临床医生将智能手机应用数据整合到常规酒精依赖治疗中的观点:影响实施的因素

IF 3.2 2区 医学 Q1 SUBSTANCE ABUSE
Josefine Östh, Andreas Lundin, Peter Wennberg, Sven Andréasson, Anna-Karin Danielsson
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引用次数: 0

摘要

背景:结合临床医生的观点是必不可少的成功实施新的干预措施,在卫生保健。本研究旨在探讨临床医生在酒精依赖治疗中使用智能手机数据的经验,以及影响常规护理实施的因素。方法:于2023年4月进行了两次焦点小组讨论,包括10名在瑞典斯德哥尔摩一家专业成瘾诊所工作的临床医生。临床医生在使用基于智能手机的数据方面有不同程度的经验,这些数据可以通过两个在线门户网站获得,作为评估两种基于智能手机的干预措施的随机对照试验的一部分。在规范化过程理论的指导下,使用主题框架分析对数据进行分析。结果:确定了两个主要主题:以患者为驱动力和培养承诺、能力和信誉。第一个主题强调了贯穿实践的以人为本的方法,以及患者对基于应用程序的干预措施的参与如何指导临床医生自己的参与。干预措施对患者(即提高认识和控制)和临床医生(即在治疗期间给予支持)的好处也得到了承认。临床医生认为,干预措施为患者提供了一个更积极参与治疗的机会,并指出临床医生访问应用程序衍生数据的重要性降低了。第二个主题涉及临床医生关于需要支持和指导以更好地利用干预措施、工作连续性和额外工作时间的讨论。此外,外部门户的使用使干预的可访问性降低。与会者提出了干预措施的潜在风险和关切,包括技术不稳定和数据安全。讨论和结论:本研究的结果表明,酒精测试耦合和饮酒计数智能手机应用程序有可能成为酒精依赖治疗的支持性补充。根据临床医生的说法,基于应用程序的干预措施增强了患者在改变过程中的问责制,并支持了治疗的提供。要在常规护理中有效实施,关键是采用以人为本的方法,并确保临床医生有效使用这些系统的最佳条件。技术问题构成了接受的障碍,为什么必须确保技术健壮性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinicians' perspectives on integrating smartphone application data into routine alcohol dependency treatment: factors influencing implementation.

Background: Incorporating clinicians' perspectives is essential for the successful implementation of novel interventions in health care. This study aimed to explore clinicians' experiences of using smartphone-derived data in alcohol dependency treatment, and factors affecting implementation into routine care.

Methods: Two focus group discussions were conducted in April 2023, including 10 clinicians working at a specialist addiction clinic in Stockholm, Sweden. The clinicians had various levels of experience using smartphone-based data, which was available through two online portals, as part of a randomised controlled trial evaluating two smartphone-based interventions. Data were analysed using Thematic Framework Analysis, guided by Normalisation Process Theory.

Results: Two main themes were identified: The patient as the driving force and Cultivating commitment, competence and credibility. The first theme highlighted a person-centred approach that permeated the practice and how the patients' engagement with the app-based interventions guided the clinicians' own involvement. Benefits of the interventions for both patients (i.e., increased awareness and control) and clinicians (i.e. supportive during treatment sessions) were also acknowledged. Clinicians believed that the interventions offered an opportunity for patients to become more actively involved in treatment and noted that clinician access to the app-derived data was less important. The second theme covered clinician discussions on the need for support and guidance to make better use of the interventions, continuity in the work, and additional work time. Moreover, the use of external portals made the intervention less accessible. Potential risks and concerns with the interventions were raised, including technical instability and data security.

Discussion and conclusions: The results of this study indicate that a breathalyser-coupled and a drink-counting smartphone application have potential to be supportive complements to alcohol dependency treatment. According to the clinicians, the app-based interventions enhanced patient accountability in the change process and supported treatment delivery. To be effectively implemented into routine care, using a person-centred approach is key, as well as ensuring optimal conditions for clinicians to effectively use the systems. Technical issues constitute a barrier to acceptance, why technical robustness must be ensured.

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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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