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: 9197223
• 负责人: Suzette V Glasner-Edwards
• 金额: $ 20.21万
• 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 2018-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9197223
• 关键词: Accounting; 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; Drug abuse; Drug usage; Economics; Evidence based treatment; Feedback; 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; 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; 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对患有抑郁症和吸食大麻共病的成年人的治疗 疾病（CUD）采用创新的社交媒体辅助干预策略。 将通过 Facebook 提供的同伴和治疗师社交网络支持与集成的计算机辅助 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，申请人获得了 NIDA 高优先级、短期优先级。 定期项目奖试点测试 SHADE（酒精和其他药物使用和抑郁自助）， 在初级精神科护理环境中结合 CBT 和 MET 的计算机化干预，其中综合 针对心理健康和药物滥用障碍 (SUD) 的干预措施并不容易获得。 初步数据表明，将 SHADE 与抑郁症的精神科护理相结合：(a) 是可行的，并且 可接受，(b) 促进难以治疗的共病人群的治疗参与和保留 重度抑郁症和 CUD；以及 (c) 显着减少抑郁症状和大麻 优化针对抑郁症大麻使用者的循证心理治疗实施模式。 在初级精神病学环境中接受常规护理（TAU），拟议的研究整合了社交网络 SHADE 干预计划的支持部分 本研究的具体目标是： 1) 根据用户反馈，制定社交媒体辅助干预措施（互联大麻用户网络 针对抑郁症大麻使用者的认知疗法的增强；CONNECT）将 SHADE 与 通过私人 Facebook 群组提供同伴和治疗师社交网络支持，以减少大麻的使用； 抑郁症，并提高治疗保留率；2) 在试点随机对照试验（N = 50）中测试增量疗效 CONNECT 超越 SHADE 来改善大麻使用、抑郁症和医疗保健结果 3) 检查社交网络是否存在变量； 适度或调解 CONNECT 的影响，我们相信 SHADE + CONNECT 会产生更好的效果。 与 SHADE 相关的减少大麻使用、改善抑郁症状和治疗的临床结果 保留，并减少治疗期间和治疗后的医疗服务利用率。 CONNECT 的社交网络支持组件将直接影响社交网络的质量和数量 参与者对成瘾和抑郁症康复的社会支持网络，这是一种公认​​的变革机制 CBT 和 MET 方法治疗共病人群，这些变化将与 通过提供临床医生和同伴支持来最大限度地提高技能。 从 SHADE 收购 CONNECT 可以为 在初级精神科护理机构中治疗抑郁的大麻使用者，这种模式可以扩展到 SUD 处理不足的其他环境。