TY - JOUR AU - Tait, Robert J AU - McKetin, Rebecca AU - Kay-Lambkin, Frances AU - Carron-Arthur, Bradley AU - Bennett, Anthony AU - Bennett, Kylie AU - Christensen, Helen AU - Griffiths, Kathleen M PY - 2014 DA - 2014/09/11 TI -基于网络的安非他明类兴奋剂使用者干预:一项随机对照试验的3个月结果精神健康因特网万维网随机对照试验认知治疗网上动机增强干预背景:在非法药物中，安非他明类兴奋剂(ATS)的使用率仅次于大麻。目前，还没有批准的药物治疗ATS问题，但一些面对面的心理治疗是有效的。基于网络的干预措施已被证明对某些药物使用问题是有效的，但没有一个是专门针对ATS使用者的。目的:该研究的目的是评估基于网络的干预措施在免费访问网站上的ATS问题的有效性，并与等候名单对照组进行比较。方法:采用随机对照试验设计。主要结局指标是使用酒精、吸烟、物质介入筛查试验(ASSIST)评估过去三个月的ATS使用情况。其他测量包括生活质量(EUROHIS评分)、心理困扰(K-10评分)、脱离角色天数、多种药物使用、一般寻求帮助意图、实际寻求帮助和“改变的准备程度”。干预包括基于认知行为疗法和动机增强的三个完全自动化、自我指导的模块。分析是使用广义估计方程模型的意向治疗分析，以时间相互作用组作为关键评估。 Results: We randomized 160 people (intervention n=81, control n=79). At three months, 35/81 (43%) intervention and 45/79 (57%) control participants provided follow-up data. In the intervention group, 51/81 (63%) completed at least one module. The only significant group by time interaction was for days out of role. The pre/post change effect sizes showed small changes (range d=0.14 to 0.40) favoring the intervention group for poly-drug use, distress, actual help-seeking, and days out of role. In contrast, the control group was favored by reductions in ATS use, improvements in quality of life, and increases in help-seeking intentions (range d=0.09 to 0.16). Conclusions: This Web-based intervention for ATS use produced few significant changes in outcome measures. There were moderate, but nonsignificant reductions in poly-drug use, distress, days partially out of role, and increases in help-seeking. However, high levels of participant attrition, plus low levels of engagement with the modules, preclude firm conclusions being drawn on the efficacy of the intervention and emphasize the problems of engaging this group of clients in a fully automated program. Trial Registration: Australian and New Zealand Clinical Trials Registry: ACTRN 12611000947909; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12611000947909 (Archived by WebCite at http://www.webcitation.org/6SHTxEnzP). SN - 2368-7959 UR - https://mental.www.mybigtv.com/2014/1/e1/ UR - https://doi.org/10.2196/mental.3278 UR - http://www.ncbi.nlm.nih.gov/pubmed/26543901 DO - 10.2196/mental.3278 ID - info:doi/10.2196/mental.3278 ER -