患者参与远程医疗物质使用障碍强化门诊治疗：一项回顾性队列研究。
Patient Engagement in Providing Telehealth SUD IOP Treatment: A Retrospective Cohort Study.
作者信息
Contreras-Schwartz Joanna, O'Neill Conor, Threlkeld Annelise, O'Callaghan Erin, Winsberg Mirene
机构信息
Brightside Health, San Francisco, CA 94131, USA.
出版信息
Healthcare (Basel). 2024 Dec 18;12(24):2554. doi: 10.3390/healthcare12242554.
BACKGROUND
Substance use disorders (SUDs) remain a growing public health issue, with drug- and alcohol-related deaths continuing to increase. A myriad of barriers prevent many with SUDs from seeking care. Telehealth interventions are well-positioned to reduce barriers and increase engagement in SUD treatment. The SUD intensive outpatient program (IOP) is specifically designed for telehealth and offers evidenced-based care delivered by SUD professionals as well as asynchronous assignments to enhance treatment. This study explores the feasibility of providing a telehealth IOP.
METHODS
participant engagement, reasons for disengagement, and days of abstinence were examined using existing records from a cohort of participants between 2021 and 2023 ( = 4724).
RESULTS
Nearly 80% of participants remained engaged in the program for 30 days, and 91% attained at least 30 consecutive days of abstinence over the course of treatment. Nearly 45% demonstrated a successful response to care and no longer required IOP treatment. Those who finished the IOP completed over 70% of the asynchronous assignments.
CONCLUSIONS
Results support the feasibility and effectiveness of delivering a telehealth IOP for SUDs.
背景
物质使用障碍（SUDs）仍然是一个日益严重的公共卫生问题，与药物和酒精相关的死亡人数持续增加。众多障碍阻碍了许多患有物质使用障碍的人寻求治疗。远程医疗干预措施在减少障碍和增加物质使用障碍治疗参与度方面具有优势。物质使用障碍强化门诊项目（IOP）专为远程医疗设计，提供由物质使用障碍专业人员提供的循证护理以及异步作业以加强治疗。本研究探讨了提供远程医疗IOP的可行性。
方法
使用2021年至2023年一组参与者的现有记录（n = 4724），检查参与者的参与度、退出原因和禁欲天数。
结果
近80%的参与者在该项目中参与了30天，91%在治疗过程中至少连续禁欲30天。近45%的人对治疗表现出成功的反应，不再需要IOP治疗。完成IOP的人完成了超过70%的异步作业。
结论
结果支持为物质使用障碍提供远程医疗IOP的可行性和有效性。
Zotero 插件