Ezhumalai Sinu
Department of Psychiatric Social Work, National Institute of Mental Health and Neuro Sciences, Bengaluru, Karnataka, India.
J Psychiatry Spectr. 2024 Jul-Dec;3(2):101-109. doi: 10.4103/jopsys.jopsys_48_23. Epub 2024 Jun 20.
Studies examining the outcome of the camp approach in the treatment of alcohol dependence are limited in India.
The aim of the study was to compare the outcomes of the community-based camp (CBC) approach and the hospital-based camp (HBC) approach in the treatment of persons with alcohol dependence.
The study used a non-randomized controlled study design (quasi-experimental research design before and after with a control group). In total, 60 respondents were selected through the census method (30 in the study group and 30 in the control group). Thirty respondents from the CBC formed the experimental group, and another 30 from the HBC formed the control group. The CBC was held for 7 days, and the HBC was held for 10 days. The tools used are the Alcohol Use Disorders Identification Test and the World Health Organization quality of life (QoL)-BREF.
Independent -test and effect size analysis were used. Kasturba Hospital Institute Ethics Committee, Manipal, had given the ethical clearance.
The majority (73%) of the respondents in the CBC and 57% of the HBC participants maintained complete abstinence during the post-test. The relapse rate was lower in the CBC (27%) than in the HBC (43%). CBC is effective at increasing the number of follow-ups and decreasing alcohol intake during relapse. The effect of the camp intervention on increasing the number of follow-ups was medium (d = 0.36). The CBC had a small effect on enhancing the QoL of treated individuals with alcohol dependence syndrome during the post-test (d = 0.27).
The CBC approach is more effective than the hospital one at increasing follow-up and QoL and reducing the relapse rate.
在印度，研究营地式方法治疗酒精依赖症效果的研究有限。
本研究旨在比较社区营地（CBC）方法和医院营地（HBC）方法治疗酒精依赖者的效果。
本研究采用非随机对照研究设计（有对照组的前后准实验研究设计）。通过普查法共选取60名受访者（研究组30名，对照组30名）。来自CBC的30名受访者组成实验组，来自HBC的另外30名受访者组成对照组。CBC为期7天，HBC为期10天。使用的工具是酒精使用障碍识别测试和世界卫生组织生活质量简表（QoL-BREF）。
采用独立样本t检验和效应量分析。马尼帕尔的卡斯图尔巴医院研究所伦理委员会已给予伦理批准。
CBC中大多数受访者（73%）和HBC参与者中的57%在测试后保持完全戒酒。CBC的复发率（27%）低于HBC（43%）。CBC在增加随访次数和减少复发期间的酒精摄入量方面有效。营地干预对增加随访次数的效果中等（d = 0.3）。CBC在测试后对提高酒精依赖综合征治疗个体的生活质量有较小影响（d = 0.27）。
在增加随访、提高生活质量和降低复发率方面，CBC方法比医院方法更有效。
