中低收入国家药物使用障碍应急管理疗效系统回顾》。

IF 2 3区 心理学 Q3 PSYCHOLOGY, CLINICAL
Mariah M Kalmin, Candice Nicolo, Wahbie Long, David Bodden, Lara Van Nunen, Steven Shoptaw, Jonathan Ipser
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引用次数: 0

摘要

背景:在资源匮乏的国家,贫困、失业和服务不足等因素阻碍了成功治疗,因此非法使用药物的影响尤其具有破坏性。权宜管理(CM)是一种治疗药物使用障碍的方法,已被证明能有效地促使行为改变。在中低收入国家(LMICs),CM 干预措施的疗效还未得到充分探讨:本随机对照试验系统综述的目的是评估中西医结合治疗药物使用障碍的疗效,同时考虑中西医结合治疗在中低收入国家的环境调节因素。通过对 PubMed、Scopus 和 Cochrane 图书馆数据库的检索,共获得了 18 项可纳入的研究,并使用 Cochrane 研究特征工具的修改版从中提取了相关数据:结果:2 项研究位于低收入国家,2 项研究位于中低收入国家,14 项研究位于中上收入国家。总体而言,估计疗效与较高收入国家的估计疗效相似。然而,需要进一步研究的特定环境挑战包括获得训练有素的工作人员的机会有限以及结构和财政限制:虽然中药在低收入和中等收入国家尚处于早期发展阶段,但其疗效估计值与高收入国家相比并无实质性差异。成本、实施意愿以及与成瘾相关的耻辱感等挑战为在这些地区开展进一步研究奠定了基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

A Systematic Review of the Efficacy of Contingency Management for Substance Use Disorders in Low and Middle Income Countries.

A Systematic Review of the Efficacy of Contingency Management for Substance Use Disorders in Low and Middle Income Countries.

Background: The impact of illicit substance use is especially devastating in low-resourced countries where factors such as poverty, unemployment, and inadequate services impede successful treatment. Contingency management (CM) is a treatment for substance use disorders that has shown to be effective in eliciting behaviour change. The efficacy of CM interventions in low and middle income countries (LMICs) has been under explored.

Methods: The aim of this systematic review of randomized controlled trials was to assess measures of CM efficacy in addressing substance use disorders, while also considering contextual moderators of CM in LMICs. A search of PubMed, Scopus, and Cochrane library databases yielded 18 studies for inclusion, from which relevant data were extracted using modified versions of the Cochrane Characteristics of Studies tool.

Results: Two studies were located in a low-income country, two in lower-middle income countries, and fourteen in upper middle-income countries. Overall, estimated efficacy estimates were similar to those from higher income countries. However, context-specific challenges that warrant further investigation included limited access to trained staff and structural and financial constraints.

Conclusions: While CM in LMICs is in its early stages of development, efficacy estimates were not substantially different compared to high income countries. Challenges such as costs, willingness to implement, and the stigma associated with addiction sets the stage for further research in these contexts.

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来源期刊
CiteScore
5.20
自引率
3.70%
发文量
97
期刊介绍: The International Journal of Behavioral Medicine (IJBM) is the official scientific journal of the International Society for Behavioral Medicine (ISBM). IJBM seeks to present the best theoretically-driven, evidence-based work in the field of behavioral medicine from around the globe. IJBM embraces multiple theoretical perspectives, research methodologies, groups of interest, and levels of analysis. The journal is interested in research across the broad spectrum of behavioral medicine, including health-behavior relationships, the prevention of illness and the promotion of health, the effects of illness on the self and others, the effectiveness of novel interventions, identification of biobehavioral mechanisms, and the influence of social factors on health. We welcome experimental, non-experimental, quantitative, qualitative, and mixed-methods studies as well as implementation and dissemination research, integrative reviews, and meta-analyses.
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