{"id":2947,"date":"2024-12-18T18:55:53","date_gmt":"2024-12-18T17:55:53","guid":{"rendered":"https:\/\/rvh-synergie.org\/actualites\/le-depistage-par-intervention-telephonique-reduit-la-consommation-dalcool-a-risque-dans-une-etude-au-texas\/"},"modified":"2024-12-18T18:56:05","modified_gmt":"2024-12-18T17:56:05","slug":"le-depistage-par-intervention-telephonique-reduit-la-consommation-dalcool-a-risque-dans-une-etude-au-texas","status":"publish","type":"post","link":"https:\/\/rvh-synergie.org\/actualites\/le-depistage-par-intervention-telephonique-reduit-la-consommation-dalcool-a-risque-dans-une-etude-au-texas\/","title":{"rendered":"Le d\u00e9pistage par intervention t\u00e9l\u00e9phonique r\u00e9duit la consommation d’alcool \u00e0 risque dans une \u00e9tude au Texas"},"content":{"rendered":"
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Des chercheurs de la facult\u00e9 de m\u00e9decine Dell de l’Universit\u00e9 du Texas \u00e0 Austin ont mis en \u0153uvre avec succ\u00e8s un programme de d\u00e9pistage et d’intervention par t\u00e9l\u00e9phone pour la consommation malsaine d’alcool dans un grand syst\u00e8me de centres de sant\u00e9 agr\u00e9\u00e9s par le gouvernement f\u00e9d\u00e9ral au Texas. L’\u00e9tude a d\u00e9montr\u00e9 des r\u00e9ductions significatives de la consommation d’alcool parmi une population de patients adultes diversifi\u00e9e, y compris ceux assur\u00e9s par le biais de programmes r\u00e9gionaux destin\u00e9s aux personnes autrement non assur\u00e9es ou \u00e0 faible revenu.<\/p>\n

Une consommation malsaine d\u2019alcool contribue \u00e0 augmenter les risques de multiples probl\u00e8mes de sant\u00e9, notamment les maladies du foie, les maladies cardiovasculaires et divers cancers. Des recommandations pour un d\u00e9pistage universel de la consommation d’alcool (recommand\u00e9es par le groupe de travail am\u00e9ricain sur les services pr\u00e9ventifs) sont en place, mais les interventions bas\u00e9es sur les r\u00e9sultats du d\u00e9pistage restent sous-utilis\u00e9es dans de nombreux contextes de soins primaires.<\/p>\n

Dans l’\u00e9tude \u00ab Screening and Telephone-Based Intervention for Unhealthy Alcohol Use in a Diverse Federally Qualified Health Center System in Texas \u00bb, publi\u00e9e dans le Journal de m\u00e9decine interne g\u00e9n\u00e9rale<\/i>les chercheurs ont d\u00e9velopp\u00e9 un programme de t\u00e9l\u00e9soins \u00e0 multiples facettes pour fournir de br\u00e8ves interventions aux patients pr\u00e9sentant un d\u00e9pistage positif.<\/p>\n

L’intervention comprenait un programme de conseil fond\u00e9 sur des donn\u00e9es probantes en deux s\u00e9ances, administr\u00e9 par un conseiller bilingue form\u00e9 en travail social. Les patients identifi\u00e9s comme pr\u00e9sentant un risque grave de consommation d\u2019alcool se sont vu proposer une pharmacoth\u00e9rapie et ont \u00e9t\u00e9 orient\u00e9s vers des services de m\u00e9decine de la toxicomanie. Des \u00e9valuations de suivi ont \u00e9t\u00e9 r\u00e9alis\u00e9es au bout de trois \u00e0 six mois pour \u00e9valuer les changements dans les habitudes de consommation d’alcool.<\/p>\n

Au total, 3 959 patients ont \u00e9t\u00e9 d\u00e9pist\u00e9s \u00e0 l’aide du questionnaire AUDIT-C. Parmi eux, 16 % (632) ont \u00e9t\u00e9 test\u00e9s positifs pour une consommation d\u2019alcool \u00e0 risque. Les patients les plus susceptibles d\u2019\u00eatre d\u00e9pist\u00e9s positifs comprenaient les hommes, les anglophones et ceux b\u00e9n\u00e9ficiant d\u2019une assurance commerciale. Les chercheurs ont mobilis\u00e9 avec succ\u00e8s 412 patients et r\u00e9alis\u00e9 des \u00e9valuations AUDIT compl\u00e8tes pour d\u00e9terminer la gravit\u00e9 et les niveaux de risque de la consommation d’alcool.<\/p>\n

Parmi les patients engag\u00e9s, 68,2 % (281) avaient des scores AUDIT indiquant un risque mod\u00e9r\u00e9 (\u226412), tandis que 31,8 % (131) avaient des scores plus \u00e9lev\u00e9s (>12). 97 % des participants ont suivi une s\u00e9ance de conseil et 72 % en ont r\u00e9alis\u00e9 deux. Parmi ceux ayant obtenu des scores AUDIT initiaux \u00e9lev\u00e9s, 19 patients ont re\u00e7u une pharmacoth\u00e9rapie et 13 ont eu recours \u00e0 des services de m\u00e9decine de la toxicomanie.<\/p>\n

Les donn\u00e9es de suivi ont \u00e9t\u00e9 collect\u00e9es pour 251 patients (61 %). Les r\u00e9sultats ont montr\u00e9 une r\u00e9duction moyenne du score AUDIT de 4,1 points (IC \u00e0 95 % -3,4, -4,7). Les patients hispanophones ont montr\u00e9 des r\u00e9ductions plus importantes que les anglophones, sans aucune diff\u00e9rence significative observ\u00e9e entre les autres groupes d\u00e9mographiques.<\/p>\n

Les patients ayant des scores AUDIT initiaux plus \u00e9lev\u00e9s (> 12) ont connu des diminutions de scores plus substantielles (r\u00e9duction moyenne de 7,99) par rapport \u00e0 ceux ayant des scores mod\u00e9r\u00e9s (diminution moyenne de 2,25).<\/p>\n

L’\u00e9tude illustre qu’un programme de d\u00e9pistage par t\u00e9l\u00e9phone et d’intervention br\u00e8ve peut r\u00e9duire efficacement la consommation d’alcool malsaine chez une population de patients diversifi\u00e9e au sein d’un centre de sant\u00e9 agr\u00e9\u00e9 par le gouvernement f\u00e9d\u00e9ral. L’approche a \u00e9galement att\u00e9nu\u00e9 les obstacles aux soins, tels que le transport et la langue, en offrant des services bilingues et culturellement adapt\u00e9s.<\/p>\n

Les chercheurs soulignent que m\u00eame si des progr\u00e8s significatifs ont \u00e9t\u00e9 r\u00e9alis\u00e9s, des efforts suppl\u00e9mentaires sont n\u00e9cessaires pour accro\u00eetre l’engagement en mati\u00e8re de pharmacoth\u00e9rapie, renforcer la capacit\u00e9 des prestataires et am\u00e9liorer le suivi soutenu des patients, en particulier pour ceux ayant des scores AUDIT plus \u00e9lev\u00e9s.<\/p>\n

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Des chercheurs de la facult\u00e9 de m\u00e9decine Dell de l’Universit\u00e9 du Texas \u00e0 Austin ont<\/p>\n","protected":false},"author":1,"featured_media":2948,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[35],"tags":[33,34,44,1002,48,3095,540,658,40,2992,489,47],"class_list":["post-2947","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-les-addictions","tag-consommation","tag-dalcool","tag-dans","tag-depistage","tag-etude","tag-intervention","tag-par","tag-reduit","tag-risque","tag-telephonique","tag-texas","tag-une","generate-columns","tablet-grid-50","mobile-grid-100","grid-parent","grid-50","resize-featured-image"],"yoast_head":"\nLe d\u00e9pistage par intervention t\u00e9l\u00e9phonique r\u00e9duit la consommation d'alcool \u00e0 risque dans une \u00e9tude au Texas - RVH-Synergie.org<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/rvh-synergie.org\/actualites\/le-depistage-par-intervention-telephonique-reduit-la-consommation-dalcool-a-risque-dans-une-etude-au-texas\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Le d\u00e9pistage par intervention t\u00e9l\u00e9phonique r\u00e9duit la consommation d'alcool \u00e0 risque dans une \u00e9tude au Texas - 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