Four Models of Telephone Support for Stimulant Recovery

兴奋剂恢复电话支持的四种模式

• 批准号: 6928285
• 负责人: DAVID J FARABEE
• 金额: $ 51万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-08-15 至 2010-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6928285
• 关键词: behavioral /social science research tag; clinical research; cocaine; drug /alcohol abstinence; drug abuse therapy; drug addiction; health care model; health services research tag; human subject; human therapy evaluation; mental health counseling; methamphetamine; patient oriented research; relapse /recurrence; social support network; telemedicine

DESCRIPTION (provided by applicant): The continuing development and refinement of empirically supported interventions to increase participation in post-treatment aftercare and promote sustained abstinence from illicit drug use is a priority for the addictions field. Typical models of drug abuse intervention have intensive periods of "treatment" followed by a less intensive, poorly defined "aftercare" period. Frequently, patients involved in the intensive phase of treatment show a reduction in, or complete abstinence from, the target and other drug use. However, when the treatment intensity is decreased during the aftercare period, relapse and readdiction are common. For drug abuse treatment to provide the desired result of long-term abstinence, it is important to develop strategies that will enhance the effectiveness of aftercare and/or continuity-of-care approaches. Moreover, such interventions must be inexpensive and relatively easy to implement to be portable to the "real world" setting of community-based programs. We will develop and compare the efficacy of four low-cost, telephone support protocols for patients who have completed the intensive phase of a structured, outpatient stimulant abuse treatment protocol. Participants will be 500 patients who have successfully completed the 4-month Matrix Outpatient Model of stimulant abuse treatment. They will then be randomly assigned to one of five aftercare-counseling conditions (each with n=100): (1) unstructured/non-directive, (2) unstructured/directive, (3) structured/non-directive, (4) structured/directive, or (5) standard referral to aftercare without telephone counseling (control). The two structured conditions are based on the behavioral "prompts" identified by Farabee et al. (2002) as being associated with drug avoidance. In the non-directive conditions, patients will state their own goals and how they intend to achieve them. In the directive conditions, the counselor will provide specific recommendations for the adoption of as many drug-avoidance activities as possible. Certain patient personality traits or styles will also be assessed for their possible interaction with the telephone counseling dimensions. Outcomes will be tracked at 6 and 12 months following completion of primary treatment and will include measurement of participation in drug-avoidance activities (including aftercare participation), as well as self-reported and objective measures of substance use and associated prosocial behavior change.

描述（由申请人提供）： 持续的发展和凭经验支持的干预措施，以增加对治疗后护理的参与并促进非法药物使用的持续戒酒是成瘾领域的优先事项。典型的药物滥用干预模型具有密集的“治疗”时期，然后是一个不太密集，定义不太定义的“后期”期间。经常，参与密集治疗阶段的患者表明，靶标和其他药物的使用降低或完全戒酒。但是，当治疗强度在后期期间降低时，复发和读取很常见。为了滥用药物治疗以提供长期禁欲的期望结果，重要的是制定策略，以提高护理和/或保健方法的有效性。此外，这种干预措施必须便宜且相对易于实施，以便于基于社区计划的“现实世界”设置。我们将开发和比较四种低成本，电话支持方案的功效，以完成结构化的门诊刺激滥用治疗方案的强化阶段的患者。参与者将是500名患者，他们成功完成了刺激性滥用治疗的4个月矩阵门诊模型。然后，它们将被随机分配到五个余后训练条件之一（n = 100）：（1）非结构化/非指导性，（2）非结构化/指令，（3）结构/非指导性，（4）结构/指令，或（4）无需电话咨询（控制）的术后推荐（5）标准转介给后期的标准转介（控制）。这两个结构化条件基于Farabee等人确定的行为“提示”。 （2002）与避免药物有关。在非指导条件下，患者将陈述自己的目标以及他们打算如何实现目标。在指令条件下，辅导员将为采用尽可能多的避免药物活动提供具体的建议。某些患者性格特征或样式也将因其与电话咨询维度的互动而进行评估。基本治疗完成后的6个月和12个月的结果将进行跟踪，并将包括衡量参与药物避免活性（包括后期参与），以及对药物使用的自我报告和客观测量以及相关的亲社会行为改变。