Using Smartphones to Provide Recovery Support Services

使用智能手机提供恢复支持服务

基本信息

批准号：
8842118
负责人：
Christy K Scott
金额：
$ 59.92万
依托单位：
CHESTNUT HEALTH SYSTEMS, INC.
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-05-01 至 2019-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8842118
关键词：
Abstinence Address Adult Aftercare Alcohol or Other Drugs use Alcohols Behavioral Cellular Phone Child Chronic Competence Drug Use Disorder Drug usage Ecological momentary assessment Exposure to Family member Feedback Goals HIV Health Heavy Drinking Illinois Individual Intervention Interview Learning Life Style Link Mediating Methods Monitor Motivation Nature Needles Outcome Panic Participant Patients Persons Population Preventive Intervention Professional counselor Randomized Recovery Recruitment Activity Relapse Relative (related person)Reporting Risk Risk Behaviors Risk Factors Sampling Services Signal Transduction Social support Substance Use Disorder Technology Telephone Testing Time Training Unsafe Sex Use Effectiveness addiction alcohol risk alcohol use disorder base coping coping mechanism cost design disorder later incidence prevention drug abstinence group intervention improved mortality research study response sex substance abuse treatment tool treatment organization treatment program

项目摘要

DESCRIPTION (provided by applicant): Nationwide cost estimates of 60 major illnesses place alcohol use disorders as the 2nd and drug use disorders as the 7th most costly health problems.3 Both are related to higher rates of HIV risk behaviors associated with the human immunodeficiency virus (HIV) and together they represent 3 of the top 10 modifiable behavioral causes of mortality in the US. Studies indicate that effective strategies for managing substance use disorders (SUD) must address its chronic and cyclical nature, of which HIV risk is a part.4-9 For many, substance use creates circumstances that increase HIV risk (e.g., needle use, trading sex) and for others, substance use is a coping mechanism for the negative impact of lifestyle choices (e.g. illegal activity, losing custody of their children, trading sex). Post-discarge monitoring, feedback and early re- intervention have become standard practice when managing numerous chronic conditions.10 Mobile technology has the potential to radically improve the odds of sustained recovery by providing tools for ongoing monitoring, assessment and access to recovery support interventions anytime and anywhere. This is particularly important for the 90% of those needing treatment that don't receive it. Therefore applying smartphone technology to provide recovery management anytime anywhere is potentially significant. The proposed trial is designed to test the effectiveness of using smartphones to provide post-treatment support services via ecological momentary assessments (EMA), ecological momentary interventions (EMI) and their combination on substance use disorders and HIV risk in a 2 x 2 factorial design. Participants (n=400) will be recruited and interviewed after treatment discharge, randomized, interviewed again at 3 and 6 months. Those in the EMA groups will be asked 6 times per day to record their recent exposure to risk factors and then rate the extent to which these factors are making them want to use or be in recovery. Individuals in the EMI groups will have real-time access to a suite of smartphone-based recovery support services designed to motivate them, help them cope with potential relapse triggers, and connect them to social support. In the EMA+EMI condition, the EMA responses will be used to generate immediate feedback on relapse and HIV risk. AIMS are to: 1) Test the effect of EMA, EMI and EMA+EMI on days of abstinence, 2) Test the effect of EMA, EMI and EMA+EMI on HIV risk behaviors, and 3) Evaluate the extent to which changes in days of abstinence mediate the effect of EMA, EMI, and EMA+EMI on HIV risk behaviors.

描述（由申请人提供）：全国范围内60种主要疾病的成本估计将酒精使用障碍作为第二和毒品使用障碍作为第七最昂贵的健康问题。3两者都与与人类免疫缺陷病毒（HIV）相关的HIV风险行为较高的率较高，并且它们共同代表了我们在我们中的抵押贷款的前10名可改变的可变性。研究表明，管理物质使用障碍的有效策略（SUD）必须解决其慢性和周期性的性质，艾滋病毒风险是一部分。4-9对于许多人来说，物质使用会增加艾滋病毒风险的情况（例如，针头使用，交易性行为）和其他人的使用，毒品的使用是一种对生活的负面影响，例如，生活中的人会产生负面影响，例如，差不多。在管理众多慢性状态时，托管后的监测，反馈和早期干预已成为标准做法。10移动技术有可能通过提供持续的监控，评估和获取康复支持干预措施的工具来从根本上改善持续恢复的几率。对于需要接受治疗的90％的人中，这一点尤其重要。因此，应用智能手机技术在任何地方随时随地提供恢复管理都是可能的。拟议的试验旨在测试使用智能手机通过生态瞬时评估（EMA），生态瞬时干预措施（EMI）及其在2 x 2阶乘设计中提供对物质使用障碍和HIV风险的合并的有效性。在治疗出院后将招募和采访参与者（n = 400），随机分组，在3个月和6个月后再次接受采访。 EMA组中的人员每天将被要求6次记录其最近暴露于风险因素，然后对这些因素使他们想要使用或恢复的程度。 EMI团体中的个人将实时访问一套基于智能手机的恢复支持服务，旨在激励他们，帮助他们应对潜在的复发触发器并将其与社会支持联系起来。在EMA+EMI条件下，EMA响应将用于产生有关复发和HIV风险的立即反馈。目的是：1）测试EMA，EMI和EMA+EMI对禁欲的影响，2）测试EMA，EMI和EMA+EMI对HIV风险行为的影响，以及3）评估戒烟日的变化程度介导EMA，EMI，EMA，EMA，EMA+EMI对HIV风险行为的影响。