测试筛查、短暂干预和转诊治疗干预方法,以解决人道主义环境中的不健康酒精和其他药物使用:Ukuundapwa Chapamo随机对照试验的方案。

IF 1.4 Q3 PSYCHIATRY
Jeremy C Kane, Muzi Kamanga, Stephanie Skavenski, Laura K Murray, Mbaita Shawa, Bertha Bwalya, Kristina Metz, Ravi Paul, Namuchana Mushabati, Peter Ventevogel, Stephanie Haddad, Grace Kilbane, Megan Sienkiewicz, Veronica Chibemba, Princess Chiluba, Nkumbu Mtongo, Mildred Chibwe, Caleb J Figge, Michelle Alto, David Mwanza, Elizabeth Mupinde, Shira Kakumbi, Wietse A Tol, Kelsey Vaughan, Zaliwe Banda, Anja Busse, Nadine Ezard, Allan Zulu, Henry Loongo, M Claire Greene
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引用次数: 0

摘要

难民和其他流离失所者面临许多使用不健康酒精和其他药物的风险因素,以及随之而来的心理健康问题。在人道主义环境中,很少有针对AOD使用和心理健康合并症的循证服务。在高收入国家,筛查、短暂干预和转诊治疗(SBIRT)系统可以为AOD的使用提供适当的护理,但在中低收入国家很少使用,据我们所知,从未在人道主义环境中进行过测试。本文描述了一项随机对照试验的方案,该试验旨在比较SBIRT系统在减少来自刚果民主共和国的难民和赞比亚北部综合安置点的收容社区成员的不健康AOD使用和心理健康合并症方面的有效性,该系统采用了共同因素治疗方法(CETA)。该试验是一项单独随机、单盲、平行设计,在基线后6个月(初级)和12个月评估结果。参与者是收容社区的刚果难民和赞比亚人,年龄在15岁或以上,饮酒不健康。结果是:不健康的饮酒(主要)、其他药物使用、抑郁、焦虑和创伤压力。该试验将探讨SBIRT的可接受性、适当性、成本效益、可行性和覆盖范围。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Testing a Screening, Brief Intervention, and Referral to Treatment Intervention Approach for Addressing Unhealthy Alcohol and Other Drug Use in Humanitarian Settings: Protocol of the Ukuundapwa Chapamo Randomised Controlled Trial.

Testing a Screening, Brief Intervention, and Referral to Treatment Intervention Approach for Addressing Unhealthy Alcohol and Other Drug Use in Humanitarian Settings: Protocol of the Ukuundapwa Chapamo Randomised Controlled Trial.

Refugees and other displaced persons are exposed to many risk factors for unhealthy alcohol and other drug (AOD) use and concomitant mental health problems. Evidence-based services for AOD use and mental health comorbidities are rarely available in humanitarian settings. In high income countries, screening, brief intervention and referral to treatment (SBIRT) systems can provide appropriate care for AOD use but have rarely been used in low- and middle-income countries and to our knowledge never tested in a humanitarian setting. This paper describes the protocol for a randomised controlled trial to compare the effectiveness of an SBIRT system featuring the Common Elements Treatment Approach (CETA) to treatment as usual in reducing unhealthy AOD use and mental health comorbidities among refugees from the Democratic Republic of the Congo and host community members in an integrated settlement in northern Zambia. The trial is an individually randomised, single-blind, parallel design with outcomes assessed at 6-months (primary) and 12-months post-baseline. Participants are Congolese refugees and Zambians in the host community, 15 years of age or older with unhealthy alcohol use. Outcomes are: unhealthy alcohol use (primary), other drug use, depression, anxiety and traumatic stress. The trial will explore SBIRT acceptability, appropriateness, cost-effectiveness, feasibility, and reach.

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来源期刊
CiteScore
2.40
自引率
21.40%
发文量
3
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