通过“远程医疗”方法，考察使用 Breaking Free Online 计算机辅助治疗程序治疗物质使用障碍的服务使用者的结果：一项两臂、平行组随机对照试验的方案。

Examining outcomes for service users accessing the Breaking Free Online computer-assisted therapy program for substance use disorders via a 'telehealth' approach: protocol for a two arm, parallel group randomized controlled trial.

机构信息

TELUS Health, Williams House, Manchester Science Park, Lloyd Street North, Manchester, M15 6SE, UK.

Greater Manchester Mental Health NHS Foundation Trust, Achieve Bolton, 69-73 Manchester Road, Bolton, BL2 1ES, UK.

出版信息

Addict Sci Clin Pract. 2023 Jun 2;18(1):39. doi: 10.1186/s13722-023-00391-0.

DOI:10.1186/s13722-023-00391-0

PMID:37269012

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10237524/

Abstract

BACKGROUND

Breaking Free Online (BFO), a computer-assisted therapy (CAT) program for substance use disorders (SUD), has been available across UK treatment services for the past decade and has demonstrated efficacy. The Covid-19 pandemic has contributed to digital and 'telehealth' approaches to healthcare delivery becoming more common and accepted, and has in parallel, increased numbers of referrals to SUD services because of the impact pandemic-related stress has had on substance using habits in the general population. Digital and telehealth approaches, such as BFO, have the potential to support the treatment system to meet this increased demand for SUD services.

METHODS

Parallel-group randomized controlled trial of eight-week BFO as an adjunct to standard treatment for SUD, in comparison to standard treatment only, at a National Health Service (NHS) Mental Health Trust in North-West England. Participants will be service users aged 18 years and over with demonstrable SUD for at least 12-months. Interventional and control groups will be compared on multiple measures from baseline to post-treatment assessment at eight-weeks, and then three and six-months follow-up. Primary outcome will be self-reported substance use, with secondary outcomes being standardized assessments of substance dependence, mental health, biopsychosocial functioning and quality of life.

DISCUSSION

This study will examine whether BFO and telehealth support, when delivered as an adjunct to standard SUD interventions, improves outcomes for services users receiving NHS SUD treatment. Findings from the study will be used to inform both developments to the BFO program and guidance around augmenting the delivery of CAT programs via telehealth. Trial registration registered with ISRCTN on 25th May 2021-registration number: 13694016.

PROTOCOL VERSION

3.0 05th April 2022.

TRIAL STATUS

This trial is currently open to recruitment-estimated to be completed in May 2023.

摘要

背景

打破在线成瘾（BFO）是一种用于治疗物质使用障碍（SUD）的计算机辅助治疗（CAT）程序，在过去十年中已在英国各地的治疗服务中使用，并已证明其疗效。Covid-19 大流行促使数字和“远程医疗”方法在医疗保健中的应用变得更加普遍和被接受，并由于大流行相关压力对一般人群中物质使用习惯的影响，导致 SUD 服务的转介数量增加。数字和远程医疗方法，如 BFO，有可能支持治疗系统满足对 SUD 服务日益增长的需求。

方法

在英格兰西北部的一家国民保健服务（NHS）心理健康信托机构，对 BFO 作为 SUD 标准治疗的附加治疗，与仅接受标准治疗进行为期八周的平行组随机对照试验。参与者将是年龄在 18 岁及以上、至少有 12 个月物质使用障碍的服务使用者。干预组和对照组将在基线到八周治疗后评估、然后在三个月和六个月随访时进行多项测量。主要结果将是自我报告的物质使用情况，次要结果将是物质依赖、心理健康、生物心理社会功能和生活质量的标准化评估。

讨论

本研究将检查 BFO 和远程健康支持作为 SUD 干预措施的附加治疗，是否改善接受 NHS SUD 治疗的服务使用者的结果。研究结果将用于为 BFO 计划的发展提供信息，并为通过远程医疗提供 CAT 计划提供指导。该试验于 2021 年 5 月 25 日在 ISRCTN 注册-注册号：13694016。