Interactive voice response for relapse prevention following cognitive-behavioral therapy for alcohol use disorders: a pilot study.

Interactive voice response for relapse prevention following cognitive-behavioral therapy for alcohol use disorders: a pilot study.
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用于酒精使用障碍认知行为治疗后预防复发的交互式语音响应:一项试点研究。

DOI:
10.1037/a0027606
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发表时间:
2012
影响因子:
2.3
通讯作者:
Helzer,JohnE
Helzer,JohnE
中科院分区:
心理学2区
文献类型:
--
作者:
Rose,GailL;Skelly,JoanM;Badger,GaryJ;Naylor,MagdalenaR;Helzer,JohnE

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酒精中毒治疗后的复发率很高。酒精治疗交互式语音反应(ATIVR)是一个自动电话程序,用于治疗后自我监测、技能练习和反馈。这项初步研究探讨了ATIVR的可行性。参与者(n=21;57%男性)在门诊团体认知行为疗法(CBT)后接受ATIVR 90天,每天报告情绪、戒酒信心、使用物质的冲动和实际使用情况。关于复发或风险的报告之后还提出了其他问题。参与者收到基于回应的个性化治疗师反馈,并可以访问记录的CBT技能评论。治疗前评估包括:饮酒(时间线追踪)、自我效能感(情境自信问卷)和感知应对能力(应对行为有效性问卷)。参与者在计划的天数中有59%的时间打电话,并继续打电话的平均时间为84天。在ATIVR之后,参与者反馈说ATIVR很容易使用,并增加了自我意识。参与者特别喜欢治疗师反馈部分。戒断率在ATIVR期间显著增加(p=.03),自我效能感和应对方式从CBT前到ATIVR后均有显著提高(p<01)。结果表明,ATIVR是可行和可接受的。其疗效应在随机对照试验中进行评估。(保留所有权利。)
Relapse after alcoholism treatment is high. Alcohol Therapeutic Interactive Voice Response (ATIVR) is an automated telephone program for posttreatment self-monitoring, skills practice, and feedback. This pilot study examined feasibility of ATIVR. Participants (n= 21; 57% male) had access to ATIVR for 90 days following outpatient group cognitive-behavioral therapy (CBT) to make daily reports of mood, confidence in sobriety, urges to use substances, and actual use. Reports of relapse or risk were followed with additional questions. Participants received personalized therapist feedback based on responses, and could access recorded CBT skill reviews. Pre–post assessments included: alcohol consumption (Timeline Follow-Back), self-efficacy (Situational Confidence Questionnaire), and perceived coping ability (Effectiveness of Coping Behaviors Inventory). Participants called on 59% of scheduled days and continued making calls for an average of 84 days. Following ATIVR, participants gave feedback that ATIVR was easy to use and increased self-awareness. Participants particularly liked the therapist feedback component. Abstinence rate increased significantly during ATIVR (p=. 03), and both self-efficacy and coping significantly improved from pre-CBT to post-ATIVR (p<. 01). Results indicate ATIVR is feasible and acceptable. Its efficacy should be evaluated in a randomized controlled trial.(PsycINFO Database Record (c) 2016 APA, all rights reserved)
应对在复发危机结果中的作用:对接受治疗的酗酒者的前瞻性研究。
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