Telemedicine-delivered treatment interventions for substance use disorders: A systematic review
Telemedicine-delivered treatment interventions for substance use disorders: A systematic review
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DOI：
10.1016/j.jsat.2019.03.007
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发表时间：
2019-06-01
影响因子：
3.9
通讯作者：
McMenamin, Sara B.
中科院分区：
文献类型：
--
作者：
Lin, Lewei (Allison);Casteel, Danielle;McMenamin, Sara B.
在美国，随着阿片类药物和其他物质使用障碍的负面影响不断增加，治疗不仅有效，而且可供患者使用，这一点非常重要。通过远程医疗提供治疗，特别是使用视频会议，可以使患者和远方的临床医生之间进行实时沟通，已被证明是扩大精神健康障碍和其他慢性疾病治疗范围和机会的有效方法。这项系统综述确定并总结了研究远程医疗干预措施为药物滥用障碍患者提供治疗的有效性的研究。在符合我们检索标准的 841 篇手稿中，有 13 项研究符合纳入标准。研究涵盖了尼古丁、酒精和阿片类药物使用障碍的干预措施。它们在大小、质量以及所检查的比较组中差异很大。研究考察了心理治疗和药物治疗的实施。大多数研究表明，远程医疗干预与患者的高满意度相关，并且是一种有效的替代方案，特别是在治疗机会有限的情况下。然而，迄今为止进行的研究存在很大的方法学局限性。需要进一步的研究，包括更大规模的随机研究，检查可以整合到现有医疗保健服务环境中的不同远程医疗模型，以增加对药物滥用障碍患者的有效治疗的使用。
With increased negative impacts from opioid and other substance use disorders in the US, it is important for treatments to not only be effective, but also accessible to patients. Treatment delivery via telemedicine, specifically, the use of videoconferencing, which allows real time communication between a patient and a clinician at a distant site, has been shown to be an effective approach for increasing reach and access to treatments for mental health disorders and other chronic illnesses. This systematic review identified and summarized studies examining the effectiveness of telemedicine interventions to deliver treatment for patients with substance use disorders. Out of 841 manuscripts that met our search criteria, 13 studies met the inclusion criteria. Studies covered interventions for nicotine, alcohol and opioid use disorders. They varied widely in size, quality, and in the comparison groups examined. Studies examined both delivery of psychotherapy and medication treatments. Most studies suggested telemedicine interventions were associated with high patient satisfaction and are an effective alternative, especially when access to treatment is otherwise limited. However, there were substantial methodological limitations to the research conducted to date. Further studies are needed, including larger scale randomized studies that examine different models of telemedicine that can be integrated into existing healthcare delivery settings, to increase the use of effective treatments for patients with substance use disorders.