An Outcome Study of the CASA-CHESS Smartphone Relapse Prevention Tool for Latinx Spanish-Speakers with Substance Use Disorders

Muroff, Jordana; Robinson, W. LaVome; Chassler, Deborah; Lopez, Larry M.; Lundgren, Lena; Guauque, Claudia; Dargon-Hart, Susan; Stewart, Emily; Dejesus, Diliana; Johnson, Kimberly; Pe-Romashko, Klaren; Gustafson, David H.

doi:10.1080/10826084.2019.1585457

Cited by 24 publications

(17 citation statements)

References 34 publications

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“…Bi-directional text message interventions with feedback loops and personalized treatment options can build agency and capacity among users to change health behaviors [19,31,40]. And multi-modal smartphone apps that combine texting functions with self-guided interactive content show promise for culturally-tailored mHealth interventions that promote long-term engagement [38,42,44,45]. Overall, slightly over one-third (7 out of 23) of the reviewed studies implemented mHealth interventions that included mobile apps-all of these studies were published in 2018 and 2019.…”

Section: Discussionmentioning

confidence: 99%

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Promoting Culturally Tailored mHealth: A Scoping Review of Mobile Health Interventions in Latinx Communities

González

Early

Gordon-Dseagu

et al. 2021

J Immigrant Minority Health

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This scoping review of mHealth research focuses on intervention studies that utilize mobile technologies to promote behavior change and improve health outcomes in U.S. Latinx communities. 342 mHealth articles were reviewed using PRIMSA protocols; most did not include a majority Latinx study population or did not report on an intervention. The final sample resulted in 23 articles published between 2012 and 2020. Reviewed interventions focused on conditions such as: diabetes, depression, substance abuse, obesity, hypertension, maternal health, and farmworker safety. About one-third of mHealth interventions included mobile applications, the rest were limited to texting programs. Text message reminders can help improve medication adherence and care access, especially when coupled with support from community health workers. Bi-directional text message interventions with feedback loops and personalized treatment options can build user agency. Additionally, multimodal applications that combine texting with self-guided interactive content show promise for culturally tailored mHealth.

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Section: Discussionmentioning

confidence: 99%

“…In a similar approach, Muroff et al [45] designed a culturally tailored mobile app for Latinx Spanish-speakers with substance use disorders. The app included digital voice services, text messaging, web access, GPS, voice recognition, and video capabilities.…”

Section: Smoking and Substance Abusementioning

confidence: 99%

Promoting Culturally Tailored mHealth: A Scoping Review of Mobile Health Interventions in Latinx Communities

González

Early

Gordon-Dseagu

et al. 2021

J Immigrant Minority Health

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“…Health promotion apps had positive results in terms of acceptability and efficacy. Positive outcomes included improved quality of life and better management of chronic illnesses such as diabetes [29][30][31], cancer [32][33][34], HIV [35], depression [19,36], and addiction [37,38].…”

Section: Xsl • Fomentioning

confidence: 99%

Electronic Tools to Bridge the Language Gap in Health Care for People Who Have Migrated: Systematic Review

Thonon¹,

Perrot²,

Yergolkar³

et al. 2021

J Med Internet Res

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Background People who have migrated or with a language barrier may face significant hurdles in accessing health care. Some apps have been specifically developed to facilitate the dialogue between health care professionals and people who have migrated who have low-level language proficiency or to promote health among people who have migrated. Objective We conducted a systematic review to investigate development, acceptability, and effectiveness of these types of apps. Methods We conducted a search of PubMed, Scopus, and Embase databases. We included all study designs (qualitative, quantitative, mixed) reporting development, evaluation of efficacy, or acceptability of apps facilitating dialogue with a health professional or promoting health for people who have migrated, minorities, or tourists with a language barrier, using any outcome. Two researchers selected the studies independently. We collected general information about the app, information about health literacy and cultural adaptation, information about the development of the app, evidence on acceptability or efficacy, and information on app use. Data were collected by 2 researchers independently and results were reviewed to verify agreement and reported according to PRISMA (Preferred Reporting Items for Systematic Review and Meta-analysis). Results Positive results for translation apps included better communication, but with possible limitations, and reduced consultation time. Positive results for health promotion apps included improved quality of life and better management of chronic illnesses. Conclusions Overall, the apps had good levels of acceptability, though only half had their efficacy evaluated. In those evaluations, the endpoints were mostly related to reported behavior change and knowledge improvement, which is common for evaluations of health promotion programs. In the future, as more health apps are created, it is essential that apps that claim to have a public health objective undergo a rigorous evaluation of their acceptability, efficacy, and actual use. Indicators of outcomes beyond changes in behavior and knowledge should be reported; change in health status or access to care should also be reported. This systematic review has helped us note the characteristics associated with improved acceptability and efficacy, which can be helpful for the development of future apps.

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“…This research will test the technology adoption framework (NIATX-TI) in increasing the use of the Addiction Comprehensive Health Enhancement Support System (A-CHESS), an evidence-based technology platform developed for treating SUD [22,[47][48][49][50][51]. A-CHESS is based on the CHESS platform, which has been studied in 16 randomized control trials (RCTs) across several technology platforms [52][53][54].…”

Section: Contributions To the Literaturementioning

confidence: 99%

“…The dashboard is intended to bring clinician attention to emerging symptoms quickly. A-CHESS keeps patients in treatment longer by bridging the gap between face-toface SUD treatment sessions, through clinic communications, peer-support, and having reliable and vetted resources accessible 24/7 [22,[48][49][50]. The Recovering Iowans Supporting Each other (RISE-Iowa) mobile application is an A-CHESS technology, as it contains all of the features of an A-CHESS platform.…”

Section: Contributions To the Literaturementioning

confidence: 99%

NIATx-TI versus typical product training on e-health technology implementation: a clustered randomized controlled trial study protocol

et al. 2020

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Background Substance use disorders (SUDs) lead to tens-of-thousands of overdose deaths and other forms of preventable deaths in the USA each year. This results in over $500 billion per year in societal and economic costs as well as a considerable amount of grief for loved ones of affected individuals. Despite these health and societal consequences, only a small percentage of people seek treatment for SUDs, and the majority of those that seek help fail to achieve long-term sobriety. E-health applications in healthcare have proven to be effective at sustaining treatment and reaching patients traditional treatment pathways would have missed. However, e-health adoption and sustainment rates in healthcare are poor, especially in the SUD treatment sector. Implementation engineering can address this gap in the e-health field by augmenting existing implementation models, which explain organizational and individual e-health behaviors retrospectively, with prospective resources that can guide implementation. Methods This cluster randomized control trial is designed to test two implementation strategies at adopting an evidence-based mobile e-health technology for SUD treatment. The proposed e-health implementation model is the Network for the Improvement of Addiction Treatment–Technology Implementation (NIATx-TI) Framework. This project, based in Iowa, will compare a control condition (using a typical software product training approach that includes in-person staff training followed by access to on-line support) to software implementation utilizing NIATx-TI, which includes change management training, followed by coaching on how to implement and use the mobile application. While e-health spans many modalities and health disciplines, this project will focus on implementing the Addiction Comprehensive Health Enhancement Support System (A-CHESS), an evidence-based SUD treatment recovery app framework. This trial will be conducted in Iowa at 46 organizational sites within 12 SUD treatment agencies. The control arm consists of 23 individual treatment sites based at five organizations, and the intervention arm consists of 23 individual SUD treatment sites based at seven organizations Discussion This study addresses an issue of substantial public health significance: enhancing the uptake of the growing inventory of patient-centered evidence-based addiction treatment e-health technologies. Trial registration ClinicalTrials.gov, NCT03954184. Posted 17 May 2019

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An Outcome Study of the CASA-CHESS Smartphone Relapse Prevention Tool for Latinx Spanish-Speakers with Substance Use Disorders

Cited by 24 publications

References 34 publications

Promoting Culturally Tailored mHealth: A Scoping Review of Mobile Health Interventions in Latinx Communities

Promoting Culturally Tailored mHealth: A Scoping Review of Mobile Health Interventions in Latinx Communities

Electronic Tools to Bridge the Language Gap in Health Care for People Who Have Migrated: Systematic Review

NIATx-TI versus typical product training on e-health technology implementation: a clustered randomized controlled trial study protocol

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