Computer and mobile technology-based interventions for substance use disorders: An organizing framework

Litvin, Erika B.; Abrantes, Ana M.; Brown, Richard A.

doi:10.1016/j.addbeh.2012.09.003

Cited by 78 publications

(79 citation statements)

References 93 publications

(167 reference statements)

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“…Clinical characteristics included the following: (1) baseline abstinence based on urine drug and breath alcohol screens; (2) days of substance use (drug/alcohol) in the 90 days preceding baseline assessment (timeline follow-back method); 21 (3) age of onset for first substance use; (4) primary substance of abuse; (5) screening for psychiatric disorders including attention deficit hyperactivity disorder (ADHD), posttraumatic stress disorder (PTSD), major depressive disorder, and anxiety disorders (i.e., panic, social, and generalized anxiety disorders); 22 (6) psychological distress level (Brief Symptom Inventory-18); 23 (7) perception of physical health (EQ5D Quality of Life questionnaire); 24 (8) social functioning; 25 (9) medical service utilization during the prior 90 days (i.e., doctor visits, emergency department visits, and hospital admissions); and (10) cognitive function (i.e., working memory, immediate/delayed memory, logical association of familiar concepts, and spatial recognition) (the MicroCog computerized assessment of cognitive functioning). 26 Internet access was assessed at baseline and categorized as a binary variable, Bno internet access in the past 90 days^and Bany use in the past 90 days.Ô utcome variables included acceptability of web-based TES, abstinence in the last 4 weeks of the study, and treatment retention.…”

Section: Methodsmentioning

confidence: 99%

“…5 Computer-and mobile-assisted web-based interventions are uniquely positioned to deliver complex, evidence-based behavioral interventions for the treatment of substance use disorders with high fidelity and minimal disruption to clinical work flow. [6][7][8][9] Webbased platforms streamline exposure to standardized behavior change and educational content within and beyond traditional clinical settings at the convenience and privacy of users. 6,7,10 Web-based psychosocial interventions have demonstrated efficacy, 11,12 and most recently in a national multi-site trial, effectiveness of the Therapeutic Education System (TES), grounded in the community reinforcement approach and including prizebased motivational incentives.…”

Section: Introductionmentioning

confidence: 99%

“…[6][7][8][9] Webbased platforms streamline exposure to standardized behavior change and educational content within and beyond traditional clinical settings at the convenience and privacy of users. 6,7,10 Web-based psychosocial interventions have demonstrated efficacy, 11,12 and most recently in a national multi-site trial, effectiveness of the Therapeutic Education System (TES), grounded in the community reinforcement approach and including prizebased motivational incentives. 7 As barriers to internet use are strongly patterned by demographic (e.g., older age, less education) and clinical (e.g., mental illness) characteristics, clarifying the representativeness of individuals willing to participate in an intervention (i.e., reach) is necessary.…”

Section: Introductionmentioning

confidence: 99%

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Recent Internet Use and Associations with Clinical Outcomes among Patients Entering Addiction Treatment Involved in a Web-Delivered Psychosocial Intervention Study

et al. 2016

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The acceptability and clinical impact of a web-based intervention among patients entering addiction treatment who lack recent internet access are unclear. This secondary analysis of a national multisite treatment study (NIDA Clinical Trials Network-0044) assessed for acceptability and clinical impact of a web-based psychosocial intervention among participants enrolling in community-based, outpatient addiction treatment programs. Participants were randomly assigned to 12 weeks of a web-based therapeutic education system (TES) based on the community reinforcement approach plus contingency management versus treatment as usual (TAU). Demographic and clinical characteristics, and treatment outcomes were compared among participants with recent internet access in the 90 days preceding enrollment (N = 374) and without internet access (N = 133). Primary outcome variables included (1) acceptability of TES (i.e., module completion; acceptability of web-based intervention) and (2) clinical impact (i.e., self-reported abstinence confirmed by urine drug/ breath alcohol tests; retention measured as time to dropout). Internet use was common (74 %) and was more likely among younger (18-49 years old) participants and those who completed high school (p G .001). Participants randomized to TES (n = 255) without baseline internet access rated the acceptability of TES modules significantly higher than those with internet access (t = 2.49, df = 218, p = .01). There was a near significant interaction between treatment, baseline abstinence, and internet access on time to dropout (χ 2 (1) = 3.8089, p = .051). TES was associated with better retention among participants not abstinent at baseline who had internet access (X 2 (1) = 6.69, p = .01). These findings demonstrate high acceptability of this web-based intervention among participants that lacked recent internet access.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Recent Internet Use and Associations with Clinical Outcomes among Patients Entering Addiction Treatment Involved in a Web-Delivered Psychosocial Intervention Study

et al. 2016

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“…The adoption of web-based delivery to support behavior change has the advantage of being dynamic and unbiased, but all too often initiatives focus on the provision of information and underuse the technological potential [18]. The emergence of more interactive applications that include tracking, triggers, reminders and communication demonstrate that there is a clear shift towards exploiting technology more fully [15] [27].…”

Section: Related Workmentioning

confidence: 99%

Keeping Creative Writing on Track: Co-designing a Framework to Support Behavior Change

Doney

Evans²,

Fabri

2014

Design, User Experience, and Usability. Theories, Methods, and Tools for Designing the User Experience

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Abstract. The application of persuasive technology in web-based and mobile phone-based systems is well established, particularly in the health domain. However, a greater understanding of the effectiveness of the techniques deployed is needed to facilitate the successful transfer of research findings into practical applications. The context explored here is that of creative writing and the potential use of persuasive technology to foster and support a productive writing routine. Employing a user-centered design approach, we conducted surveys and a co-creation workshop with writers. Goal setting and regular writing, combined with self-monitoring, were key indicators of an effective writing practice. Group and mentor support were also highlighted. Based on our findings, we developed the architecture for a mobile personal writing coach. We evaluated the architecture against existing frameworks, finding good congruence. This supports our long-term goal of creating a universal framework, applicable to a wider range of behavior change interventions, domains and users. The design considerations reported in this paper go some way towards that goal. Keywords:Behavior Change · Goal Setting · Design Thinking · User-Centered Design · Co-Design · Methodology IntroductionThe application of persuasive technology to support positive behavior change has had significant success in the health domain with symptom trackers and management systems; in particular for physical and mental health, with specific examples for smoking cessation, weight loss and exercise [32][16]. Another arena has been reducing energy consumption [6]. These studies have resulted in a number of models for future systems to follow, whether that be from the perspective of underlying psychological theories, the use of persuasive interface design techniques [9] or architecture of functional components [23]. In parallel with this research effort, the availability of smart phones has facilitated a growth in productivity and tracking applications. These applications reflect many of the characteristics of those developed as part of research programs, although many have been developed within a commercial environment such as HealthMonth [12] and Runkeeper [29] and Lift [17].

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“…Such scalability is crucial for addressing SUDs, since demand for treatment dramatically outstrips available services [5]. In addition, while SUDs are chronic and relapsing [6,7], the help conveyed through technologies is ongoing and accessible. One recent clinical trial demonstrated that, relative to a control group, individuals who accessed a smartphone-based recovery system reported reduction in risky drinking days by more than half over a year [8].…”

Section: Introductionmentioning

confidence: 99%

Detecting Recovery Problems Just in Time: Application of Automated Linguistic Analysis and Supervised Machine Learning to an Online Substance Abuse Forum (Preprint)

Kornfield¹,

Sarma²,

Shah³

et al. 2018

Preprint

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show abstract

Computer and mobile technology-based interventions for substance use disorders: An organizing framework

Cited by 78 publications

References 93 publications

Recent Internet Use and Associations with Clinical Outcomes among Patients Entering Addiction Treatment Involved in a Web-Delivered Psychosocial Intervention Study

Recent Internet Use and Associations with Clinical Outcomes among Patients Entering Addiction Treatment Involved in a Web-Delivered Psychosocial Intervention Study

Keeping Creative Writing on Track: Co-designing a Framework to Support Behavior Change

Detecting Recovery Problems Just in Time: Application of Automated Linguistic Analysis and Supervised Machine Learning to an Online Substance Abuse Forum (Preprint)

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