在美国阿片类药物治疗项目中共同发生的物质使用评估。

IF 5.2 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Epidemiologic Reviews Pub Date : 2020-01-31 DOI:10.1093/epirev/mxaa009
Mirinda Ann Gormley, Courtney T Blondino, DaShaunda D H Taylor, Elizabeth Lowery, James S Clifford, Benjamin Burkart, Whitney C Graves, Elizabeth C Prom-Wormley, Juan Lu
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引用次数: 4

摘要

阿片类药物治疗方案(OTPs)的有效性可能受到同时发生的物质使用的显著影响,但目前还没有标准化的指南来评估同时发生的物质使用对治疗结果的影响。在这篇综述中,我们的目的是概述美国参加OTPs期间共发生物质使用的评估状况。我们检索了4个数据库- medline /PubMed、EMBASE、PsychINFO和护理和相关健康文献累积索引(CINAHL)-从数据库建立到2018年11月,以选择评估参与者共同发生的药物使用的otp相关出版物。我们使用标准化的方案来提取研究、干预和共同发生的物质使用特征。采用预后研究质量工具评估方法学质量。在筛选的3,219个标题中,评估了614篇摘要和191篇全文原始出版物,留下85篇符合条件的文章。在阿片类药物治疗期间,使用联合(药理学和行为)(n = 57项研究)和药理学(n = 25项研究)干预措施最常评估共同发生的物质使用情况。经常测量可卡因、酒精、大麻和苯二氮卓类药物,而很少评估安非他明和烟草。在同时发生的物质使用的时间和测量以及物质和多物质/多药物使用的定义方面的研究存在很大差异。同时发生的物质使用调查的不一致性使得跨研究结果的比较具有挑战性。需要对同时发生的药物使用的研究采取标准化措施并达成共识,以便为使用多种药物的人制定个性化治疗方案提供所需的证据,并为参与otp期间处理多种药物使用的最佳实践指南提供信息。
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Assessment of Co-Occurring Substance Use During Opiate Treatment Programs in the United States.

The effectiveness of opiate treatment programs (OTPs) can be significantly influenced by co-occurring substance use, yet there are no standardized guidelines for assessing the influence of co-occurring substance use on treatment outcomes. In this review, we aim to provide an overview on the status of the assessment of co-occurring substance use during participation in OTPs in the United States. We searched 4 databases-MEDLINE/PubMed, EMBASE, PsychINFO, and the Cumulative Index to Nursing and Allied Health Literature (CINAHL)-from database inception to November 2018 to select relevant publications on OTPs that assessed participants' co-occurring substance use. We used a standardized protocol to extract study, intervention, and co-occurring substance use characteristics. Methodological quality was assessed using the Quality in Prognosis Studies tool. Of the 3,219 titles screened, 614 abstracts and 191 full-text original publications were assessed, leaving 85 eligible articles. Co-occurring substance use was most often assessed during opioid treatments using combined (pharmacological and behavioral) (n = 57 studies) and pharmacological (n = 25 studies) interventions. Cocaine, alcohol, marijuana, and benzodiazepines were frequently measured, while amphetamines and tobacco were rarely assessed. Great variation existed between studies in the timing and measurement of co-occurring substance use, as well as definitions for substances and polysubstance/polydrug use. Inconsistencies in the investigation of co-occurring substance use make comparison of results across studies challenging. Standardized measures and consensus on research on co-occurring substance use is needed to produce the evidence required to develop personalized treatment programs for persons using multiple substances and to inform best-practice guidelines for addressing polydrug use during participation in OTPs.

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来源期刊
Epidemiologic Reviews
Epidemiologic Reviews 医学-公共卫生、环境卫生与职业卫生
CiteScore
8.10
自引率
0.00%
发文量
10
期刊介绍: Epidemiologic Reviews is a leading review journal in public health. Published once a year, issues collect review articles on a particular subject. Recent issues have focused on The Obesity Epidemic, Epidemiologic Research on Health Disparities, and Epidemiologic Approaches to Global Health.
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