Web-based behavioral treatment for replacement of standard methadone substance use disorders as a partial maintenance treatment

Web-based behavioral treatment for replacement of standard methadone substance use disorders as a partial maintenance treatment
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DOI:
10.1016/j.jsat.2013.08.012
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发表时间:
2014-01-01
影响因子:
3.9
通讯作者:
Edwards, Joyce
Edwards, Joyce
中科院分区:
医学2区
文献类型:
--
作者:
Marsch, Lisa A.;Guarino, Honoria;Edwards, Joyce

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这项研究是第一个实验性试验,旨在评估基于网络的行为干预在模型中部署时的有效性,该模型部分取代了基于社区的专业成瘾治疗计划中的标准咨询。美沙酮维持治疗中新的阿片类药物依赖性摄入量 (n = 160) 被随机分配至 12 个月:(1) 标准治疗或 (2) 减少标准治疗加上基于网络的心理社会干预,即治疗教育系统 (TES)。结果表明,用 TES 替代部分标准治疗可显着提高客观测量的阿片类药物戒断率(所有研究周的戒断率分别为 48% 和 37%;F(1, 158) = 5.90,p
This study is the first experimental trial to evaluate the effectiveness of a Web-based behavioral intervention when deployed in a model where it partially substituted for standard counseling in a community-based specialty addiction treatment program. New opioid-dependent intakes in methadone maintenance treatment (n = 160) were randomly assigned for 12 months to either: (1) standard treatment or (2) reduced standard treatment plus a Web-based psychosocial intervention, the Therapeutic Education System (TES). Results demonstrated that replacing a portion of standard treatment with TES resulted in significantly greater rates of objectively measured opioid abstinence (48% vs. 37% abstinence across all study weeks; F(1, 158) = 5.90, p