用科技輔助酒精成癮治療： 評估與瞭解戒酒小幫手如何幫助酒精依賴患者持續戒酒

Abstract

酒精依賴是一種對自己身體健康、以及對家人及社會造成許多危害的慢性疾病，即使在醫院住院完成短暫的戒斷治療之後，由於日常生活中的許多誘因，造成很容易再度復發，為了維持酒精依賴患者的戒酒決心，我們開發了SoberDiary這套手機的輔助程式，透過科技的協助來讓酒精依賴患者自我管理他們的飲酒行為，以及幫助他們在日常生活中維持戒酒。為了驗證戒酒小幫手的成效，我們從台北市立聯合醫院松德院區測試38個酒癮依賴患者，請他們在日常生活中使用戒酒小幫手來輔助戒酒，從量化分析的結果可以得出戒酒小幫手幫助酒精依賴病患自我管理他們的酒精使用行為，因而他們的總飲酒量及重度飲酒天數減少，而與只接受傳統標準治療的病患比較，戒酒小幫手降低了飲酒渴求和中止實驗的比例，而質性分析的結果幫助我們瞭解戒酒小幫手是怎麼對酒精依賴病患發揮功效。總結來說，我們的結果顯現了戒酒小幫手能夠補足現有治療酒精依賴的不足。

Alcohol dependence is a chronic disorder associated with severe harm in multiple areas, and relapsing is easy despite treatment. This study proposes SoberDiary, a phone-based support system that enables alcohol-dependent patients to self-monitor and self-manage their own alcohol behavior and remain sober in their daily lives. We tested SoberDiary in a real-life 12-week user study involving 38 clinical patients. Quantitative and qualitative results show that SoberDiary helped patients to self-monitor and self-manage their alcohol use behavior while reducing their total alcohol consumption and the number of heavy drinking days. Compared with patients who received standard treatment alone, SoberDiary users exhibited reduced alcohol cravings and lower dropout rate while demonstrating the potential of SoberDiary to complement the current alcohol treatment to improve sobriety outcomes.