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Computer-based interventions for drug use disorders: a systematic review.

机译:基于计算机的药物滥用障碍干预:系统评价。

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摘要

A range of innovative computer-based interventions for psychiatric disorders have been developed and are promising for drug use disorders due to reduced cost and greater availability compared to traditional treatment. Electronic searches were conducted from 1966 to November 19, 2009, using MEDLINE, Psychlit, and EMBASE. Four hundred sixty-eight nonduplicate records were identified. Two reviewers classified abstracts for study inclusion, resulting in 12 studies of moderate quality. Eleven studies were pilot or full-scale trials compared to a control condition. Interventions showed high acceptability despite substantial variation in type and amount of treatment. Compared to treatment-as-usual, computer-based interventions led to less substance use and higher motivation to change, better retention, and greater knowledge of presented information. Computer-based interventions for drug use disorders have the potential to dramatically expand and alter the landscape of treatment. Evaluation of Internet- and telephone-based delivery that allows for treatment-on-demand in patients' own environment is needed.
机译:已经开发了一系列创新的基于计算机的精神疾病干预措施,由于与传统治疗方法相比,成本降低且可用性更高,因此有望用于药物滥用疾病。 1966年至2009年11月19日,使用MEDLINE,Psychlit和EMBASE进行了电子搜索。鉴定了468个非重复记录。两名审稿人对摘要进行了分类,以纳入研究,导致了12项质量中等的研究。与对照条件相比,有11项研究是试验性或全面性试验。尽管治疗类型和治疗量存在很大差异,但干预措施仍显示出较高的可接受性。与通常的治疗相比,基于计算机的干预导致更少的物质使用和更高的改变动力,更好的保留以及对所呈现信息的更多了解。基于计算机的药物滥用障碍干预措施有可能显着扩大和改变治疗方式。需要评估基于Internet和电话的交付方式,以便在患者自己的环境中按需进行治疗。

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