A randomized trial of Web-based videoconferencing for substance abuse counseling
A randomized trial of Web-based videoconferencing for substance abuse counseling
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DOI：
10.1016/j.jsat.2013.08.009
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发表时间：
2014-01-01
影响因子：
3.9
通讯作者：
Kidorf, Michael S.
中科院分区：
文献类型：
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作者：
King, Van L.;Brooner, Robert K.;Kidorf, Michael S.
基于网络的视频会议允许患者在家中接受咨询服务，从而改善药物滥用治疗的可及性。这项随机临床试验评估了社区阿片类药物治疗计划 (OTP) 参与者基于网络的视频会议的可行性和可接受性。报告使用计算机和互联网的参与者 (n = 85) 被随机分配接受为期 12 周的每周个人咨询，每周亲自进行咨询或通过基于网络的视频会议平台 eGetgoing 进行咨询。其中 59 名参与者完成了研究（eGetgoing = 24；现场 = 35），大多数退出研究发生在 eGetgoing 参与者中。暴露于研究条件的参与者具有相似的咨询出席率和药物阳性尿液分析结果，并报告了相似且强烈的治疗满意度和治疗联盟评级。这些结果支持了基于网络的咨询的可行性和可接受性，与能够维持计算机和互联网连接以进行可靠沟通的患者的面对面咨询相比，基于网络的咨询是一种扩展个人药物滥用咨询机会的好方法。 (C) 2013 Elsevier Inc. 保留所有权利。
Web-based videoconferencing can improve access to substance abuse treatment by allowing patients to receive counseling services in their homes. This randomized clinical trial evaluates the feasibility and acceptability of Web-based videoconferencing in community opioid treatment program (OTP) participants. Participants that reported computer and Internet access (n = 85) were randomly assigned to receive 12 weeks of weekly individual counseling in-person or via eGetgoing, a Web-based videoconferencing platform. Fifty-nine of these participants completed the study (eGetgoing = 24; in-person = 35), with most study withdrawal occurring among eGetgoing participants. Participants exposed to the study conditions had similar rates of counseling attendance and drug-positive urinalysis results, and reported similar and strong ratings of treatment satisfaction and therapeutic alliance. These results support the feasibility and acceptability of Web-based counseling as a good method to extend access to individual substance abuse counseling when compared to in-person counseling for patients that are able to maintain a computer and Internet connection for reliable communication. (C) 2013 Elsevier Inc. All rights reserved.