{"title":"Assisted Versus Unassisted Domiciliary Alcohol Detoxification: A Randomized Controlled Trial","authors":"Sneha B. Suresh, Anil V. Rane","doi":"10.1177/02537176241245083","DOIUrl":null,"url":null,"abstract":"Background:Detoxification stands as a crucial phase in the treatment of alcohol use disorders (AUD), yet only limited data is available on the outcomes of home-based detoxification. Assisted domiciliary detoxification involves monitoring an individual’s withdrawal progress, while offering psychosocial support and detoxification services in the comfort of their home.Aim:To study outcomes of assisted over routine domiciliary alcohol detoxification in randomized controlled trials.Methodology:100 consenting male patients who were advised of domiciliary detoxification were randomized into intervention ( n = 49) and control ( n = 51) groups. A predesigned semi-structured questionnaire was used to assess the socio-demographic and drinking-related variables. Both groups received routine care for alcohol withdrawal from respective treating doctors. Additionally, the intervention group received two sessions of brief intervention for alcohol and daily phone call assistance. Records were kept for adverse events. Phone calls were discontinued once detoxification was completed. Outcomes were measured for successful completion of detoxification and abstention from alcohol at the end of one month.Results:The intervention group had significantly higher successful detoxification rates (85.7% vs. 62.7%, p = .008) and significantly higher abstinence days at the end of one month compared to the control group (22 vs. 10 days, p < .001) with an effect size of 1.2 (confidence interval (CI) 0.69–1.53).Conclusion:This study demonstrates that receiving assistance in the acute phase of domiciliary detoxification helps in a successful detoxification and achieving a significant level of abstinence at the end of one month compared to the control group.","PeriodicalId":13476,"journal":{"name":"Indian Journal of Psychological Medicine","volume":null,"pages":null},"PeriodicalIF":1.9000,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Psychological Medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/02537176241245083","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
Abstract
Background:Detoxification stands as a crucial phase in the treatment of alcohol use disorders (AUD), yet only limited data is available on the outcomes of home-based detoxification. Assisted domiciliary detoxification involves monitoring an individual’s withdrawal progress, while offering psychosocial support and detoxification services in the comfort of their home.Aim:To study outcomes of assisted over routine domiciliary alcohol detoxification in randomized controlled trials.Methodology:100 consenting male patients who were advised of domiciliary detoxification were randomized into intervention ( n = 49) and control ( n = 51) groups. A predesigned semi-structured questionnaire was used to assess the socio-demographic and drinking-related variables. Both groups received routine care for alcohol withdrawal from respective treating doctors. Additionally, the intervention group received two sessions of brief intervention for alcohol and daily phone call assistance. Records were kept for adverse events. Phone calls were discontinued once detoxification was completed. Outcomes were measured for successful completion of detoxification and abstention from alcohol at the end of one month.Results:The intervention group had significantly higher successful detoxification rates (85.7% vs. 62.7%, p = .008) and significantly higher abstinence days at the end of one month compared to the control group (22 vs. 10 days, p < .001) with an effect size of 1.2 (confidence interval (CI) 0.69–1.53).Conclusion:This study demonstrates that receiving assistance in the acute phase of domiciliary detoxification helps in a successful detoxification and achieving a significant level of abstinence at the end of one month compared to the control group.
背景:戒毒是治疗酒精使用障碍(AUD)的关键阶段,但有关家庭戒毒效果的数据却十分有限。目的:在随机对照试验中研究辅助家庭戒酒比常规家庭戒酒的效果。方法:将100名同意接受家庭戒酒的男性患者随机分为干预组(49人)和对照组(51人)。采用预先设计的半结构式问卷评估社会人口学和饮酒相关变量。两组均接受各自主治医生提供的戒酒常规护理。此外,干预组还接受了两次简短的戒酒干预和每天的电话协助。对不良事件进行记录。戒毒完成后,电话援助即停止。结果:与对照组相比,干预组的戒毒成功率明显更高(85.7% vs. 62.7%,p = .008),一个月后的戒酒天数也明显增加(22 vs. 10 天,p = .008)。结论:本研究表明,与对照组相比,在家庭戒毒的急性期接受援助有助于成功戒毒,并在一个月后达到明显的戒断水平。
期刊介绍:
The Indian Journal of Psychological Medicine (ISSN 0253-7176) was started in 1978 as the official publication of the Indian Psychiatric Society South Zonal Branch. The journal allows free access (Open Access) and is published Bimonthly. The Journal includes but is not limited to review articles, original research, opinions, and letters. The Editor and publisher accept no legal responsibility for any opinions, omissions or errors by the authors, nor do they approve of any product advertised within the journal.