从戒酒到治疗:关于戒酒后个人对移动医疗的障碍感知和潜力评估的定性访谈研究。

IF 3.2 2区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY Psychology of Addictive Behaviors Pub Date : 2024-12-01 Epub Date: 2024-04-18 DOI:10.1037/adb0001008
Danilo Romero, Alexander Rozental, Per Carlbring, Magnus Johansson, Johan Franck, Anne H Berman, Philip Lindner
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引用次数: 0

摘要

目标:在戒毒诊所就诊的大多数人都不会继续接受后续治疗。早期的研究表明,移动医疗等新兴技术可以解决戒毒后的治疗缺口问题,但目前仍不清楚患者本人是否认可此类方法。我们的研究旨在定性地探讨接受过酒精解毒治疗的患者感知到的治疗障碍,并评估移动医疗的潜力:我们进行了一次单人访谈定性研究,抽样调查了因酒精相关原因到斯德哥尔摩药物使用障碍急诊科就诊的参与者(n = 23),其中 n = 8 人因错过了预定的后续门诊预约而被特意纳入。我们进行了半结构式电话访谈(2021-2022 年),然后采用反思性主题分析法对访谈结果进行了系统分析:在这两个分析领域中,我们共确定了六个主题。我们将戒毒后治疗的障碍归纳为三个主题(10 个次主题),这些主题可能会对以往的研究提供一个细微的视角:"治疗系统与个人之间的错位"、"实际障碍 "和 "伸出援手与退缩之间"。我们在参与者对移动医疗作为善后支持的看法中发现了三个主题,揭示了这样一种方法可以促进 "自我意识"、帮助 "从孤独的药物使用挣扎到支持性的联系 "以及 "在最需要的时候提供生命线 "的期望,从而有可能解决治疗的几个障碍:这项关于戒毒后酒精治疗障碍和移动医疗潜力的首次定性研究提出了各种见解,这些见解可能会转化为有效的现实解决方案,以弥合戒毒后的治疗差距。未来研究的下一步自然是评估移动医疗在戒毒后的影响。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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From alcohol detoxification to treatment: A qualitative interview study on perceived barriers and assessed potential of mHealth among individuals postdetoxification.

Objective: Most individuals attending detoxification clinics do not pursue subsequent treatment. Earlier research has suggested that emerging technologies like mHealth interventions could address the postdetoxification treatment gap, yet it remains unclear whether patients themselves endorse such approaches. Our study aimed to qualitatively explore perceived treatment barriers and assessed potential of mHealth among individuals who have undergone alcohol detoxification.

Method: We conducted a single-interview-per-participant qualitative study, sampling participants (n = 23) that had visited the Stockholm substance use disorder emergency department for alcohol-related reasons, of whom n = 8 were purposively included due to having missed their scheduled follow-up outpatient appointment. Semistructured telephone interviews were conducted (2021-2022) and then systematically analyzed using reflexive thematic analysis.

Results: Across both areas of analysis, we identified six themes in total. We clustered barriers to postdetoxification treatment into three themes (10 subthemes) that may offer a nuancing perspective on previous research: "Misalignment between the treatment system and the individual," "Practical hurdles" and "Between reaching out and retreating." We identified three themes in participants' perspectives on mHealth as aftercare support, revealing expectations that such an approach may promote "self-awareness on own terms," assist in "navigating from solitary substance use struggles to supportive connections," and "offer a lifeline when needed most," thereby potentially resolving several barriers to treatment.

Conclusions: This first qualitative study on barriers to alcohol treatment and mHealth potential postdetoxification offered various insights that may be translated into effective, real-world solutions to bridge the postdetoxification treatment gap. A natural next step for future research is to evaluate the impact of mHealth postdetoxification. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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来源期刊
CiteScore
4.90
自引率
11.80%
发文量
165
期刊介绍: Psychology of Addictive Behaviors publishes peer-reviewed original articles related to the psychological aspects of addictive behaviors. The journal includes articles on the following topics: - alcohol and alcoholism - drug use and abuse - eating disorders - smoking and nicotine addiction, and other excessive behaviors (e.g., gambling) Full-length research reports, literature reviews, brief reports, and comments are published.
期刊最新文献
Does self-affirmation augment the effects of a mandated personalized feedback intervention? A randomized controlled trial with heavy drinking college students. Do changes in mood and anxiety mediate exercise-induced reductions in alcohol cravings? An exploratory study. Using causal mediation to examine self-efficacy as a mechanism through which continuing care interventions reduce alcohol use. The impact of family systems and social networks on substance use initiation and recovery among women with substance use disorders. From alcohol detoxification to treatment: A qualitative interview study on perceived barriers and assessed potential of mHealth among individuals postdetoxification.
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