Development of CONNECT: a Social Media Intervention for Depressed Cannabis Users

CONNECT 的开发：针对抑郁大麻使用者的社交媒体干预措施

• 批准号: 9355155
• 负责人: Suzette V Glasner-Edwards
• 金额: $ 17.01万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-09-30 至 2019-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9355155
• 关键词: Address; Adherence; Adult; Aftercare; Award; Behavior Therapy; Behavioral; Cannabis; Car Phone; Characteristics; Clinical; Clinical Trials; Cognitive Therapy; Comorbidity; Computer Assisted; Computer-Assisted Therapy; Computers; Data; Depressed mood; Development; Devices; Disease; Drug abuse; Drug usage; Economics; Evidence based treatment; Feedback; Foundations; Health behavior change; Healthcare; Individual; Intervention; Investigation; Left; Major Depressive Disorder; Media Intervention; Mediating; Mental Depression; Mental Health; Modeling; Mood Disorders; Morbidity - disease rate; National Institute of Drug Abuse; Outcome; Outpatients; Participant; Pathway Analysis; Pilot Projects; Population; Privatization; Protocols documentation; Psychiatric therapeutic procedure; Psychotherapy; Public Health; Recovery; Relapse; Reporting; Research; Social Network; Social support; Substance Use Disorder; Technology; Testing; Therapeutic; Therapeutic Intervention; Treatment Efficacy; Treatment Protocols; addiction; alcohol and other drug; base; cognitive enhancement; comorbid depression; computerized; cost; cost effective; depressive symptoms; design; evidence base; experience; health service use; improved; innovation; intervention program; marijuana use; marijuana use disorder; marijuana user; mortality; motivational enhancement therapy; peer; peer support; prevent; primary care setting; programs; psychosocial; self help; skill acquisition; skills; social; social media; symptom treatment; symptomatology; treatment as usual; treatment program; treatment strategy; trend; user-friendly

PROJECT ABSTRACT The objective of this research is to improve treatment for adults with depression and comorbid cannabis use disorders (CUD) with an innovative, social media-assisted intervention strategy. The proposed intervention combines peer and therapist social network support via Facebook with an integrated, computer-assisted therapy program combining cognitive behavioral therapy (CBT) and motivational enhancement therapy (MET) to reduce cannabis use and depressive symptoms. In 2014 the applicant received a NIDA High Priority, Short- Term Project Award to pilot test SHADE (Self-Help for Alcohol and Other Drug Use and Depression), a computerized intervention combining CBT and MET, in a primary psychiatric care setting, where integrated interventions addressing both mental health and substance use disorders (SUDs) are not readily accessible. Preliminary data indicate that integrating SHADE with psychiatric care for depression: (a) is feasible and acceptable, (b) facilitates treatment engagement and retention in a difficult-to-treat comorbid population with major depression and CUD; and (c) produces significant reductions in depressive symptoms and cannabis use. To optimize this model of evidence-based psychotherapy implementation for depressed cannabis users receiving usual care (TAU) in a primary psychiatric setting, the proposed study integrates a social network support component into the SHADE intervention program. The specific aims of this research are: 1) To develop, with user feedback, a social media-assisted intervention (Connected Cannabis Users’ Network for Enhancement of Cognitive Therapy; CONNECT) for depressed cannabis users that combines SHADE with peer and therapist social network support via a private Facebook group for reducing cannabis use and depression, and improving treatment retention; 2) To test, in a pilot RCT (N=50), the incremental efficacy of CONNECT over and above SHADE in improving cannabis use, depression, and healthcare outcomes among depressed adults with CUD in a primary psychiatric setting; 3) To examine whether social network variables moderate or mediate the impact of CONNECT. We hypothesize that SHADE + CONNECT will yield superior clinical outcomes relative to SHADE in reducing cannabis use, improving depressive symptoms and treatment retention, and reducing health service utilization during and after treatment. Moreover, we expect that the social network support component of CONNECT will have a direct effect on the quality and quantity of participants’ social support network for addiction and depression recovery, a recognized mechanism of change in CBT and MET approaches to the treatment of comorbid populations, and these changes will be associated with cannabis use and depression outcomes. By providing both clinician and peer support to maximize skills acquisition from SHADE, CONNECT may provide a cost-effective and easily deployable strategy for the treatment of depressed cannabis users in a primary psychiatric care setting, a model that may be extended to other settings where SUDs are undertreated.

项目摘要 这项研究的目的是改善使用抑郁和合并大麻的成年人的治疗 具有创新的，社交媒体辅助的干预策略的疾病（CUD）。拟议的干预措施 通过Facebook与同伴和治疗师的社交网络支持与集成的计算机辅助结合 结合认知行为疗法（CBT）和动机增强疗法（MET）的治疗计划 减少大麻使用和抑郁症状。 2014年，适用的人获得了NIDA高优先级，短暂 试点测试阴影的定期项目奖（酒精和其他毒品使用和抑郁症的自助），一个 在基本的精神病护理环境中，计算机干预结合了CBT并结合了MET 解决心理健康和药物使用障碍（SUD）的干预措施不容易获得。 初步数据表明，将阴影与精神病护理整合到抑郁症：（a）是可行的，并且 可接受的，（b）促进在难以治疗的合并症中的治疗参与和保留率 重度抑郁和cud； （c）在抑郁症状和大麻中产生显着减少 使用。优化针对抑郁大麻使用者的这种基于证据的心理治疗实施模型 拟议的研究在原发性精神病环境中接受常规护理（TAU），整合了一个社交网络 将组件支持在阴影干预计划中。这项研究的具体目的是：1） 通过用户反馈开发社交媒体辅助干预措施（连接的大麻用户网络 认知疗法的增强；连接）与将阴影结合起来的沮丧的大麻用户 同行和治疗师通过私人Facebook组的社交网络支持，以减少大麻使用和 抑郁，改善治疗保留； 2）在试点RCT中测试（n = 50）， 在改善大麻使用，抑郁和医疗保健结果中，连接阴影以上和更高的阴影 在原发性精神病环境中患有CUD的成年人抑郁； 3）检查社交网络变量是否 中度或调解连接的影响。我们假设阴影 +连接将产生优势 相对于阴影的临床结果减少大麻的使用，改善抑郁症状和治疗 保留和减少治疗期间和之后的卫生服务利用。而且，我们期望 连接的社交网络支持部分将直接影响 参与者的成瘾和抑郁恢复的社会支持网络，这是一种公认​​的变化机制 在CBT和MET的治疗方法中，这些变化将与众不同 随着大麻的使用和抑郁症结果。通过提供临床和同伴支持以最大化技能 连接从Shade获得的收购可能会为 在初级精神病护理环境中对沮丧的大麻使用者的处理，该模型可能会扩展到 其他设置被低估了泡沫。