A randomized trial of Web-based videoconferencing for substance abuse counseling

Abstract

Web-based videoconferencing can improve access to substance abuse treatment by allowing patients to receive counseling services in their homes. This randomized clinical trial evaluates the feasibility and acceptability of web-based videoconferencing in community opioid treatment program (OTP) participants. Participants that reported computer and Internet access (n = 85) were randomly assigned to receive 12 weeks of weekly individual counseling in-person or via eGetgoing, a web-based videoconferencing platform. Fifty-nine of these participants completed the study (eGetgoing=24; In-person=35), with most study withdrawal occurring among eGetgoing participants. Participants exposed to the study conditions had similar rates of counseling attendance and drug-positive urinalysis results, and reported similar and strong ratings of treatment satisfaction and therapeutic alliance. These results support the feasibility and acceptability of web-based counseling as a good method to extend access to individual substance abuse counseling when compared to in-person counseling for patients that are able to maintain a computer and Internet connection for reliable communication.

Health Promotion using Tablet Technology with Older Adult African American Methadone Clients: A Case Study

“…Results of this study contribute to the growing literature suggesting that telehealth approaches may be effective tools for reducing barriers to care for isolated, vulnerable populations (King, Brooner, Peirce, Kolodner, & Kidorf, 2014;Litvin, Abrantes, & Brown, 2013). Many poor, older, and less mobile people, and those living in rural areas, are unable to meet regularly with service providers due to the difficulties of getting to a clinic or office.…”

Transforming Home Health Nursing with Telehealth Technology

“…14 Results of the study showed no differences in the percentage of positive drug screens or compliance to attending the counseling sessions. 14 The study concluded that the use of videoconference is a feasible alternative to in-person counseling for patients with opioid dependence. 14 …”

“…14 The study concluded that the use of videoconference is a feasible alternative to in-person counseling for patients with opioid dependence. 14 …”

Aliança Terapêutica nas Terapias Cognitivo-comportamentais por Videoconferência: uma Revisão da Literatura

“…Neste sentido, no campo das intervenções por internet, uma questão importante que permeia as investigações recentes relaciona-se à formação da aliança terapêutica nesta modalidade de psicoterapia e se ela poderia ser comparada com a psicoterapia presencial (Anderson et al, 2012;King, Brooner, Peirce, Kolodner, & Kidorf, 2014). Revisões de literatura têm abordado este assunto nos últimos anos (Simpson, & Reid, 2014;Sucala et al, 2012), mas não foram encontradas revisões que investigassem a aliança terapêu-tica na TCC por videoconferência.…”