Using Smartphones to Improve Treatment Retention Among Impoverished Substance-Using Appalachian Women: A Naturalistic Study

Johnston, Darcie C; Mathews, W David; Maus, Adam; Gustafson, David H.

doi:10.1177/1178221819861377

Cited by 25 publications

(22 citation statements)

References 27 publications

(36 reference statements)

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“…Implementing specific integrated models, like the Collaborative Care or the Embedded Behavioral Specialists models that co-locate a care manager or behavioral health clinician onsite, could facilitate access to psychosocial services [83,84]. In regions where psychosocial services may be less accessible, general medical settings providing OUD treatment should consider leveraging novel technologies to provide access to patients, such as telepsychiatry [85,86] or mobile health (mhealth) applications [87][88][89][90].…”

Section: Provider Characterisics and Settingmentioning

confidence: 99%

“It’s way more than just writing a prescription”: A qualitative study of preferences for integrated versus non-integrated treatment models among individuals with opioid use disorder

Saunders

Moore

Walsh

et al. 2021

Addict Sci Clin Pract

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Background Increasingly, treatment for opioid use disorder (OUD) is offered in integrated treatment models addressing both substance use and other health conditions within the same system. This often includes offering medications for OUD in general medical settings. It remains uncertain whether integrated OUD treatment models are preferred to non-integrated models, where treatment is provided within a distinct treatment system. This study aimed to explore preferences for integrated versus non-integrated treatment models among people with OUD and examine what factors may influence preferences. Methods This qualitative study recruited participants (n = 40) through Craigslist advertisements and flyers posted in treatment programs across the United States. Participants were 18 years of age or older and scored a two or higher on the heroin or opioid pain reliever sections of the Tobacco, Alcohol, Prescription Medications, and Other Substances (TAPS) Tool. Each participant completed a demographic survey and a telephone interview. The interviews were coded and content analyzed. Results While some participants preferred receiving OUD treatment from an integrated model in a general medical setting, the majority preferred non-integrated models. Some participants preferred integrated models in theory but expressed concerns about stigma and a lack of psychosocial services. Tradeoffs between integrated and non-integrated models were centered around patient values (desire for anonymity and personalization, fear of consequences), the characteristics of the provider and setting (convenience, perceived treatment effectiveness, access to services), and the patient-provider relationship (disclosure, trust, comfort, stigma). Conclusions Among this sample of primarily White adults, preferences for non-integrated versus integrated OUD treatment were mixed. Perceived benefits of integrated models included convenience, potential for treatment personalization, and opportunity to extend established relationships with medical providers. Recommendations to make integrated treatment more patient-centered include facilitating access to psychosocial services, educating patients on privacy, individualizing treatment, and prioritizing the patient-provider relationship. This sample included very few minorities and thus findings may not be fully generalizable to the larger population of persons with OUD. Nonetheless, results suggest a need for expansion of both OUD treatment in specialty and general medical settings to ensure access to preferred treatment for all.

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Section: Provider Characterisics and Settingmentioning

confidence: 99%

“It’s way more than just writing a prescription”: A qualitative study of preferences for integrated versus non-integrated treatment models among individuals with opioid use disorder

Saunders

Moore

Walsh

et al. 2021

Addict Sci Clin Pract

View full text Add to dashboard Cite

show abstract

“…These studies included two studies of single-session interventions as follows: BSAFER (developed for any substance [32]; demonstrated effectiveness at a 3-month follow-up in a small sample) and VetChange (developed for alcohol [33]; demonstrated effectiveness over 1, 3, and 6 months). Two studies evaluated a mobile app (A-CHESS) developed for any substance and delivered over 6 to 8 months, which demonstrated effectiveness in an entirely female sample [34], as well as a mixed sample [35], although sex-or gender-based analyses were not conducted in the latter. Another study evaluated a mobile text message intervention for alcohol in young adults following emergency room treatment, with improvements at a 3-month follow-up [36].…”

Section: Study Outcomesmentioning

confidence: 99%

Benefits of Digital Health Resources for Substance Use Concerns in Women: Scoping Review

et al. 2021

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Background Digital health resources are being increasingly used to support women with substance use concerns. Although empirical research has demonstrated that these resources have promise, the available evidence for their benefit in women requires further investigation. Evidence supports the capacity of interventions that are sex-, gender-, and trauma-informed to improve treatment access and outcomes and to reduce health system challenges and disparities. Indeed, both sex- and gender-specific approaches are critical to improve health and gender equity. Violence and trauma are frequent among those with substance use concerns, but they disproportionately affect those who identify as female or women, further underscoring the need for trauma-informed care as well. Objective The objective of this investigation was to evaluate the evidence supporting the efficacy or effectiveness of online or mobile interventions for risky or harmful substance use in adults who identify as female or women, or who report a history of trauma. Methods This scoping review is based on an academic search in MEDLINE, APA PsycINFO, Embase, Cochrane Central, and CINAHL, as well as a grey literature search in US and Canadian government and funding agency websites. Of the 7807 records identified, 465 remained following title and abstract screening. Of these, 159 met all eligibility criteria and were reviewed and synthesized. Results The 159 records reflected 141 distinct studies and 125 distinct interventions. Investigations and the interventions evaluated predominantly focused on alcohol use or general substance use. Evaluated digital health resources included multisession and brief-session interventions, with a wide range of therapeutic elements. Multisession online and mobile interventions exhibited beneficial effects in 86.1% (105/122) of studies. Single-session interventions similarly demonstrated beneficial effects in 64.2% (43/67) of study conditions. Most investigations did not assess gender identity or conduct sex- or gender-based analyses. Only 13 investigations that included trauma were identified. Conclusions Despite the overall promise of digital health interventions for substance use concerns, direct or quantitative evidence on the efficacy or effectiveness of interventions in females or women specifically is weak.

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“…Provide telehealth support after discharge [150][151][152][153][154][155] 36. Use technology and social media to support families [156][157][158][159][160][161][162][163][164][165] 37. Facilitate access to all necessary clinical specialists after discharge 121,134 38.…”

Section: Addendummentioning

confidence: 99%

Our Responsibility to Follow Through for NICU Infants and Their Families

2020

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This supplemental material is licensed by Vermont Oxford Network under a Creative Commons Attribution-NonCommercial 4.0 International License Under the following terms:• Attribution -You must give appropriate credit, provide a link to the license, and indicate if changes were made You must indicate if you modified the material and retain an indication of previous modifications.You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.

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Using Smartphones to Improve Treatment Retention Among Impoverished Substance-Using Appalachian Women: A Naturalistic Study

Cited by 25 publications

References 27 publications

“It’s way more than just writing a prescription”: A qualitative study of preferences for integrated versus non-integrated treatment models among individuals with opioid use disorder

“It’s way more than just writing a prescription”: A qualitative study of preferences for integrated versus non-integrated treatment models among individuals with opioid use disorder

Benefits of Digital Health Resources for Substance Use Concerns in Women: Scoping Review

Our Responsibility to Follow Through for NICU Infants and Their Families

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