Review of Popularity and Quality Standards of Opioid-Related Smartphone Apps.

Review of Popularity and Quality Standards of Opioid-Related Smartphone Apps.
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DOI:
10.1007/s40429-020-00344-6
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发表时间:
2020-12
影响因子:
4.3
通讯作者:
Garrison KA
Garrison KA
中科院分区:
医学3区
文献类型:
--
作者:
Vilardaga R;Fisher T;Palenski PE;Kumaresan V;Mannelli P;Sweitzer MM;McClernon FJ;Engelhard MM;Sabo PL;Garrison KA

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阿片类药物滥用、成瘾和相关危害是一场影响公共卫生、社会和经济福利的全球性危机。许多用于应对阿片类药物危机的战略可以从改善获取和传播中受益,例如智能手机应用程序提供的服务。这项研究的目的是描述阿片类药物相关智能手机应用程序的目的,受众,质量和受欢迎程度。使用网络抓取,来自619个阿片类药物相关应用程序的可用信息(例如,受欢迎程度指标)从Google Play下载,59个应用程序符合审查标准。此外,两名评分员使用美国精神病学协会应用程序评估模型的8项筛选器对应用程序进行了质量编码。61%的应用程序针对患者,29%的供应商,8%的一般社区和2%的医疗保健培训生。关于应用程序的目的,49%涉及治疗,27%涉及预防,24%涉及过量。只有一个应用程序满足筛选器上的所有质量标准,并且为筛选器计算的总得分与应用程序受欢迎程度的度量之间没有关联(例如,星星评级; R2=0.10,p=0.19)。可供消费者使用的类阿片相关应用程序针对关键利益攸关方(患者、提供者、社区),并与解决类阿片危机(预防、治疗、过量)的战略相一致。然而,几乎没有证据表明现有的阿片类药物相关应用程序符合基本的质量标准,并且没有发现应用程序质量和受欢迎程度之间的关系。这项审查是在消费者决策层面进行的(即,应用程序商店),其中只有少数类阿片相关应用程序符合质量标准,足以保证在推荐使用之前对应用程序进行更详细的评估。由于智能手机应用程序可能是增加阿片类药物预防,治疗和康复服务的获得和利用的关键工具,因此迫切需要进一步的开发和测试。
Opioid misuse, addiction, and related harm is a global crisis that affects public health and social and economic welfare. Many of the strategies being used to combat the opioid crisis could benefit from improved access and dissemination, such as that afforded by smartphone apps. The goal of this study was to characterize the purpose, audience, quality and popularity of opioid-related smartphone apps. Using web scraping, available information from 619 opioid-related apps (e.g., popularity metrics) was downloaded from Google Play, and 59 apps met criteria for review. The apps were additionally coded for quality by two raters using an 8-item screener for the American Psychiatric Association App Evaluation Model. Sixty one percent of apps targeted patients, 29% providers, 8% the general community, and 2% healthcare trainees. Regarding app purpose, 49% addressed treatment, 27% prevention, and 24% overdose. Only one app met all criteria on the screener for quality, and there was no association between a total score calculated for the screener and measures of app popularity (e.g., star ratings; R2=0.10, p=0.19). Opioid-related apps available for consumers addressed key stakeholders (patients, providers, community) and were consistent with strategies to address the opioid crisis (prevention, treatment, overdose). However, there was little evidence that available opioid-related apps meet basic quality standards, and no relationship was found between app quality and popularity. This review was conducted at the level of consumer decision-making (i.e., the app store), where only a handful of opioid-related apps met quality standards enough to warrant a more detailed evaluation of the app before recommendation for use. Because smartphone apps could be a critical tool to increase access to and utilization of opioid prevention, treatment, and recovery services, further development and testing is sorely needed.
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