一项针对危险及有害饮酒的由治疗师指导的互联网干预措施的经验。一项定性研究。
Experiences of a therapist-guided internet-delivered intervention for hazardous and harmful drinking. A qualitative study.
作者信息
Lunde Linn-Heidi, Carlsen Siv-Elin Leirvåg, Repål Arne, Nordgreen Tine
机构信息
Department of Addiction Medicine, Haukeland University Hospital, Bergen, Norway.
Division of Mental Health and Addiction, Vestfold Hospital Trust, Norway.
出版信息
Internet Interv. 2022 May 1;28:100543. doi: 10.1016/j.invent.2022.100543. eCollection 2022 Apr.
BACKGROUND
Alcohol is the third leading risk factor for burden of disease in the world, causing significant health damage to the individual as well as costs to the surroundings and society as whole. Internet-delivered psychological interventions may help the individual to address alcohol consumption at an early stage before it develops into more serious problems. There is a need to investigate how participants experience internet-delivered interventions for hazardous and harmful drinking to optimize its usefulness in the target population.
METHODS
The present study was part of an open pre-post pilot trial to evaluate the feasibility and acceptability of a therapist-guided internet-delivered cognitive behavioural intervention for hazardous and harmful alcohol use. The aim was to investigate participants` experiences of the intervention and the ways in which the intervention helped them to address their alcohol consumption. Fifteen participants were selected from the open pre-post trial ( = 32), and semi-structured interviews were conducted immediately after participants had completed the treatment. The interviews were analysed using Thematic Analysis.
RESULTS
The results indicate that most of the participants found the intervention to be useful. Participants reported that the intervention made them more aware of the consequences of excessive drinking and gave them tools to cope with their alcohol consumption. Among the perceived advantages were the flexibility and anonymity of the intervention and therapist support. Participants called for more individualisation of the treatment to meet individual needs.
CONCLUSIONS
A therapist-guided internet-delivered intervention for hazardous and harmful drinking can help individuals to address their alcohol consumption and give them tools to cope with their drinking. Future studies should examine the feasibility of tailoring modules to individual needs.
背景
酒精是全球第三大致病风险因素，对个人健康造成重大损害，同时给周围环境和整个社会带来成本。通过互联网提供的心理干预可能有助于个人在饮酒问题发展成更严重问题之前的早期阶段解决饮酒问题。有必要调查参与者如何体验针对危险和有害饮酒的互联网干预措施，以优化其在目标人群中的效用。
方法
本研究是一项开放的前后对照试点试验的一部分，旨在评估由治疗师指导的针对危险和有害饮酒的互联网认知行为干预的可行性和可接受性。目的是调查参与者对干预措施的体验以及干预措施帮助他们解决饮酒问题的方式。从开放的前后对照试验（n = 32）中选取了15名参与者，并在参与者完成治疗后立即进行了半结构化访谈。采用主题分析法对访谈进行分析。
结果
结果表明，大多数参与者认为该干预措施有用。参与者报告说，该干预措施使他们更加意识到过度饮酒的后果，并给了他们应对饮酒问题的工具。在感知到的优势中，干预措施的灵活性和匿名性以及治疗师的支持。参与者呼吁使治疗更加个性化以满足个人需求。
结论
由治疗师指导的针对危险和有害饮酒的互联网干预措施可以帮助个人解决饮酒问题，并给他们应对饮酒的工具。未来的研究应该检验根据个人需求量身定制模块的可行性。
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