Outcome of Camp Approach in Treatment of Alcohol Use Disorder: A Non-randomized Controlled Study.

Journal of psychiatry spectrum Pub Date : 2024-07-01 Epub Date: 2024-06-20 DOI:10.4103/jopsys.jopsys_48_23
Sinu Ezhumalai
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Abstract

Background: Studies examining the outcome of the camp approach in the treatment of alcohol dependence are limited in India.

Aim: The aim of the study was to compare the outcomes of the community-based camp (CBC) approach and the hospital-based camp (HBC) approach in the treatment of persons with alcohol dependence.

Methods: The study used a non-randomized controlled study design (quasi-experimental research design before and after with a control group). In total, 60 respondents were selected through the census method (30 in the study group and 30 in the control group). Thirty respondents from the CBC formed the experimental group, and another 30 from the HBC formed the control group. The CBC was held for 7 days, and the HBC was held for 10 days. The tools used are the Alcohol Use Disorders Identification Test and the World Health Organization quality of life (QoL)-BREF.

Statistical analysis: Independent t-test and effect size analysis were used. Kasturba Hospital Institute Ethics Committee, Manipal, had given the ethical clearance.

Results: The majority (73%) of the respondents in the CBC and 57% of the HBC participants maintained complete abstinence during the post-test. The relapse rate was lower in the CBC (27%) than in the HBC (43%). CBC is effective at increasing the number of follow-ups and decreasing alcohol intake during relapse. The effect of the camp intervention on increasing the number of follow-ups was medium (d = 0.36). The CBC had a small effect on enhancing the QoL of treated individuals with alcohol dependence syndrome during the post-test (d = 0.27).

Conclusion: The CBC approach is more effective than the hospital one at increasing follow-up and QoL and reducing the relapse rate.

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营地疗法在酒精使用障碍治疗中的效果:非随机对照研究
背景:目的:本研究旨在比较以社区为基础的营地(CBC)和以医院为基础的营地(HBC)对酒精依赖者的治疗效果:研究采用非随机对照研究设计(前后对照组的准实验研究设计)。通过普查方法共选出 60 名受访者(研究组和对照组各 30 人)。30 名来自 CBC 的受访者组成实验组,另外 30 名来自 HBC 的受访者组成对照组。CBC 为期 7 天,HBC 为期 10 天。使用的工具是酒精使用障碍鉴定测试和世界卫生组织生活质量(QoL)-BREF:统计分析:采用独立 t 检验和效应大小分析。马尼帕尔的卡斯特尔巴医院研究所伦理委员会已通过伦理审查:大多数(73%)CBC 受试者和 57% HBC 受试者在测试后保持完全戒断。CBC的复吸率(27%)低于HBC(43%)。CBC 能有效增加复试次数,减少复发期间的酒精摄入量。营地干预对增加随访次数的效果为中等(d = 0.36)。在后测期间,CBC 对提高酒精依赖综合症患者的 QoL 有微小影响(d = 0.27):结论:在提高随访率和生活质量以及降低复发率方面,CBC 方法比医院方法更有效。
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