Acceptability of technology-based methods substance abuse counseling in office based buprenorphine maintenance for opioid dependence.
Acceptability of technology-based methods substance abuse counseling in office based buprenorphine maintenance for opioid dependence.
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基于技术的方法药物滥用咨询在基于办公室的丁丙诺啡维持治疗阿片类药物依赖中的可接受性。
DOI：
10.1080/10550490902772553
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发表时间：
2009
期刊：
影响因子：
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通讯作者：
Himelhoch,Seth
中科院分区：
文献类型：
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作者：
Gandhi,Devang;Welsh,Christopher;Bennett,Melanie;Carreño,Jaymee;Himelhoch,Seth
方法本研究在两个药物滥用诊所进行，并由马里兰州巴尔的摩大学机构审查委员会给予豁免地位。使用设计用于解决研究问题的结构化、匿名、调查工具，邀请18岁以上的维持丁丙诺啡的阿片类药物依赖患者（N= 24）参与15-20分钟的访谈。该调查收集了有关基本人口统计学、丁丙诺啡治疗、参与咨询、获得技术（例如电话、手机、计算机和互联网）以及使用这些类型的技术接受药物滥用咨询的意愿的信息。所有接触者均同意参与研究。表1描述了样本特征。丁丙诺啡（n= 22）的剂量范围为每日2 mg至32 mg（中位数= 16 mg）。参与者（n= 23）平均持续使用丁丙诺啡9.3个月（SD 9.9，范围1周至34个月）。几乎所有的参与者（n= 23）说，他们的丁丙诺啡处方医生已经转介他们咨询，21（91.3%）说，他们确实参加了咨询，频率范围从每周五次（n= 9，39.1%）到每月一次或两次（1名参与者，4.4%）。20名参与者（83.3%）表示，他们发现咨询有帮助或非常有帮助。
METHODThe study was conducted at two substance abuse clinics and was given an exempt status by the University of Maryland Baltimore Institutional Review Board. Opioid dependent patients (N= 24) over age 18, maintained on buprenorphine were invited to participate in a 15–20 minute, interview, using a structured, anonymous, survey instrument designed to address the study question. The survey collected information regarding basic demographics, buprenorphine treatment, participation in counseling, access to technology (eg, telephones, cell phones, computers, and Internet), and willingness to use these types of technology to receive substance abuse counseling. All approached agreed to participate in the study.RESULTSTable 1 describes sample characteristics. The dose of buprenorphine (n= 22) ranged from 2 mg to 32 mg daily (median= 16 mg). The participants (n= 23) had been maintained on buprenorphine for a mean of 9.3 months (SD 9.9, range 1 week–34 months). Nearly all participants (n= 23) said that their buprenorphine prescribing physician had referred them for counseling, and 21 (91.3%) said that they did attend counseling, with frequency ranging from five times weekly (n= 9, 39.1%) to once or twice a month (1 participant each, 4.4%). Twenty participants (83.3%) said that they found the counseling helpful or very helpful.