Continuing Care App for Justice-Involved Individuals with Substance Use Disorders

适用于患有药物滥用障碍的司法相关个人的持续护理应用程序

基本信息

批准号：
10673293
负责人：
Steven Bernard Carswell
金额：
$ 57.35万
依托单位：
FRIENDS RESEARCH INSTITUTE, INC.
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-06-01 至 2025-05-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10673293
关键词：
2 arm randomized control trial Address Adoption Adult Ambulatory Care Attention Behavior COVID-19 Caring Cellular Phone Chronic Disease Client Cognitive Therapy Communities Conduct Clinical Trials Crime Criminology Development Diffusion Disparity population Dropout Drug Screening Drug abuse Drug usage Effectiveness Enrollment Evaluation Evidence based treatment Feedback General Population Growth Health Health Insurance Portability and Accountability Act Health Personnel Health Services Accessibility High Prevalence Imprisonment Individual Internet Intervention Interview Justice Learning Long-Term Care Mental Health Outcome Outpatients Participant Patient Self-Report Phase Population Process Public Health Randomized Randomized, Controlled Trials Recovery Recovery Support Regulatory Pathway Relapse Research Personnel Risk Risk Behaviors Sampling Schedule Screening Result Self Management Services Site Substance Use Disorder Supervision Support System Systems Integration Technology Theoretical model Transportation Treatment outcome Urine Vulnerable Populations Woman Work adverse outcome alcohol use disorder arm behavior change compare effectiveness criminal behavior criminal thinking design digital intervention digital treatment effectiveness evaluation effectiveness trial experience feasibility trial field study flexibility high risk improved informant innovation men mobile application mortality risk outpatient programs outreach parole parolee physical conditioning premature primary outcome probation probationer programs prototype rearrest reduced substance use relapse risk satisfaction secondary outcome societal costs substance use substance use treatment support tools theories therapy design tool treatment as usual usability

项目摘要

Abstract Substance use disorders (SUDs) continue to be one of the most serious public health problems in the US.1 Studies have consistently documented a substantially higher prevalence of SUDs among adults under justice supervision in the community (i.e., probation/parole) as compared to the general population.2-4 Continuing care initiatives for individuals with SUDs have gained increased attention with the recognition that substance use treatment requires long-term care.15, 46, 47, 54-58 Studies show that continuing care interventions can provide ongoing support or extend primary treatment gains with respect to reductions in substance use, relapse, and criminal activity.12, 52, 55, 56, 61-63 Recent diffusion of Internet and smartphone technologies among disadvantaged populations now offers unprecedented opportunities for increasing access to quality continuing care interventions as well as chronic disease self-management tools. Probationers and parolees at high risk for drug abuse relapse and involvement in health compromising behaviors are an important population that stands to benefit from continuing care technologies. Building on our team’s extensive experience in the fields of criminology and substance use, we propose to finalize the development of a Continuing Care mobile application (app) by enhancing app capabilities and conducting a randomized controlled trial to assess its effectiveness among clients on probation or parole who are enrolled in outpatient substance use treatment. The app is designed to meet the recovery and personal support needs of probationers and parolees with SUDs who are at elevated risk of relapse, treatment discontinuation, re-arrest, and incarceration. It is guided by the principles of the transtheoretical model of behavior change,24 and app content is derived from the Your Own Reintegration System (YOURS) program,25 an empirically-supported26 intervention that focuses on substance use recovery, reducing criminal thinking and behavior, and cultivating support systems. If proven to be effective, the CC app could be deployed across the national network of outpatient treatment providers and be highly significant in its direct impact on public health.

抽象的药物使用障碍（SUD）仍然是美国最严重的公共卫生问题之一。1 研究一直记录到成年人在司法下的SUD的患病率更高与一般人群相比，社区的监督（即缓刑/假释）。2-4继续护理通过认识到药物的使用治疗需要长期护理。15、46、47、54-58研究表明，持续护理干预措施可以提供持续的支持或扩大有关减少物质使用，继电器和犯罪活动。12、52、55、56、61-63互联网和智能手机技术的最新扩散现在，人口为增加获得优质持续护理干预措施的前所未有的机会以及慢性疾病自我管理工具。缓刑毒品滥用风险的缓刑和假释者参与健康妥协行为是一个重要人群，将从中受益继续护理技术。在我们团队在犯罪学和物质使用领域的丰富经验的基础上，我们建议通过增强应用程序功能和进行一项随机对照试验，以评估客户对探测器或假释的有效性被参与门诊药物使用治疗。该应用旨在满足恢复和个人缓刑者和假释者的支持需求，他们的退休风险较高，治疗中止，重新逮捕和事件。它以跨理论模型的原理为指导行为改变，24和应用程序内容源自您自己的重新整合系统（您的）程序，25 经验支持26的干预措施，侧重于恢复物质，减少犯罪思维和行为和培养支持系统。如果被证明是有效的，则可以将CC应用程序部署国家门诊治疗提供者的国家网络，对公共卫生的直接影响非常重要。