戒酒小幫手：運用智慧型手機系統協助酒癮治療

Abstract

酒精依賴為對身體造成多處傷害的慢性病，且具有即使治療之後，仍容易復發的特性。對於酒精依賴患者，完成戒酒療程已是一項了不起的成就，但是回到日常生活中並持續戒酒對他們而言則是更艱困的挑戰。 本研究提出「戒酒小幫手」，一項運用智慧型手機系統協助酒精依賴患者於日常生活中進行自我監測及管理行為以維持戒酒。「戒酒小幫手」利用可攜式藍牙酒測器搭配安裝於智慧型手機上的「戒酒小幫手」客戶端軟體所提供的多樣功能來協助酒精依賴患者經由自我監測及管理來降低酒癮復發。本實驗對於從臺北市立聯合醫院精神醫學中心的14名酒精依賴患者進行研究並發現參與者在有「戒酒小幫手」的介入下，可以達成平均每日1.9次的自我酒測而且他們的飲酒量、飲酒日數及大量飲酒日數都有顯著的降低。與只經由一般療程的患者相比，參與「戒酒小幫手」實驗的患者有效降低的對於酒精的渴求及較低中止實驗的比例，顯示出「戒酒小幫手」具有提供協助患者降低復發率的可能性。

Alcohol dependence is a chronic disorder associated with severe harm in multiple areas, and relapsing is easy despite treatment. For alcohol-dependent patients, complet-ing alcohol withdrawal treatment is an achievement. However, returning to daily life and remaining sober are often more challenging tasks. This study proposes SoberDiary, a phone-based support system that enables alcohol-dependent patients to self-monitor and self-manage their behavior to remain sober in their daily lives. Through a portable Bluetooth breathalyzer wirelessly connected to the patients’ smartphones and various supporting functions provided by the SoberDiary client, SoberDiary can facilitate alco-hol-dependent patients’ self-monitoring and self-management to prevent relapse. The results from a 12-week user study involving 14 clinical patients from Taipei City Psy-chiatric Center show that patients can self-monitor their alcohol use by completing at least 1.9 breath alcohol tests per day and self-managing their alcohol use behavior to significantly reduce their total alcohol consumption and the number of drinking or heavy drinking days after intervention through SoberDiary. Compared with patients who received only standard treatment, SoberDiary users exhibited reduced alcohol craving and a lower drop-out rate, indicating that SoberDiary shows potential to provide continuing care for relapse prevention.