A Peer Recovery Coach Intervention for Hospitalized Patients with Opioid Use Disorder: A Pilot Randomized Controlled Trial.
A Peer Recovery Coach Intervention for Hospitalized Patients with Opioid Use Disorder: A Pilot Randomized Controlled Trial.
复制标题
针对阿片类药物使用障碍住院患者的同伴康复教练干预：一项试点随机对照试验。
DOI：
10.1097/adm.0000000000001162
复制
发表时间：
2023
影响因子：
5.5
通讯作者：
Weiss,RogerD
中科院分区：
文献类型：
--
作者：
Suzuki,Joji;Martin,Bianca;Loguidice,Frank;Smelson,David;Liebschutz,JaneM;Schnipper,JeffreyL;Weiss,RogerD
目的越来越多的阿片类药物使用障碍（OUD）患者因急性内科疾病住院治疗。尽管开始治疗OUD (MOUDs)，但许多患者在出院后停止治疗。为了评估心理社会干预是否可以改善住院后的mod保留，我们进行了一项同伴康复教练干预的随机对照试验。方法采用现有同伴康复教练干预方法。接受OUD治疗的住院成人OUD患者随机接受康复教练干预或常规治疗。对于干预组，教练指导参与者完成复发预防计划，在6个月的随访期间保持联系，鼓励mod继续，并帮助确定社区资源。那些接受常规治疗的患者出院后转到门诊治疗。主要终点是6个月时mod治疗的保持情况。次要结局是参与者再次入院的比例以及直到停止治疗和再次入院的天数。结果25例同意康复教练干预组（n= 13）和常规治疗组（n= 12）纳入分析。6个月时继续接受mod治疗的参与者比例（38.5% vs 41.7%， P= 0.87）、6个月时再次入院的参与者比例（46.2% vs 41.2%， P= 0.82）、停止治疗的时间（log-rank P= 0.92）或再次入院的时间（log-rank P= 0.85）均无显著差异。结论：该试点试验未能证明康复教练干预与常规治疗相比，在住院OUD患者中提高了mod治疗的保留率。
ObjectivesPatients with opioid use disorder (OUD) are increasingly being hospitalized for acute medical illnesses. Despite initiation of medications for OUD (MOUDs), many discontinue treatment after discharge. To evaluate whether a psychosocial intervention can improve MOUD retention after hospitalization, we conducted a pilot randomized controlled trial of a peer recovery coach intervention.MethodsAn existing peer recovery coach intervention was adapted for this trial. Hospitalized adults with OUD receiving MOUD treatment were randomized to receive either a recovery coach intervention or treatment-as-usual. For those in the intervention arm, the coach guided the participant to complete a relapse prevention plan, maintained contact throughout the 6-month follow-up period, encouraged MOUD continuation, and helped to identify community resources. Those receiving treatment-as-usual were discharged with a referral to outpatient treatment. Primary outcome was retention in MOUD treatment at 6 months. Secondary outcomes were the proportion of participants readmitted to the hospital and the number of days until treatment discontinuation and to hospital readmission.ResultsTwenty-five individuals who provided consent and randomized to the recovery coach intervention (n= 13) or treatment-as-usual (n= 12) were included in the analysis. No significant differences were found in the proportion of participants retained in MOUD treatment at 6 months (38.5% vs 41.7%, P= 0.87), proportion of participants readmitted at 6 months (46.2% vs 41.2%, P= 0.82), or the time to treatment discontinuation (log-rank P= 0.92) or readmission (log-rank P= 0.85).ConclusionsThis pilot trial failed to demonstrate that a recovery coach intervention improved MOUD treatment retention compared with treatment-as-usual among hospitalized individuals with OUD.
登录
查看更多内容
在鼠红白血病细胞分化的早期阶段诱导 Ca2、Mg2 依赖性核酸内切酶活性。
DOI：
10.1073/pnas.81.23.7461
发表时间：
1984
影响因子：
11.1
作者：
G. Mcmahon;J. Alsina;S. Levy
通讯作者：
S. Levy
影响因子：
3.4
作者：
KONISHI, M;OLSON, A;BAYLOR, SM
通讯作者：
BAYLOR, SM
完整哺乳动物细胞中蛋白质合成的钙依赖性调节。
影响因子：
18.2
作者：
Brostrom,CO;Brostrom,MA
通讯作者：
Brostrom,MA
影响因子：
64.5
作者：
PRYWES, R;ROEDER, RG
通讯作者：
ROEDER, RG
DOI：
10.1146/annurev.bb.13.060184.001203
发表时间：
1984
期刊：
Annual review of biophysics and bioengineering
影响因子：
--
作者：
D. Agard
通讯作者：
D. Agard