• Atencion primaria · Oct 2020

    Randomized Controlled Trial

    [Effects of including mutual aid groups in the adherence of a continuing care programme of alcohol dependent patients carried out in a Primary Care setting].

    • Gabriel Rubio, Marta Marín, José Ramón López-Trabada, and Francisco Arias.
    • Servicio de Psiquiatría, Hospital Universitario 12 de Octubre, Madrid, España; Instituto de Investigación 12 de Octubre (I+12), Hospital Universitario 12 de Octubre, Madrid, España; Departamento de Medicina Legal, Psiquiatría y Anatomía, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, España; Red de Trastornos Adictivos (RETIS), Instituto Carlos III, Madrid, España.
    • Aten Primaria. 2020 Oct 1; 52 (8): 555-562.

    ObjectivesTo demonstrate the effects of including mutual aid associations into a continuing care programme for patients with alcohol dependence carried out by Primary Care teams. SITE: Primary Care Teams belonging to the attendance area of the University Hospital 12 de Octubre at Madrid.Participants207 participants with alcohol dependence treated in an intensive hospital outpatient-setting programme were included in a continuing care programme carried out by a Primary Care team for a four-year period.InterventionsPatients were randomised into two intervention modalities. The first group was followed up while receiving a treatment modality known as «monitoring recovery» (Group A, n = 97). The other group, in addition to the above-mentioned intervention, attended to a mutual aid association included in the Federation of Alcoholics of the Community of Madrid (FACOMA) in which the programme «Help Yourself-Help Us» was carried out (Group B, n = 112).Main OutcomesDropout rates on the sessions designed to monitor their recovery from their alcohol dependence and other comorbid medical conditions.ResultsPatients in Group B reached higher rates of therapeutic adherence to the programme (47.9% vs. 14.7%, p < 0.01), as well as for the comorbid medical issues when compared to Group A.ConclusionsIncluding mutual aid associations that carried out the «Help yourself-Help Us» programme for a four-year period improves outcomes related to therapeutic adherence in patients with alcohol dependence attending Primary Care teams.Copyright © 2020 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved.

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