How effective is continuing care for substance use disorders? A meta-analytic review
How effective is continuing care for substance use disorders? A meta-analytic review
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DOI：
10.1016/j.jsat.2013.08.022
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发表时间：
2014-02-01
影响因子：
3.9
通讯作者：
Finney, John W.
中科院分区：
文献类型：
--
作者：
Blodgett, Janet C.;Maisel, Natalya C.;Finney, John W.
鉴于药物使用障碍通常具有慢性性质，患者在接受初期强化治疗后，有时接受的持续护理强度较低。该荟萃分析估计了持续护理的效果，并正式测试了该效果的几个建议的主持人（干预持续时间，强度，方式和设置）。系统检索确定了33项持续护理的对照试验; 19项包括无/最小治疗条件，并进行分析以评估持续护理与对照的总体效果。在持续护理干预结束时（g = 0.187，p < 0.001）和随访时（g = 0.271，p <0.01），持续护理具有较小但显著的正效应量。受少数研究的限制，分析未发现任何显著的总体效应调节因素。这些结果表明，在初始治疗后，持续护理至少可以提供适度的益处。我们讨论了可能降低整体持续护理效果估计值的研究特征。爱思唯尔公司出版
Given the often chronic nature of substance use disorders, patients sometimes receive less intensive continuing care following an initial period of more intensive treatment. This meta-analysis estimated the effect of continuing care and formally tested several proposed moderators (intervention duration, intensity, modality, and setting) of that effect. A systematic search identified 33 controlled trials of continuing care; 19 included a no/minimal treatment condition and were analyzed to assess the overall effect of continuing care versus control. Continuing care had a small, but significant, positive effect size, both at the end of the continuing care interventions (g = 0.187, p < 0.001) and at follow-up (g = 0.271, p < 0.01). Limited by a small number of studies, analyses did not identify any significant moderators of overall effects. These results show that continuing care can provide at least modest benefit after initial treatment. We discuss study characteristics that may have reduced the magnitude of the overall continuing care effect estimate. Published by Elsevier Inc.