Petersén Elisabeth, Augustsson Öfverström Hanna, Johansson Magnus, Sundström Christopher, Berman Anne H
Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden.
Addict Sci Clin Pract. 2025 May 12;20(1):41. doi: 10.1186/s13722-025-00570-1.
Every year about three million people die globally due to harmful alcohol use. The treatment gap remains high: only about 14% of individuals with problematic alcohol use access treatment. The implementation of digital interventions, addressing problematic alcohol use, into healthcare can be one way of reducing the treatment gap. However, little is known about how healthcare staff perceive the integration of digital interventions in routine addiction care. The aim of the study was to identify and describe healthcare staff's experiences of perceived benefits of digital interventions for patients with alcohol use disorders (AUD), introduced in recent years within routine specialized addiction care in Sweden. The aim was further to explore how the use of such interventions in this setting could be further developed.
This study was conducted as an exploratory qualitative interview study with 16 informants from addiction care staff in Stockholm, Sweden. The informants came from three different groups: clinical managers, staff referring outpatients to digital interventions from within addiction care, and therapists from an e-support unit. The interviews were recorded, transcribed, and analyzed with thematic analysis.
Three themes illustrated the benefits of digital interventions in routine addiction care, and future development areas. The theme An easy way in reflected the importance of easy access to addiction care where care would be flexible and available to everyone. Meeting individual patient needs raised the question of how to adapt treatment formats to the patients' individual needs. Smoothly interlocking organizational gears highlighted the need for structure and cooperation between digital care and in-person care. Each theme included three additional subthemes.
The study identifies key factors for successfully integrating digital interventions in addiction care, highlighting the importance of staff engagement, structured workflows, training, and ongoing evaluation using a sociological framework.
全球每年约有300万人死于有害饮酒。治疗缺口仍然很大：只有约14%的酒精使用有问题的人能够获得治疗。将针对酒精使用问题的数字干预措施纳入医疗保健领域可能是缩小治疗缺口的一种方式。然而，对于医护人员如何看待数字干预措施在常规成瘾治疗中的整合，我们知之甚少。本研究的目的是识别和描述瑞典常规专科成瘾治疗中近年来引入的针对酒精使用障碍（AUD）患者的数字干预措施，医护人员所感知到的益处。进一步的目的是探讨在这种情况下如何进一步发展此类干预措施的使用。
本研究作为一项探索性定性访谈研究，对瑞典斯德哥尔摩成瘾治疗工作人员中的16名受访者进行了访谈。受访者来自三个不同群体：临床管理人员、成瘾治疗机构中为门诊患者推荐数字干预措施的工作人员，以及电子支持部门的治疗师。访谈进行了录音、转录，并采用主题分析法进行分析。
三个主题阐述了数字干预措施在常规成瘾治疗中的益处以及未来的发展领域。“轻松入门”主题反映了轻松获得成瘾治疗的重要性，即治疗应灵活且人人可及。“满足个体患者需求”提出了如何使治疗形式适应患者个体需求的问题。“组织齿轮顺畅衔接”强调了数字护理与面对面护理之间建立结构和合作的必要性。每个主题还包括另外三个子主题。
该研究确定了在成瘾治疗中成功整合数字干预措施的关键因素，强调了员工参与、结构化工作流程、培训以及使用社会学框架进行持续评估的重要性。
