A Pilot Study to Examine the Feasibility and Potential Effectiveness of Using Smartphones to Provide Recovery Support for Adolescents
A Pilot Study to Examine the Feasibility and Potential Effectiveness of Using Smartphones to Provide Recovery Support for Adolescents
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DOI：
10.1080/08897077.2014.970323
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发表时间：
2015-10-02
期刊：
影响因子：
3.5
通讯作者：
Nicholson, Lisa
中科院分区：
文献类型：
--
作者：
Dennis, Michael L.;Scott, Christy K.;Nicholson, Lisa
背景：智能手机应用程序有可能在实时、真实的环境中提供恢复监控和支持。研究目的包括确定 (a) 青少年完成生态瞬时评估 (EMA) 和利用基于电话的生态瞬时干预 (EMI) 的可行性； (b) 使用 EMA 和 EMI 数据来预测接下来一周的物质使用情况。方法：招募了 29 名从住院治疗出院的青少年，无论他们的出院状况或住院时间长短如何。在为期 6 周的试点期间，青少年每天随机 6 次被提示完成 EMA，并获得一套康复支持 EMI。青年人完成了 5580 份 EMA 中的 87%。根据未来 7 天内的使用情况，EMA 观察结果被分为 3 个风险组：过去 30 分钟内的当前使用情况（占观察结果的 3%）、未识别风险（42%）或已识别风险（55%）。所有青少年都对 2 个或更多风险组进行了观察，其中 38% 的青少年在所有 3 个风险组中进行了观察。青少年平均每周访问 EMI 162 次。结果：参与者中 31% 为女性，48% 为非裔美国人，21% 为白种人，7% 为西班牙裔，24% 为混血/其他人；平均年龄16.6岁。在开始治疗前的 90 天内，青少年报告使用过酒精 (38%)、大麻 (41%) 和其他药物 (7%)。与已识别风险组下周的使用率 (31%) 相比，未识别风险组（50%，优势比 [OR] = 2.08）和当前使用组（96%，OR = 50.30）下周的使用率均显着较高。当 EMA 后一小时内访问 EMI 2 次或更多次时，下周的使用率显着低于未访问 EMI 时的情况（32% 与 43%，OR = 0.62）。结论：结果证明了使用智能手机对青少年进行康复监测和支持的可行性，并有可能减少使用。
Background: Smartphone applications can potentially provide recovery monitoring and support in real-time, real-life contexts. Study aims included determining feasibility of (a) adolescents completing ecological momentary assessments (EMAs) and utilizing phone-based ecological momentary interventions (EMIs); and (b) using EMA and EMI data to predict substance use in the subsequent week. Methods: Twenty-nine adolescents were recruited at discharge from residential treatment, regardless of their discharge status or length of stay. During the 6-week pilot, youth were prompted to complete an EMA at 6 random times per day and were provided access to a suite of recovery support EMI. Youth completed 87% of the 5580 EMAs. Based on use in the next 7days, EMA observations were classified into 3 risk groups: Current Use in the past 30 minutes (3% of observations), Unrecognized Risk (42%), or Recognized Risk (55%). All youth had observations in 2 or more risk groups and 38% in all 3. Youth accessed an EMI on average 162times each week. Results: Participants were 31% female, 48% African American, 21% Caucasian, 7% Hispanic, and 24% Mixed/Other; average age was 16.6years. During the 90days prior to entering treatment, youth reported using alcohol (38%), marijuana (41%), and other drugs (7%). When compared with the Recognized Risk group's use in the following week (31%), both the Unrecognized Risk (50%, odds ratio [OR] = 2.08) and Current Use (96%, OR = 50.30) groups reported significantly higher rates of use in the next week. When an EMI was accessed 2 or more times within the hour following an EMA, the rate of using during the next week was significantly lower than when EMIs were not accessed (32% vs. 43%, OR = 0.62). Conclusions: Results demonstrate the feasibility of using smartphones for recovery monitoring and support with adolescents, with potential to reduce use.