较低，参加了更多的匿名戒酒互助会，而当关注者没有获得帮助时则不然。
研究结果表明，关注者使用帮助可以使 AUD 治疗中的患者受益。临床医生和研究人员应增加关注者获得和使用帮助的机会。
