Technology and Social Media Use Among Patients Enrolled in Outpatient Addiction Treatment Programs: Cross-Sectional Survey Study.
Technology and Social Media Use Among Patients Enrolled in Outpatient Addiction Treatment Programs: Cross-Sectional Survey Study.
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DOI：
10.2196/jmir.9172
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发表时间：
2018-03-06
影响因子：
7.4
通讯作者：
Curtis B
中科院分区：
文献类型：
--
作者：
Ashford RD;Lynch K;Curtis B
物质使用障碍的研究和实践尚未利用通信模式的新变化。虽然互联网和社交媒体的使用在普通人群中很普遍，但人们对这些媒体如何用于药物使用障碍治疗知之甚少。本文的目的是提供有关物质使用障碍患者移动的手机拥有率、多种数字平台（社交媒体、互联网、计算机和移动的应用程序）的使用模式以及他们使用这些平台监测个人康复的兴趣的数据。我们对美国宾夕法尼亚州费城的4个强化门诊物质使用障碍治疗机构的患者进行了横断面调查。Logistic回归用于检查变量之间的关联。调查参与者（N=259）大多为男性（72.9%，188/259），非洲裔美国人（62.9%，163/259），年收入低于10，000美元（62.5%，161/259），平均年龄39岁（SD 12.24）。绝大多数参与者（93.8%，243/259）拥有移动的手机，约64.1%（166/259）拥有带应用程序功能的移动的手机，其中85.1%（207/243）主要通过其移动的手机访问互联网。年龄、性别、种族或社会经济地位在计算机使用、互联网使用、参与者更换手机的次数、移动的电话合同类型或参与者是否有无限通话计划方面没有显著差异。样本分为3个年龄组（千禧一代，X一代和婴儿潮一代）。拥有社交媒体账户的比率在这3个年龄组中存在差异，婴儿潮一代与X一代和千禧一代之间存在显着差异（每种情况下P<.001）。在拥有社交媒体账户的参与者中（73.6%，190/259），大多数（76.1%，144/190）报告每天使用它，几乎所有（98.2%，186/190）使用Facebook。近一半的参与者（47.4%，90/190）报告说，他们在社交媒体上观看了引发物质渴望的内容，同样比例的人报告说，他们在社交媒体上接触到了恢复信息。在3个年龄组中，报告在社交媒体上查看恢复信息的比率存在显着差异，婴儿潮一代的报告率高于千禧一代（P<.001）。大多数受访者（70.1%，181/259）表示他们更愿意在手机上使用预防复发的应用程序或接收短信（短讯服务）防复吸短讯（72.3%，186/259），近一半（49.1%，127/259）表示有兴趣通过允许监控社交媒体账户来获得支持，作为预防复发的技术。据我们所知，这是第一个也是最大的一项研究，研究了参加社区门诊治疗计划的患者人群中基于技术的物质使用障碍治疗干预措施的在线行为和偏好。患者普遍接受使用复发预防应用程序和短信干预措施，相当一部分人支持社交媒体监控工具。然而，基于技术的干预措施的设计仍然存在，因为许多参与者每月都有电话计划，这可能会限制连续性。
Substance use disorder research and practice have not yet taken advantage of emerging changes in communication patterns. While internet and social media use is widespread in the general population, little is known about how these mediums are used in substance use disorder treatment. The aims of this paper were to provide data on patients' with substance use disorders mobile phone ownership rates, usage patterns on multiple digital platforms (social media, internet, computer, and mobile apps), and their interest in the use of these platforms to monitor personal recovery. We conducted a cross-sectional survey of patients in 4 intensive outpatient substance use disorder treatment facilities in Philadelphia, PA, USA. Logistic regressions were used to examine associations among variables. Survey participants (N=259) were mostly male (72.9%, 188/259), African American (62.9%, 163/259), with annual incomes less than US $10,000 (62.5%, 161/259), and averaged 39 (SD 12.24) years of age. The vast majority of participants (93.8%, 243/259) owned a mobile phone and about 64.1% (166/259) owned a mobile phone with app capabilities, of which 85.1% (207/243) accessed the internet mainly through their mobile phone. There were no significant differences in age, gender, ethnicity, or socio-economic status by computer usage, internet usage, number of times participants changed their phone, type of mobile phone contract, or whether participants had unlimited calling plans. The sample was grouped into 3 age groups (Millennials, Generation Xers, and Baby Boomers). The rates of having a social media account differed across these 3 age groups with significant differences between Baby Boomers and both Generation Xers and Millennials (P<.001 in each case). Among participants with a social media account (73.6%, 190/259), most (76.1%, 144/190) reported using it daily and nearly all (98.2%, 186/190) used Facebook. Nearly half of participants (47.4%, 90/190) reported viewing content on social media that triggered substance cravings and an equal percentage reported being exposed to recovery information on social media. There was a significant difference in rates of reporting viewing recovery information on social media across the 3 age groups with Baby Boomers reporting higher rates than Millennials (P<.001). The majority of respondents (70.1%, 181/259) said they would prefer to use a relapse prevention app on their phone or receive SMS (short message service) relapse prevention text messages (72.3%, 186/259), and nearly half (49.1%, 127/259) expressed an interest in receiving support by allowing social media accounts to be monitored as a relapse prevention technique. To our knowledge, this is the first and largest study examining the online behavior and preferences regarding technology-based substance use disorder treatment interventions in a population of patients enrolled in community outpatient treatment programs. Patients were generally receptive to using relapse prevention apps and text messaging interventions and a substantial proportion supported social media surveillance tools. However, the design of technology-based interventions remains as many participants have monthly telephone plans which may limit continuity.
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影响因子：
25.8
作者：
Gustafson, David H.;McTavish, Fiona M.;Chih, Ming-Yuan;Atwood, Amy K.;Johnson, Roberta A.;Boyle, Michael G.;Levy, Michael S.;Driscoll, Hilary;Chisholm, StevenM.;Dillenburg, Lisa;Isham, Andrew;Shah, Dhavan
通讯作者：
Shah, Dhavan
影响因子：
4
作者：
Bonevski B;Randell M;Paul C;Chapman K;Twyman L;Bryant J;Brozek I;Hughes C
通讯作者：
Hughes C
DOI：
10.1089/tmj.2008.0099
发表时间：
2009-04-01
期刊：
TELEMEDICINE JOURNAL AND E-HEALTH
影响因子：
--
作者：
Krishna, Santosh;Boren, Suzanne Austin;Balas, E. Andrew
通讯作者：
Balas, E. Andrew
影响因子：
7.4
作者：
Burns MN;Begale M;Duffecy J;Gergle D;Karr CJ;Giangrande E;Mohr DC
通讯作者：
Mohr DC
影响因子：
6.7
作者：
Glenn, Tasha;Monteith, Scott
通讯作者：
Monteith, Scott