Customized recommendations and reminder text messages for automated, computer-based treatment during methadone.
Customized recommendations and reminder text messages for automated, computer-based treatment during methadone.
复制标题
在美沙酮期间进行基于计算机的自动化治疗的定制建议和提醒短信。
DOI：
10.1037/pha0000149
复制
发表时间：
2017
影响因子：
2.3
通讯作者：
Barry,DeclanT
中科院分区：
文献类型：
--
作者：
Moore,BrentA;Buono,FrankD;Printz,DestinyMB;Lloyd,DanielP;Fiellin,DavidA;Cutter,ChristopherJ;Schottenfeld,RichardS;Barry,DeclanT
康复线是一种基于认知行为疗法（CBT）的自动化计算机干预，旨在通过电话为美沙酮维持患者提供实时帮助。然而，初步的疗效发现是有希望的，与其他基于计算机的药物使用障碍系统一样，患者系统的使用率低于推荐值。需要开发和评估系统功能，以增加患者的参与和使用。因此，我们进行了两项随机试验，以评估系统功能，以增加美沙酮维持患者对持续使用非法药物的患者使用康复线。在试验1 （n= 60）中，患者在每次康复热线电话中收到定制的系统使用建议或没有建议。对于自定义推荐（CR），系统可用性评级较高，但呼叫数量和总呼叫时间没有因条件而异。试验2评估了提醒消息的特征（消息帧和提醒延迟）。参与者（N= 67）收到增益和丢失帧提醒信息，并随机分配到即时、短期或长期信息延迟。虽然信息框架没有影响，但性别与延迟条件的相互作用使得女性的信息延迟没有差异，而男性在短延迟条件下的总接触时间显著增加。随着时间的推移，呼叫数量因条件而异，因此较短的延迟最初导致更多的呼叫，但随着时间的推移而消散。总的来说，研究表明，基于计算机的自我管理系统可以适应，以增加患者的参与和使用。（PsycInfo数据库记录(c) 2020 APA，版权所有）
The Recovery Line is an automated, computer-based intervention based on cognitive behavioral therapy (CBT) designed to provide real-time assistance by phone for patients in methadone maintenance. Preliminary efficacy findings were promising, however, as with other computer-based systems for substance use disorder, patient system use was less than recommended. Development and evaluation of system functions to increase patient engagement and use is needed. Thus, we conducted two randomized trials to evaluate system functions designed to increase patient use of the Recovery Line among methadone-maintained patients with continued illicit drug use. In Trial 1 (n= 60), patients received customized, system use recommendations or no recommendations on each Recovery Line call. Ratings of system usability were higher for customized recommendations (CR), but number of calls and total call time did not differ by condition. Trial 2 evaluated characteristics of reminder messages (message frame and reminder latency). Participants (N= 67) received gain-and loss-frame reminder messages, and were randomly assigned to immediate, short, or long term message latency. Although message framing had no effect, gender interacted with latency condition such that females did not differ by message latency, while males had significantly greater total contact time in the short latency conditions. Number of calls differed by condition over time such that the shorter latencies led to greater calls initially, but dissipated over time. Overall the study indicates that computer-based self-management systems can be adapted to increase patient engagement and use.(PsycInfo Database Record (c) 2020 APA, all rights reserved)