“这比去医院好得多”:基于远程医疗的症状触发酒精戒断管理服务用户体验。

IF 3.2 2区 医学 Q1 SUBSTANCE ABUSE
Nikki Bozinoff, Divya Prasad, Ke Bin Xiao, Anthony Ngoy, Bernard Le Foll, Anna Gordezky, Christian S Hendershot, Sandra LaFleur, Lena C Quilty, Victor M Tang, Tara Marie Watson, Matthew E Sloan
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引用次数: 0

摘要

导言:药物使用障碍管理服务越来越多地被开发或调整为远程提供。有限的研究调查了这些服务的服务用户体验。为了更好地了解参与者的经历,我们进行了一项定性子研究,纳入了远程症状触发的酒精戒断管理试点可行性研究。我们的目的是确定干预的可接受性并完善干预程序。方法:符合条件的参与者被纳入母研究,并完成至少一天的远程医疗交付症状触发的酒精戒断管理。个体是通过强度抽样招募的酒精使用障碍的成年人。参与者完成了一段录音的半结构化访谈。主题分析采用Braun和Clarke的解释方法。结果:14人被纳入研究。确定了六个主题:在家庭环境中的好处,技术紧张,干预特定的反馈,个人参与的动机,项目后的成就和变化以及导航“系统”。参与者确定了在家庭环境中的许多好处,包括:增加舒适度、隐私性和安全性,在家戒酒的常态化,从事其他任务的灵活性,以及不旅行的便利性。针对具体干预措施的反馈包括干预措施的积极方面(与工作人员的互动、问责制、咨询、药物使用)、需要改进的领域(准备、安排、药物后勤和善后护理),以及在治疗期间有支持人员的意义和作用。结论:参与者发现远程戒酒管理是令人满意的,并与几个好处相关,包括增加舒适度、隐私性、在家戒酒正常化、灵活性和便利性。他们还为改进干预措施提供了重要的反馈。研究结果表明,远程戒酒管理可以在改善戒酒医疗管理方面发挥重要作用,特别是在农村、偏远或服务不足地区。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
"It beats the hell out of going to a hospital": service user experiences of telemedicine-based symptom-triggered alcohol withdrawal management.

Introduction: Increasingly, services for the management of substance use disorders have been developed or adapted for remote delivery. Limited research has investigated service user experience of these services. We undertook a qualitative sub-study, embedded within a pilot feasibility study of remote symptom-triggered alcohol withdrawal management, to better understand the experiences of participants. Our aim was to determine the acceptability of the intervention and refine intervention procedures.

Methods: Eligible participants were enrolled in the parent study and completed at least one day of telemedicine-delivered symptom-triggered alcohol withdrawal management. Individuals were adults with alcohol use disorder recruited using intensity sampling. Participants completed an audio-recorded, semi-structured interview. Thematic analysis was conducted using Braun and Clarke interpretive methodology.

Results: Fourteen individuals were enrolled in the study. Six themes were identified: benefits of being in the home environment, technological tensions, intervention-specific feedback, personal motivations for participation, post-program achievements and changes and navigating the 'system'. Participants identified numerous benefits of being in the home environment including: increased comfort, privacy and security, normalizing abstinence in the home, flexibility to engage in other tasks, and the convenience of not travelling. Intervention-specific feedback included positive aspects of the intervention (interactions with staff, accountability, counselling, use of medication), areas for improvement (preparation, scheduling, medication logistics, and aftercare), and the meaning and role of having a support person available during treatment.

Conclusion: Participants found remote alcohol withdrawal management to be satisfactory and associated with several benefits including increased comfort, privacy, normalizing abstinence in the home, flexibility and convenience. They also provided important feedback for refinement of the intervention. Findings suggest that remote alcohol withdrawal management could play an important role in improving access to medical management of alcohol withdrawal, particularly in rural, remote or underserved areas.

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来源期刊
Addiction Science & Clinical Practice
Addiction Science & Clinical Practice Psychology-Clinical Psychology
CiteScore
3.90
自引率
10.80%
发文量
64
审稿时长
28 weeks
期刊介绍: Addiction Science & Clinical Practice provides a forum for clinically relevant research and perspectives that contribute to improving the quality of care for people with unhealthy alcohol, tobacco, or other drug use and addictive behaviours across a spectrum of clinical settings. Addiction Science & Clinical Practice accepts articles of clinical relevance related to the prevention and treatment of unhealthy alcohol, tobacco, and other drug use across the spectrum of clinical settings. Topics of interest address issues related to the following: the spectrum of unhealthy use of alcohol, tobacco, and other drugs among the range of affected persons (e.g., not limited by age, race/ethnicity, gender, or sexual orientation); the array of clinical prevention and treatment practices (from health messages, to identification and early intervention, to more extensive interventions including counseling and pharmacotherapy and other management strategies); and identification and management of medical, psychiatric, social, and other health consequences of substance use. Addiction Science & Clinical Practice is particularly interested in articles that address how to improve the quality of care for people with unhealthy substance use and related conditions as described in the (US) Institute of Medicine report, Improving the Quality of Healthcare for Mental Health and Substance Use Conditions (Washington, DC: National Academies Press, 2006). Such articles address the quality of care and of health services. Although the journal also welcomes submissions that address these conditions in addiction speciality-treatment settings, the journal is particularly interested in including articles that address unhealthy use outside these settings, including experience with novel models of care and outcomes, and outcomes of research-practice collaborations. Although Addiction Science & Clinical Practice is generally not an outlet for basic science research, we will accept basic science research manuscripts that have clearly described potential clinical relevance and are accessible to audiences outside a narrow laboratory research field.
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