Randomized controlled trial of enhanced telephone monitoring with detoxification patients: 3-and 6-month outcomes
Randomized controlled trial of enhanced telephone monitoring with detoxification patients: 3-and 6-month outcomes
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DOI：
10.1016/j.jsat.2018.12.008
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发表时间：
2019-04-01
影响因子：
3.9
通讯作者：
Brief, Deborah
中科院分区：
文献类型：
--
作者：
Timko, Christine;Below, Maureen;Brief, Deborah
远程保健干预有可能阻止反复戒毒并改善结果。使用298例戒毒住院患者的样本，这项随机对照试验比较了增强型电话监测（ETM）与常规护理（UC）的主要结果，即减少后续戒毒，以及将患者与成瘾治疗和互助联系起来的次要结果，以及患者改善物质使用和心理健康结果的经验。在3个月随访时（即，在ETM干预结束时），与UC患者相比，ETM患者接受额外住院戒毒的可能性显著降低，但参与12步组或接受门诊成瘾治疗的可能性并没有增加。即便如此，ETM患者的酒精、药物和心理健康状况也更好。相比之下，在6个月随访时，ETM和UC患者的主要或次要结局通常没有差异。研究结果表明，ETM阻止额外的戒毒发作，而干预正在进行中，但不是在干预结束后。由于电话监测强度低、成本低，随着时间的推移，延长监测时间可能有助于减少重复戒毒。
Telehealth interventions have the potential to deter repeated detoxification episodes and improve outcomes. Using a sample of 298 detoxification inpatients, this randomized controlled trial compared Enhanced Telephone Monitoring (ETM) to usual care (UC) on the primary outcome of reducing subsequent detoxification, and secondary outcomes of linking patients to addiction treatment and mutual-help, and patients' experience of improved substance use and mental health outcomes. At the 3-month follow-up (i.e., at the end of the ETM intervention), compared to UC patients, ETM patients were significantly less likely to have received additional inpatient detoxification, but no more likely to have participated in 12-step groups or received outpatient addiction treatment. Even so, ETM patients had better alcohol, drug, and mental health outcomes. In contrast, at the 6-month follow-up, patients in ETM and UC generally did not differ on primary or secondary outcomes. Findings suggest that ETM deters additional detoxification episodes while the intervention is ongoing, but not after the intervention ends. Because telephone monitoring is low-intensity and low-cost, its extension over time may help reduce repeated detoxifications.