Randomized controlled trial of enhanced telephone monitoring with detoxification patients: 3-and 6-month outcomes

被引：31

作者：

Timko, Christine ^{[1
,2
]}

Below, Maureen ^{[3
,4
]}

Vittorio, Lisa ^{[3
]}

Taylor, Emmeline ^{[1
]}

Chang, Grace ^{[5
,6
]}

Lash, Steven ^{[7
,8
,9
]}

Festin, Fe Erlita D. ^{[5
,6
]}

Brief, Deborah ^{[3
,4
]}

机构：

[1] Dept Vet Affairs Hlth Care Syst, Ctr Innovat Implementat, Palo Alto, CA 94304 USA

[2] Stanford Univ, Sch Med, Dept Psychiat & Behav Sci, Stanford, CA 94305 USA

[3] VA Boston Hlth Care Syst, 150 South Huntington Ave 116b, Boston, MA 02130 USA

[4] Boston Univ, Sch Med, 72 East Concord St, Boston, MA 02118 USA

[5] VA Boston Hlth Care Syst, 940 Belmont St, Brockton, MA 02301 USA

[6] Harvard Med Sch, Dept Psychiat, 25 Shattuck St, Boston, MA 02115 USA

[7] VA Med Ctr, 1970 Roanoke Blvd, Salem, VA 24153 USA

[8] Univ Virginia, Dept Psychiat & Neurobehav Sci, Charlottesville, VA 22094 USA

[9] Virgina Tech Carillon Sch Med & Res Inst, 2 Riverside Circle, Roanoke, VA 24016 USA

来源：

JOURNAL OF SUBSTANCE ABUSE TREATMENT | 2019年 / 99卷

关键词：

Detoxification; Alcohol; Opioids; Telephone monitoring; Treatment; Mutual-help; POSTTRAUMATIC-STRESS-DISORDER; CONTINUING CARE; INPATIENT DETOXIFICATION; OPIOID DETOXIFICATION; TREATMENT ENGAGEMENT; COST-EFFECTIVENESS; AFTER-DISCHARGE; ALCOHOL; COCAINE; INTERVENTION;

D O I：

10.1016/j.jsat.2018.12.008

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

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.

引用

页码：24 / 31

页数：8

共 63 条

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