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研究生:王國丞
研究生(外文):Kuo-Cheng Wang
論文名稱:戒酒小幫手:運用智慧型手機系統協助酒癮治療
論文名稱(外文):SoberDiary: A Phone-based Support System for Assisting Recov-ery from Alcohol Dependence
指導教授:朱浩華朱浩華引用關係
口試委員:黃名琪黃寶儀曾煜棋游創文
口試日期:2014-05-20
學位類別:碩士
校院名稱:國立臺灣大學
系所名稱:資訊工程學研究所
學門:工程學門
學類:電資工程學類
論文種類:學術論文
論文出版年:2014
畢業學年度:102
語文別:英文
論文頁數:64
中文關鍵詞:行動式支援系統酒精依賴治療
外文關鍵詞:Mobile support systemRecovery of alcohol dependence
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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.

Index
Acknowledgement i
摘要 ii
Abstract iii
Figure Index viii
Table Index ix
Chapter 1 - Introduction 1
Chapter 2 - BACKGROUND AND THEORETICAL FOUNDATION 6
2.1 Background of Current Alcohol Withdrawal Treatment 6
2.2 Theoretical Foundation 8
Chapter 3 - System Overview 10
3.1 Portable Bluetooth Breathalyzer 11
3.2 Phone Application: SoberDiary 12
3.3 Backend Server 14
Chapter 4 - SOBERDIARY PHONE APPLICATION 15
4.1 User Interface 15
4.2 Supporting Functional Blocks 16
4.2.1 Alcohol use detection 16
4.2.2 Progress feedback 19
4.2.3 Storytelling visualization 22
4.2.4 Managing skill suggestion 26
4.2.5 Mood sampling 27
4.3 App Use Logging 28
4.4 Behavioral Data Store 28
Chapter 5 – IMPLEMENTATION 29
5.1 Hardware Component 29
5.2 Software Components 31
Chapter 6 - USER STUDY 32
6.1 Participants 33
6.2 Apparatus 37
6.3 Design and Procedure 37
6.4 Evaluation metrics 41
6.5 Quantitative Results 42
6.5.1 Completeness on taking BrAC test for self-monitoring 42
6.5.2 Impact of mouth alcohol on the screening threshold 43
6.5.3 Control-Case comparison 45
6.5.4 Application usage behavior and effectiveness 46
6.6 Qualitative results 49
6.6.1 Convenience and alcohol screening coverage 49
6.6.2 Coupon earning and encouragement 50
6.6.3 Relationship between storytelling visualization and craving reduction 50
Chapter 7 – Discussion 52
7.1 Breathalyzer maintenance 52
7.2 Substances containing alcohol and screening outcomes 52
7.3 Primary phone effects 53
Chapter 8 - RELATED WORK 54
Chapter 9 – CONCLUSION 57
Reference 58


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