کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
898587 1472517 2016 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Can persons with a history of multiple addiction treatment episodes benefit from technology delivered behavior therapy? A moderating role of treatment history at baseline
ترجمه فارسی عنوان
آیا افراد مبتلا به سابقه چندین دوره درمان اعتیاد از درمان رفتاری با ارائه تکنولوژی سود می برند؟ نقش تعدیلی در تاریخ درمان در ابتدای زندگی
کلمات کلیدی
مداخله بهداشتی مبتنی بر کامپیوتر؛ درمان رفتاری؛ تاریخچه درمان؛ وابستگی به مواد مخدر؛ وابستگی به کوکائین
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی علوم اعصاب رفتاری
چکیده انگلیسی


• It is largely unknown for whom technology-based interventions for SUDs work.
• We found interaction effects of TES vs. control in relation to treatment histories.
• Drug abstinence was moderated by study arms and SUD treatment history.
• Computer-based TES worked well even among persons with long treatment histories.

A growing line of research has shown positive treatment outcomes from technology-based therapy for substance use disorders (SUDs). However, little is known about the effectiveness of technology-based SUD interventions for persons who already had numerous prior SUD treatments. We conducted a secondary analysis on a 12-month trial with patients (N = 160) entering methadone maintenance treatment (MMT). Patients were randomly assigned to either standard MMT treatment or a model in which half of standard counseling sessions were replaced with a computer-based intervention, called Therapeutic Education System (standard + TES). Four treatment history factors at baseline, the number of lifetime SUD treatment episodes, detoxification episodes, and inpatient/outpatient treatment episodes were categorized into three levels based on their tertile points, and analyzed as moderators. Dependent variables were urine toxicology results for opioid and cocaine abstinence for 52-weeks. The standard + TES condition produced significantly better opioid abstinence than standard treatment for participants with 1) a moderate or high frequency of lifetime SUD treatment episodes, and 2) those with all three levels (low, moderate and high) of detoxification and inpatient/outpatient treatment episodes, ps < .01. The standard + TES condition enhanced cocaine abstinence compared to standard treatment among people with 1) a moderate or high frequency of lifetime SUD treatment episodes, 2) a high level of detoxification episodes, and 3) a moderate or high level of inpatient treatment history, ps < .01. We found that including technology-based behavioral therapy as part of treatment can be more effective than MMT alone, even among patients with a history of multiple addiction treatment episodes.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Addictive Behaviors - Volume 54, March 2016, Pages 18–23
نویسندگان
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