Responding to treatment dropout: A review of controlled trials and suggested future directions

Responding to treatment dropout: A review of controlled trials and suggested future directions
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应对治疗中断:对照试验回顾和建议的未来方向

DOI:
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发表时间:
2010
期刊:
影响因子:
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通讯作者:
J. Sheridan
J. Sheridan
中科院分区:
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文献类型:
--
作者:
J. Pulford;P. Adams;J. Sheridan

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本文综述了支持目前治疗脱落反应的证据,这些反应设计用于门诊、基于心理社会的酒精和其他药物(AOD)治疗环境。本次综述共确定了17篇符合纳入标准的出版物,报告了19项随机对照试验或对照临床试验的结果。这些研究的方法学质量在很大程度上是合理的;然而,缺乏背景信息使得难以在治疗环境中概括报告的结果,并且报告的策略的有效性充其量是适度的。辍学响应研究的未来可能性随后进行了讨论,并详细描述了一种新的概念框架,称为治疗适合。预计本文提出的调查结果和想法将有助于AOD治疗提供者制定一个明智的回应客户端辍学。这也是作者的意图,以促进一个根本性的转变,在如何治疗辍学的理解。正如将要讨论的那样,实现这种转变可能会导致对治疗退出的真正有效的反应。
This article reviews the evidence in support of current treatment dropout responses designed for use in outpatient, psychosocial-based alcohol and other drug (AOD) treatment settings. A total of 17 publications meeting the inclusion criteria were identified for this review, reporting findings from 19 randomised controlled trials or controlled clinical trials. The methodological quality of these studies was largely sound; however, a lack of contextual information made it difficult to generalise the reported findings across treatment settings and the effectiveness of the reported strategies was modest at best. Future possibilities in dropout response research are subsequently discussed and a novel conceptual framework, termed treatment-fit, is described in detail. It is anticipated that the findings and ideas presented in this article will assist AOD treatment providers formulate an informed response to client dropout. It is also the authors’ intention to promote a fundamental shift in how treatment dropout is understood. Achieving such a shift, as will be argued, may result in a truly effective response to treatment dropout.
限时心理治疗对患者退出率的影响。
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