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系统层面激励和治疗期望干预对初始门诊赌博治疗就诊率的影响

Effectiveness of a Systems-Wide Initiative to Address Motivation and Expectations for Treatment on Initial Session Attendance to Outpatient Gambling Treatment.

机构信息

Tennessee Institute for Gambling Education & Research, 400 Fogelman Drive, Tennessee, TN, 38152, USA.

Department of Psychology, The University of Memphis, Memphis, USA.

出版信息

J Gambl Stud. 2024 Dec;40(4):2201-2208. doi: 10.1007/s10899-024-10349-9. Epub 2024 Aug 10.

DOI:10.1007/s10899-024-10349-9
PMID:39126589
Abstract

This brief report expands the results of a prior efficacy study that examined the effect of a letter addressing prospective clients' motivation and expectations for outpatient gambling disorder treatment on initial session attendance. The results of that efficacy study indicated more clients attended the initial session when receiving the letter (77%) compared to receiving a reminder telephone call (51%). The present study examines the effectiveness of messages addressing prospective clients' motivation and expectations for outpatient gambling treatment across an entire treatment system. Messages were sent via letters, telephone, and in-person communication with all clinic staff. Participants were 54 clients with gambling disorder who were seeking outpatient psychological treatment. Results indicated that the percentage of clients attending the initial session was 85%, and no differences in attendance were found between in-person and telehealth sessions. These findings suggest that messages that address motivation and expectations persist under real-world conditions, and treatment systems can make meaningful changes that increase attendance to initial treatment sessions.

摘要

本简要报告扩展了先前一项疗效研究的结果,该研究考察了一封针对门诊赌博障碍治疗的动机和期望的信对初始治疗就诊率的影响。该疗效研究的结果表明,与收到提醒电话(51%)相比,当患者收到该信时(77%),更多的患者参加了初始治疗。本研究检验了针对门诊赌博治疗的动机和期望的信息在整个治疗系统中的有效性。这些信息通过信件、电话和与所有诊所工作人员的当面沟通来传达。参与者是 54 名寻求门诊心理治疗的赌博障碍患者。结果表明,参加初始治疗的患者比例为 85%,面对面和远程医疗治疗就诊率没有差异。这些发现表明,在现实条件下,解决动机和期望的信息仍然有效,治疗系统可以进行有意义的改变,增加对初始治疗的就诊率。

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本文引用的文献

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Clin Psychol Rev. 2023 Nov;105:102336. doi: 10.1016/j.cpr.2023.102336. Epub 2023 Sep 9.
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Psychol Addict Behav. 2021 Dec;35(8):901-913. doi: 10.1037/adb0000710. Epub 2021 Apr 22.
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Can a motivational letter increase attendance to psychological treatment for gambling disorder?一封动机信能否提高赌博障碍心理治疗的参与度?
Psychol Serv. 2020 Feb;17(1):102-109. doi: 10.1037/ser0000291. Epub 2018 Oct 1.
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