CLIENTS WHO SEEK ON-LINE DRUG TREATMENT

描述(由申请人提供)： 拟议的项目是对以前未知的药物治疗人群--寻求在线药物治疗的人--的描述性研究。尽管几种面对面的治疗方式已经存在多年，但许多本来可以从这些传统治疗中受益的人仍然没有进入治疗。在那些确实接受治疗的人中，许多人在治疗完成之前就退出了。在那些接受完全治疗的人中，复发很常见。显然，在治疗需求和服务提供之间存在着巨大的差距。综上所述，这些发现表明，将治疗与客户需求相匹配对于治疗保留和治疗后健康的结果至关重要。尽管将治疗与客户需求相匹配的概念并不新鲜，而且符合常识，但所提供的服务类型及其实际提供方式往往不能反映这一常识做法。忽视“匹配”问题的结果是反复治疗发作，以及由于治疗不成功而持续的个人、社会和经济成本。鉴于现有的治疗方法，未得到满足的药物治疗需求的现状为开发新的治疗方式提供了机会和需要。特别是，该项目将确定选择参加创新的在线AOD治疗计划和自助小组的药物治疗人群(S)，该计划旨在满足这些需求，eGetgo通过现场音频和视频会议提供互动小组咨询，eGetgo的在线治疗计划旨在提高药物和酒精治疗服务的可及性、可负担性和便利性。它还通过提供旨在降低复发可能性的长期支持，加强了传统计划提供的治疗。理想情况下，社会和行为研究从描述性研究开始，以便让研究人员了解他们感兴趣的人群(S)。如果没有这种“文化能力”，调查人员可能会费力地进行越来越复杂的研究，得出同样复杂的结果，对吸毒成瘾社区中的亚群进行未知的推广。因为这项研究建议从“底层”调查一项新技术，所以描述性研究是合适的。对eGetgo客户的描述性分析(t检验、卡方检验、频率)将用于：(1)识别寻求在线治疗的人；(2)提供传统模式的药物治疗客户的比较信息(使用药物滥用治疗结果研究-成人和治疗事件数据集的数据)。这项研究的发现可能有助于解决以前未知人群的治疗需求，并缩小治疗需求与服务之间的差距。

DESCRIPTION (provided by applicant): The proposed project is a descriptive study of a previously unknown drug treatment population, those who seek on-line drug treatment. Although several face-to-face treatment modalities have been available for years, many people who would benefit from these traditional treatments still do not enter treatment. Among those who do enter treatment, many drop out before treatment is completed. Among those who do complete treatment, relapse is common. Clearly, there is a gaping disparity between treatment need and service delivery. Taken together, these findings suggest that matching treatment to client needs is critical to treatment retention and healthy post-treatment outcomes. Although the notion of matching treatment to client needs is not new and appeals to common sense, the types of services delivered and how they are actually delivered often do not reflect this common sense approach. The result of ignoring the "matching" issue is repeated treatment episodes and continued personal, societal, and financial cost as a result of unsuccessful treatment. The current situation of unmet drug treatment need, given existing treatment, presents an opportunity and need for developing new treatment modalities. In particular, this project will identify the segment(s) of the drug treatment population that choose to participate in an innovative on-line AOD treatment program and self-help group designed to address these needs, eGetgoing, eGetgoing provides interactive group counseling through live audio and video conferencing, eGetgoing's on-line treatment programs are intended to improve the accessibility, affordability and convenience of drug and alcohol treatment services. It also augments the treatment offered by traditional programs by providing long-term support designed to reduce the likelihood of relapse. Ideally, social and behavioral research begins with descriptive studies in order to inform researchers of the population(s) of interest to them. Without this "cultural competence," investigators may plod forth with increasingly complex studies that yield equally complex findings, with unknown generalizability to subgroups in the drug addicted community. Because this study proposes to investigate a new technology from the "ground floor," a descriptive study is appropriate. Descriptive analyses (t-tests, chi-square, frequencies) of eGetgoing clients will be used to: (1) identify those who seek on-line treatment, (2) provide comparative information on drug treatment clients from traditional modalities (using data from the Drug Abuse Treatment Outcomes Studies-Adults and Treatment Episode Data Set). Findings from this study may help address treatment needs of a previously unknown population and narrow the treatment need-service gap.