Transitioning opioid-dependent patients from detoxification to long-term treatment: Efficacy of intensive role induction
Transitioning opioid-dependent patients from detoxification to long-term treatment: Efficacy of intensive role induction
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DOI：
10.1016/j.drugalcdep.2010.12.024
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发表时间：
2011-08-01
影响因子：
4.2
通讯作者：
Gandhi, Devang
中科院分区：
文献类型：
--
作者：
Katz, Elizabeth C.;Brown, Barry S.;Gandhi, Devang
尽管研究发现阿片类药物解毒只不过是一种姑息性的功能。几个进入戒毒阶段的患者随后过渡到长期治疗。目前的研究评估了强化角色诱导（IRI），这是一种改编自单次干预的策略，以前曾被证明可以促进物质依赖患者参与无药物治疗。IRI单独或与病例管理（IRI + CM）相结合，以确定每种条件的能力，以加强戒毒患者的过渡和长期治疗的参与。研究参与者是240名在公共资助的门诊药物治疗诊所接受30天丁丙诺啡解毒的人。在门诊就诊后，参与者被随机分配到IRI、IRI + CM或标准门诊治疗（ST）。结果进行了评估的坚持和满意度的戒毒计划，戒毒完成，过渡和戒毒后的治疗保留。接受IRI和IRI + CM的参与者在戒毒期间参加的咨询会议比接受ST的参与者多（均p <0.001）。与ST参与者相比，IRI参与者（而不是IRI + CM参与者）更有可能完成脱毒（p = 0.017），对他们的咨询师评价更高（p = 0.01），并且在脱毒后保持长期治疗的天数更多（p = 0.005）。目前的研究表明，一个容易管理的心理社会干预可以有效地提高病人参与戒毒，并使他们能够在戒毒后长期治疗。(C)2011爱思唯尔爱尔兰有限公司保留所有权利。
Despite findings that opioid detoxification serves little more than a palliative function. few. patients who enter detoxification subsequently transition to long-term treatment. The current study evaluated intensive role induction (IRI), a strategy adapted from a single-session intervention previously shown to facilitate engagement of substance-dependent patients in drug-free treatment. IRI was delivered either alone or combined with case management (IRI + CM) to determine the capacity of each condition to enhance transition and engagement in long-term treatment of detoxification patients. Study participants were 240 individuals admitted to a 30-day buprenorphine detoxification delivered at a publicly funded outpatient drug treatment clinic. Following clinic intake, participants were randomly assigned to IRI, IRI + CM, or standard clinic treatment (ST). Outcomes were assessed in terms of adherence and satisfaction with the detoxification program, detoxification completion, and transition and retention in treatment following detoxification. Participants who received IRI and IRI + CM attended more counseling sessions during detoxification than those who received ST (both ps < .001). IRI, but not IRI + CM participants, were more likely to complete detoxification (p = .017), rated their counselors more favorably (p = .01), and were retained in long-term treatment for more days following detoxification (p = .005), than ST participants. The current study demonstrated that an easily administered psychosocial intervention can be effective for enhancing patient involvement in detoxification and for enabling their engagement in long-term treatment following detoxification. (C) 2011 Elsevier Ireland Ltd. All rights reserved.