Non-adherence to telemedicine interventions for drug users: systematic review

Revista de Saúde Pública

Taís De Campos Moreira¹  Luciana Signor¹  Luciana Rizzieri Figueiró¹  Simone Fernandes¹  Cassandra Borges Bortolon¹  Mariana Canellas Benchaya¹  Maristela Ferigolo¹  Helena Mt Barros¹ 

关键词: Drug Users;    Patient Acceptance of Health Care;    Patient Dropouts;    Telemedicine;    Review;    Usuários de Drogas;    Aceitação pelo Paciente de Cuidados de Saúde;    Pacientes Desistentes do Tratamento;    Telemedicina;    Revisão;   

DOI  :  10.1590/S0034-8910.2014048005130

来源: SciELO

【 摘 要 】

OBJECTIVETo estimate rates of non-adherence to telemedicine strategies aimed at treating drug addiction. METHODSA systematic review was conducted of randomized controlled trials investigating different telemedicine treatment methods for drug addiction. The following databases were consulted between May 18, 2012 and June 21, 2012: PubMed, PsycINFO, SciELO, Wiley (The Cochrane Library), Embase, Clinical trials and Google Scholar. The Grading of Recommendations Assessment, Development and Evaluation was used to evaluate the quality of the studies. The criteria evaluated were: appropriate sequence of data generation, allocation concealment, blinding, description of losses and exclusions and analysis by intention to treat. There were 274 studies selected, of which 20 were analyzed. RESULTSNon-adherence rates varied between 15.0% and 70.0%. The interventions evaluated were of at least three months duration and, although they all used telemedicine as support, treatment methods differed. Regarding the quality of the studies, the values also varied from very poor to high quality. High quality studies showed better adherence rates, as did those using more than one technique of intervention and a limited treatment time. Mono-user studies showed better adherence rates than poly-user studies. CONCLUSIONSRates of non-adherence to treatment involving telemedicine on the part of users of psycho-active substances differed considerably, depending on the country, the intervention method, follow-up time and substances used. Using more than one technique of intervention, short duration of treatment and the type of substance used by patients appear to facilitate adherence.

【 授权许可】

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