A smartphone application to support recovery from alcoholism: a randomized clinical trial.
A smartphone application to support recovery from alcoholism: a randomized clinical trial.
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DOI：
10.1001/jamapsychiatry.2013.4642
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发表时间：
2014-05
期刊：
影响因子：
25.8
通讯作者：
Shah, Dhavan
中科院分区：
文献类型：
--
作者：
Gustafson, David H.;McTavish, Fiona M.;Chih, Ming-Yuan;Atwood, Amy K.;Johnson, Roberta A.;Boyle, Michael G.;Levy, Michael S.;Driscoll, Hilary;Chisholm, StevenM.;Dillenburg, Lisa;Isham, Andrew;Shah, Dhavan
因酒精使用障碍（AUD）而离开治疗的患者通常不会得到循证的持续护理，尽管研究表明持续护理与更好的结果相关。基于智能手机的应用程序可以提供有效的持续护理。确定使用智能手机应用程序支持恢复的AUD住院治疗患者是否比对照组患者具有更少的危险饮酒天数。非盲随机对照试验。患者被随机分配到常规治疗组或常规治疗加带有A-CHESS的智能手机组，A-CHESS是一种旨在改善AUD持续护理的应用程序。“A-CHESS”代表成瘾-综合健康促进支持系统。美国中西部的一个治疗组织运营的三个住院项目和美国东北部的一个组织运营的两个住院项目。349例患者在进入住院治疗时符合DSM-IV酒精依赖标准。179例随机分配至对照组，170例随机分配至治疗组。治疗照常各不相同的程序;没有提供患者出院后协调继续护理。A-CHESS为患者提供监测、信息、沟通和支持服务，包括患者和咨询师保持联系的方式。干预8个月，随访4个月。危险饮酒日--患者在2小时内饮酒量超过4标准杯（男性）和3标准杯（女性）的天数。患者被要求在出院后4、8和12个月的调查中报告他们在过去30天内的危险饮酒天数。在8个月的干预和4个月的随访中，A-CHESS组患者报告的危险饮酒天数显著少于对照组患者（M = 1.39 vs. 2.75; P = 0.003; 95%CI [0.46，2.27]）。研究结果表明，多功能的智能手机应用程序可能对患者继续治疗AUD有显著的益处。clinicaltrials.gov标识符：NCT 01003119
Patients leaving treatment for alcohol-use disorders (AUDs) are not typically offered evidence-based continuing care, although research suggests that continuing care is associated with better outcomes. A smartphone-based application could provide effective continuing care. To determine whether patients leaving residential treatment for AUDs with a smartphone application to support recovery have fewer risky drinking days than control-group patients. An un-blinded randomized controlled trial. Patients were randomized to treatment as usual or treatment as usual plus a smartphone with A-CHESS, an application designed to improve continuing care for AUDs. “A-CHESS” stands for Addiction – Comprehensive Health Enhancement Support System. Three residential programs operated by one treatment organization in the Midwestern US and 2 residential programs operated by one organization in the Northeastern US. 349 patients who met the criteria for DSM-IV alcohol dependence when they entered residential treatment. 179 were randomized to the control group and 170 to the treatment group. Treatment as usual varied across programs; none offered patients coordinated continuing care after discharge. A-CHESS provides monitoring, information, communication, and support services to patients, including ways for patients and counselors to stay in contact. The intervention lasted 8 months and the follow-up period lasted 4 months. Risky drinking days—the number of days during which a patient’s drinking in a 2-hour period exceeded, for men, 4 standard drinks and for women, 3 standard drinks. Patients were asked to report their risky drinking days in the previous 30 days on surveys taken 4, 8, and 12 months after discharge from residential treatment. For the 8 months of the intervention and 4 months of follow-up, patients in the A-CHESS group reported significantly fewer risky drinking days than patients in the control group (M = 1.39 vs. 2.75, respectively; P = .003; 95% CI [.46, 2.27]). The findings suggest that a multi-featured smartphone application may have significant benefit to patients in continuing care for AUDs. clinicaltrials.gov Identifier: NCT01003119
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影响因子：
3.4
作者：
Lash, Steven J.;Stephens, Robert S.;Homer, Ronnie D.
通讯作者：
Homer, Ronnie D.
DOI：
10.15288/jsa.2000.61.55
发表时间：
2000-01-01
期刊：
JOURNAL OF STUDIES ON ALCOHOL
影响因子：
--
作者：
Babor, TF;Steinberg, K;Del Boca, F
通讯作者：
Del Boca, F
影响因子：
2
作者：
Gustafson DH;Shaw BR;Isham A;Baker T;Boyle MG;Levy M
通讯作者：
Levy M
影响因子：
6
作者：
Kypri, K;Saunders, JB;Gallagher, SJ
通讯作者：
Gallagher, SJ
影响因子：
3.4
作者：
Kiluk, Brian D.;Dreifuss, Jessica A.;Carroll, Kathleen M.
通讯作者：
Carroll, Kathleen M.