Results of a pilot test of a self-administered smartphone-based treatment system for alcohol use disorders: usability and early outcomes.

Results of a pilot test of a self-administered smartphone-based treatment system for alcohol use disorders: usability and early outcomes.
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DOI:
10.1080/08897077.2013.821437
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发表时间:
2014
期刊:
影响因子:
3.5
通讯作者:
Campbell K
Campbell K
中科院分区:
医学3区
文献类型:
--
作者:
Dulin PL;Gonzalez VM;Campbell K

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本文提供了一项试点研究的结果,该研究侧重于评估基于智能手机的干预系统的早期有效性和可用性,该系统提供了一种独立的、自我管理的干预选择,即基于位置的酒精使用障碍监测和干预(LBMI-A)。LBMI-A提供了许多功能,用于干预持续饮酒,渴望,与支持他人的联系,管理生活问题,高风险位置警报和活动计划。28名年龄在22岁到45岁之间的参与者符合酒精使用障碍的标准,他们使用了支持LBMI-A的智能手机6周。参与者表示,LBMI-A干预模块有助于突出酒精使用模式。参与者认为,与控制酒精渴望、监控消费和识别饮酒诱因相关的工具特别有帮助。在使用该系统时,参与者还表现出危险酒精使用的显著减少(56%的基线日危险饮酒,而使用LBMI-A时为25%),每天饮酒量减少52%。讨论了系统改进的意义以及设计物质使用障碍生态瞬时评估和干预系统的建议。
This paper provides results from a pilot study focused on assessing early-stage effectiveness and usability of a smartphone-based intervention system that provides a stand-alone, self-administered intervention option, the Location-Based Monitoring and Intervention for Alcohol Use Disorders (LBMI-A). The LBMI-A provided numerous features for intervening with ongoing drinking, craving, connection with supportive others, managing life problems, high risk location alerting and activity scheduling. Twenty-eight participants, ranging in age from 22 to 45, who met criteria for an alcohol use disorder used an LBMI-A enabled smartphone for 6 weeks. Participants indicated the LBMI-A intervention modules were helpful in highlighting alcohol use patterns. Tools related to managing alcohol craving, monitoring consumption, and identifying triggers to drink were rated by participants as particularly helpful. Participants also demonstrated significant reductions in hazardous alcohol use while using the system (56% of days spent hazardously drinking at baseline vs. 25% while using the LBMI-A) and drinks per day diminished by 52%. Implications for system improvement as well as suggestions for designing ecological momentary assessment and intervention systems for substance use disorders are discussed.