Examining Perceptions of a Smartphone-Based Intervention System for Alcohol Use Disorders

Examining Perceptions of a Smartphone-Based Intervention System for Alcohol Use Disorders
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DOI:
10.1089/tmj.2013.0222
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发表时间:
2014-10-01
影响因子:
4.7
通讯作者:
Gonzalez, Vivian
Gonzalez, Vivian
中科院分区:
医学3区
文献类型:
--
作者:
Giroux, Danielle;Bacon, Samantha;Gonzalez, Vivian

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背景资料:本研究介绍了对参与者进行定性访谈的结果,该研究涉及基于位置的酒精使用障碍监测和干预系统(LBMI-A)的有效性,这是一种基于智能手机的独立干预应用程序(应用程序),适用于患有酒精使用障碍的成年人。材料和方法:参与者提供了一个LBMI-A功能的智能手机在6周的试点研究期间使用。LBMI-A由心理教育模块、酒精使用模式的评估和反馈、地理高风险地点监测和警报、酒精渴望的体内评估和干预以及管理心理困扰的帮助组成。在与LBMI-A应用程序互动6周后,对所有参与者进行了半结构化访谈(n=26)。访谈探讨了用户对LBMI-A功能的易用性和实用性、模块有用性、使用障碍以及改进程序的建议的看法。研究人员对成绩单进行了系统的定性编码过程,其中包括研究团队认为重要的先验主题和编码过程中出现的新主题。结果和结论:叙事分析发现,LBMI-A用户认为手机最有用的功能是五个主题的出现:(1)意识,(2)责任,(3)技能转移,(4)跟踪进展,(5)跟踪。这些主题进行了探讨,并讨论了这些研究结果对未来智能手机为基础的干预措施的影响。
Background: This study presents results from qualitative interviews conducted with participants in a study on the effectiveness of the Location-Based Monitoring and Intervention System for Alcohol Use Disorders (LBMI-A), a smartphone-based, stand-alone intervention application (app) for adults with alcohol use disorders. Materials and Methods: Participants were provided an LBMI-A-enabled smartphone to use during a 6-week pilot study. The LBMI-A was composed of psychoeducational modules, assessment and feedback of alcohol use patterns, geographic high-risk location monitoring and alerts, and in vivo assessment and intervention for alcohol cravings and help with managing psychological distress. Semistructured interviews were conducted with all participants following 6 weeks of interacting with the LBMI-A app (n=26). Interviews explored user perceptions of the ease and utility of LBMI-A features, module helpfulness, barriers to use, and recommendations for improvements to the program. Researchers applied a systematic qualitative coding process to transcripts that included both a priori themes identified as important by the research team and new themes that emerged during the coding process. Results and Conclusions: Narrative analysis found the emergence of five main themes identified by LBMI-A users as the most helpful functions of the phone: (1) Awareness, (2) Accountability, (3) Skill Transference, (4) Tracking Progress, and (5) Prompts. These themes are explored, and implications of these findings for future smartphone-based interventions are discussed.