Telehealth Treatment for Alcohol Misuse: Reviewing Telehealth Approaches to Increase Engagement and Reduce Risk of Alcohol-Related Hypertension

被引:7
作者
Blalock, Dan V. [1 ,2 ]
Calhoun, Patrick S. [1 ,2 ,3 ,4 ]
Crowley, Matthew J. [1 ,5 ]
Dedert, Eric A. [1 ,2 ,3 ,4 ]
机构
[1] Durham Vet Affairs Hlth Care Syst, Ctr Innovat Accelerate Discovery & Practice Trans, Durham, NC 27705 USA
[2] Duke Univ, Sch Med, Dept Psychiat & Behav Sci, Durham, NC 27708 USA
[3] VA Midatlantic Reg Mental Illness Res Educ & Clin, Durham, NC USA
[4] Durham Vet Affairs Med Ctr, Durham, NC USA
[5] Duke Univ, Sch Med, Dept Med, Div Endocrinol Diabet & Metab, Durham, NC 27706 USA
关键词
Alcohol misuse; Telehealth CBT; Mobile health; Contingency management; Hypertension; Alcohol treatment; COGNITIVE-BEHAVIORAL THERAPY; CONTINGENCY MANAGEMENT; USE DISORDERS; IMPLEMENTATION INTENTIONS; SUBSTANCE-ABUSE; BLOOD-PRESSURE; ILLICIT DRUG; INTERVENTIONS; CONSUMPTION; METAANALYSIS;
D O I
10.1007/s11906-019-0966-3
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Purpose of ReviewTelehealth interventions for alcohol misuse may be especially impactful in hypertensive populations because of the increased blood pressure associated with alcohol overconsumption. This review examines emerging telehealth interventions for alcohol misuse and categorizes them according to phases of the treatment process.Recent FindingsEvidence for telehealth cognitive behavioral therapy (CBT) is preliminary but suggests it is efficacious and increased access to treatment. Evidence for contingency management (CM) is growing, and mobile adaptation of CM for alcohol misuse suggests it is efficacious in initial abstinence induction. Evidence for mobile health (mHealth) texts and applications is large and variable but generally suggests it is efficacious for reducing alcohol misuse and relapse prevention.SummaryVariability in telehealth interventions for alcohol misuse may hinder conclusion implementation. Matching specific telehealth interventions with phases of alcohol misuse treatment and focusing on high-impact populations (i.e., those with hypertension) may maximize benefits on population health.
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页数:7
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