The daily progress system: A proof of concept pilot study of a recovery support technology tool for outpatient substance abuse treatment.
The daily progress system: A proof of concept pilot study of a recovery support technology tool for outpatient substance abuse treatment.
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每日进展系统：针对门诊药物滥用治疗的康复支持技术工具的概念验证试点研究。
DOI：
10.1080/00952990.2017.1329311
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发表时间：
2018
期刊：
影响因子：
--
通讯作者：
Tangires,SA
中科院分区：
文献类型：
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作者：
Carswell,SB;Gordon,MS;Gryczynski,J;Tangires,SA
背景：非法药物的使用在美国仍然非常普遍，流行病学监测调查估计，在2015年，超过2700万人(占美国人口的10.1%)在过去30天内使用非法药物。1以社区为基础的门诊治疗是成瘾治疗的主要方式，通常包括以个人和/或团体形式每周举行的心理社会咨询会议。2、不幸的是，复发和过早停止治疗在门诊治疗中相当常见。3-5目标：这是一项可行性研究的初步概念验证，研究对象包括提出门诊治疗的客户。这项研究旨在检验每日进展系统(DPS)的可行性和可接受性。DPS是一个基于电话的软件程序，使用交互式语音应答(IVR)，旨在提高护理质量和改善客户结果。方法：研究包括在参与治疗诊所提出、符合研究资格标准的个人，以及提供书面知情同意参与的个人(N=15；53.3%女性)。结果：参与者完成了预定每日电话拜访的65%，相当于273个人/日的数据，涉及客户的渴望、情绪、药物使用和参与康复支持活动。平均通话时长约为2分42秒。客户和咨询师对该系统的接受度和满意度很高。结论和临床意义：研究结果表明，基于客户和咨询师对该系统的参与度和满意度，DPS似乎是一种潜在的解决复发和治疗参与度问题的可行方法。
Background: Illicit substance use remains highly prevalent in the US, and epidemiological surveillance surveys estimate that in 2015, over 27 million individuals (10.1% of the US population) 12 years of age or older used illicit drugs in the past 30 days.1Outpatient treatment delivered in community-based settings is the dominant modality for addiction treatment, typically involving weekly psychosocial counseling sessions in an individual and/or group format.2,3Unfortunately, relapse and premature treatment discontinuation are quite common in outpatient treatment.3–5Objectives: This is a pilot proof of concept feasibility study involving clients presenting for outpatient SUD treatment. This study sought to examine the feasibility and acceptability of the Daily Progress System (DPS), a telephone-based software program, using interactive voice response (IVR), designed to enhance quality care and improve client outcomes.Methods: Individuals who presented at the participating treatment clinic, who met study eligibility criteria, and who provided written informed consent to participate were included in the study (N= 15; 53.3% females). Incentives were paid to participants for calls completed.Results: Participants completed 65% of scheduled daily call-ins, representing 273 person-days of data on client cravings, mood, substance use, and involvement in recovery support activities. The average call duration was approximately 2 minutes and 42 seconds. There was a high degree of client and counselor acceptance and satisfaction using the system.Conclusions and Clinical Significance: Findings suggest that the DPS appears to be a feasible means of potentially addressing relapse and treatment engagement issues based on client and counselor engagement and satisfaction with the system.