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首页> 外文期刊>BMC Psychiatry >Can reduce - the effects of chat-counseling and web-based self-help, web-based self-help alone and a waiting list control program on cannabis use in problematic cannabis users: a randomized controlled trial
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Can reduce - the effects of chat-counseling and web-based self-help, web-based self-help alone and a waiting list control program on cannabis use in problematic cannabis users: a randomized controlled trial

机译：可以减少-聊天咨询和基于网络的自助，仅基于网络的自助以及候补名单控制程序对有问题的大麻使用者使用大麻的影响：一项随机对照试验

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Background In European countries, including Switzerland, as well as in many states worldwide, cannabis is the most widely used psychoactive substance after alcohol and tobacco. Although approximately one in ten users develop serious problems of dependency, only a minority attends outpatient addiction counseling centers. The offer of a combined web-based self-help and chat counseling treatment could potentially also reach those users who hesitate to approach such treatment centers and help them to reduce their cannabis use. Methods/design This paper presents the protocol for a three-armed randomized controlled trial that will test the effectiveness of a web-based self-help intervention in combination with, or independent of, tailored chat counseling compared to a waiting list in reducing or enabling the abstention from cannabis use in problematic users. The primary outcome will be the weekly quantity of cannabis used. Secondary outcome measures will include the number of days per week on which cannabis is used, the severity of cannabis use disorder, the severity of cannabis dependence, cannabis withdrawal symptoms, cannabis craving, the use of alcohol, tobacco, and other non-cannabis illicit drugs, changes in mental health symptoms, and treatment retention. The self-help intervention will consist of 8 modules designed to reduce cannabis use based on the principles of motivational interviewing, self-control practices, and methods of cognitive behavioral therapy. The two additional individual chat-counseling sessions in the additional chat condition will be based on the same therapy approaches and tailored to participants’ self-help information data and personal problems. The predictive validity of participants’ baseline characteristics on treatment retention and outcomes will be explored. Discussion To the best of our knowledge, this will be the first randomized controlled trial to test the effectiveness of online self-help therapy in combination or without chat counseling in reducing or enabling the abstention from cannabis use. It will also investigate predictors of outcome and retention for these interventions. This trial is registered at Current Controlled Trials and is traceable as ISRCTN59948178 .
机译：背景技术在包括瑞士在内的欧洲国家以及全球许多州中，大麻是仅次于烟酒的最广泛使用的精神活性物质。尽管大约十分之一的用户出现严重的依赖性问题，但只有少数人参加门诊成瘾咨询中心。基于网络的自助和聊天咨询治疗相结合的服务还可能吸引那些犹豫去此类治疗中心并帮助他们减少大麻使用量的用户。方法/设计本文介绍了一项三臂随机对照试验的方案，该方案将与减少或启用等待列表相比，结合或独立于量身定制的聊天咨询，测试基于网络的自助干预的有效性对有问题的使用者禁止使用大麻。主要结果将是每周使用的大麻量。次要结果指标将包括每周使用大麻的天数，大麻使用失调的严重程度，大麻依赖的严重程度，大麻戒断症状，​​大麻渴望，酗酒，吸烟和其他非法使用大麻药物，心理健康症状的变化和治疗保留。自助干预措施将由8个模块组成，这些模块旨在根据动机访谈，自我控制做法和认知行为疗法的方法，减少大麻的使用。在额外聊天条件下的另外两个单独的聊天咨询会话将基于相同的治疗方法，并针对参与者的自助信息数据和个人问题进行量身定制。将探讨参与者在治疗保留和预后方面的基线特征的预测有效性。讨论据我们所知，这将是第一个随机对照试验，用于测试在线自助疗法联合使用或不进行聊天咨询以减少或实现对大麻使用的戒除的有效性。它还将调查这些干预措施的结果和保留率的预测因子。该试验已在“电流对照试验”中注册，可追溯至ISRCTN59948178。

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