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: 7276104
• 负责人: DAVID J FARABEE
• 金额: $ 49.82万
• 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/7276104
• 关键词: Abstinence; Admission activity; Adopted; Adoption; Aftercare; Alcohol or Other Drugs use; Anger; Behavior; Behavioral; Caring; Characteristics; Client; Cocaine; Communities; Condition; Continuity of Patient Care; Control Groups; Counseling; Development; Dimensions; Doctor of Philosophy; Drug abuse; Drug usage; Effectiveness; Goals; Health Services Research; Illicit Drugs; Intervention; Maintenance; Measurement; Measures; Methamphetamine; Modeling; NIH Program Announcements; Outcome; Outpatients; Participant; Patient Self-Report; Patients; Personality Traits; Pharmaceutical Preparations; Phase; Professional counselor; Protocols documentation; Provider; Psychiatry; Randomized; Recommendation; Recovery; Relapse; Relative (related person); Research; Research Personnel; Role; Science; Standards of Weights and Measures; Structure; Substance abuse problem; Telephone; Testing; Treatment Protocols; addiction; base; behavior change; biobehavior; cost; desire; effectiveness trial; group counseling; programs; prospective; response; stimulant abuse; trait; treatment duration

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)： 继续发展和完善有经验支持的干预措施，以增加对治疗后善后护理的参与，并促进持续戒除非法药物使用，是成瘾领域的一个优先事项。药物滥用干预的典型模式是先进行密集的“治疗”阶段，然后是强度较低、定义不明确的“后续护理”阶段。通常，参与强化治疗阶段的患者表现出减少或完全戒除目标药物和其他药物的使用。然而，当在善后护理期间降低治疗强度时，复发和复吸是常见的。为了使药物滥用治疗达到长期戒除的预期效果，重要的是制定战略，加强善后护理和/或连续性护理办法的有效性。此外，这样的干预措施必须廉价且相对容易实施，才能移植到以社区为基础的项目的“真实世界”环境中。我们将开发和比较四种低成本电话支持方案的有效性，这些方案适用于已经完成结构化门诊兴奋剂滥用治疗方案的强化阶段的患者。参与者将是500名成功完成为期4个月的兴奋剂滥用治疗矩阵门诊模式的患者。然后，他们将被随机分配到五种后续咨询条件之一(每种条件n=100)：(1)非结构化/非指导性，(2)非结构化/指导性，(3)结构化/非指导性，(4)结构化/指导性，或(5)没有电话咨询的标准转介到后续护理(对照)。这两种结构化条件是基于Farabe等人确定的行为“提示”的。(2002)被认为与避免吸毒有关。在非指令性条件下，患者将陈述他们自己的目标以及他们打算如何实现这些目标。在指令条件中，辅导员将为采取尽可能多的药物避免活动提供具体建议。某些患者的个性特征或风格也将被评估，因为他们可能与电话咨询维度相互作用。将在完成初级治疗后的6个月和12个月跟踪结果，并将包括对参与药物回避活动(包括参与善后护理)的衡量，以及对药物使用和相关亲社会行为改变的自我报告和客观衡量。