Gender and ethnic differences in primary care patients' response to computerized vs. in-person brief intervention for illicit drug misuse.
Gender and ethnic differences in primary care patients' response to computerized vs. in-person brief intervention for illicit drug misuse.
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DOI：
10.1016/j.jsat.2017.10.009
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发表时间：
2018-01
影响因子：
3.9
通讯作者：
Schwartz RP
中科院分区：
文献类型：
--
作者：
Gryczynski J;Carswell SB;O'Grady KE;Mitchell SG;Schwartz RP
本研究是一项针对成人初级保健患者（N=359; 45%为女性; 47%为西班牙裔）非法药物滥用（通过世界卫生组织的酒精、吸烟和物质参与筛选测试（ASSIST）测量）中度风险的非法药物滥用的计算机化与面对面简短干预（BI）的随机临床试验的次要分析。本研究探讨了两个简短的干预策略（均基于动机访谈）的性别和种族的基础上，比较非西班牙裔男性，非西班牙裔女性，西班牙裔男性和西班牙裔女性的差异。参与者在基线、3个月、6个月和12个月随访时使用ASSIST进行评估。使用广义线性混合模型检查了全球非法药物风险评分连续体的轨迹。随着时间的推移，根据性别种族亚组（性别X种族X条件X时间相互作用; p= 0.03），对计算机化BI与面对面BI的反应存在显着差异，西班牙裔男性倾向于对计算机化BI做出更积极的反应，西班牙裔女性倾向于对面对面BI做出更积极的反应。在非西班牙裔男性中，对两种BI的反应没有明显差异，而在非西班牙裔女性中，变化模式在基线差异后收敛。在未来的BI研究中需要考虑性别和种族差异。
This study is a secondary analysis from a randomized clinical trial of computerized vs. in-person brief intervention (BI) for illicit drug misuse among adult primary care patients (N=359; 45% Female; 47% Hispanic) with moderate-risk illicit drug misuse as measured by the World Health Organization’s Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST). This study examined differences in response to the two brief intervention strategies (both based on motivational interviewing) on the basis of gender and ethnicity, comparing non-Hispanic males, non-Hispanic females, Hispanic males, and Hispanic females. Participants were assessed at baseline, 3-, 6-, and 12-month follow-up with the ASSIST. Trajectories in Global Continuum of Illicit Drug Risk Scores were examined using a generalized linear mixed model. There were significant differences in response to computerized vs. in-person BI over time on the basis of gender-ethnic subgroups (Gender X Ethnicity X Condition X Time interaction; p= .03), with Hispanic males tending to respond more favorably to the computerized BI and Hispanic females tending to respond more favorably to the in-person BI. There was no clear differentiation in response to the two BIs among non-Hispanic males, while among non-Hispanic females the pattern of change converged following baseline differences. Consideration of gender and ethnic differences in future studies of BI is warranted.
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影响因子：
3.7
作者：
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