Aims Drinking goal has emerged as a promising predictor variable for alcohol-related outcomes. Many patients with alcohol use disorder (AUD) choose another drinking goal than abstinence after residential AUD treatment program. We aimed to examine the effects of an abstinent drinking goal (ADG) and conditional abstinence drinking goal (CADG) 6 months after residential treatment on drinking outcomes in patients with severe AUD and investigate the effectiveness of telephone-based (TEL) or text message-based (TEX) continuing care according to the individual drinking goal. Methods A total of 240 patients from two specialized residential treatment programs for AUD were included in the study. Patients were randomly assigned to high-frequency (nine contacts) or low-frequency (two contacts) TEL, TEX (nine contacts), or control group (no contact) from treatment discharge to the 6-month follow-up. Results Patients with an ADG were significantly more often abstinent (58%) at the 6-month follow-up compared to patients with a CADG (32.1%), and in the case of relapse, showed a significantly longer time to the first drink. Patients with a CADG of the high-frequency TEL showed a tendency to be more abstinent at the 6-month follow-up and reported significantly higher alcohol-related self-efficacy compared to the CADG patients of the control group. Conclusions Patients with CADG are more vulnerable to relapse, and therefore may benefit more from high-frequency telephone contacts to deal with alcohol-related problems and reach their goal. In the case of relapse, the high-frequent contacts may help patients stay connected to health services, preventing chronification and facilitating recovery from AUD.

中文翻译：

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不同的目标，不同的需求：基于电话和短信的持续护理对酒精使用障碍住院治疗后具有不同饮酒目标的患者的影响

目标饮酒目标已成为酒精相关结果的一个有前途的预测变量。许多酒精使用障碍 (AUD) 患者在住院 AUD 治疗计划后选择了另一个饮酒目标而不是戒酒。我们的目的是检查住院治疗后 6 个月的戒酒目标 (ADG) 和有条件戒酒目标 (CADG) 对严重 AUD 患者饮酒结果的影响，并调查基于电话 (TEL) 或短信的有效性-基于 (TEX) 的持续护理根据个人饮酒目标。方法 本研究共纳入来自两个 AUD 专业住院治疗项目的 240 名患者。患者被随机分配到高频（9 位接触者）或低频（2 位接触者）TEL、TEX（9 位接触者）、或对照组（无接触）从治疗出院到 6 个月的随访。结果 与 CADG 患者 (32.1%) 相比，ADG 患者在 6 个月的随访中更常戒酒 (58%)，并且在复发的情况下，第一次饮酒的时间明显更长。与对照组的 CADG 患者相比，具有高频 TEL 的 CADG 患者在 6 个月的随访中表现出更戒酒的趋势，并且报告了显着更高的酒精相关自我效能感。结论 CADG患者更容易复发，因此可能从高频电话联系中获益更多，以处理酒精相关问题并达到他们的目标。在复发的情况下，高频接触可以帮助患者保持与医疗服务的联系，