COVID-19 Social Distancing and Online Mutual Help Engagement for Alcohol Use Recovery
COVID-19 Social Distancing and Online Mutual Help Engagement for Alcohol Use Recovery
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DOI：
10.1097/adm.0000000000000797
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发表时间：
2021-11-01
影响因子：
5.5
通讯作者：
Kraemer, Kevin L.
中科院分区：
文献类型：
--
作者：
Colditz, Jason B.;Rothenberger, Scott D.;Kraemer, Kevin L.
简介：2019冠状病毒病及相关的社交距离对参与面对面互助团体（MHG）的个人提出了挑战，例如酗酒者匿名会（Alcoholics Anonymous），以恢复酒精使用。在线MHG可能特别吸引那些访问受限或倾向于亲自参加MHG的个人。我们研究了流行的“StopDrinking”在线MHG中的参与度，假设随着COVID-19社交距离的进展，由于对虚拟同伴支持的需求，参与度会增加。研究方法：我们收集了2018年2月19日至2020年4月30日期间StopDrinking的公开参与数据，同时将2020年3月和4月视为最初受自愿或强制COVID-19社交距离影响的月份。我们使用季节性自回归综合移动平均模型，根据2020年4月之前收集的所有可用参与数据预测此社交距离时间段的每日参与度。采用具有95%预测限的卡尔曼滤波来定义观测数据的显著阈值。结果：2020年3月和4月观察到的所有参与天数均低于相应的预测值。观察到的参与度在36%的天数中低于95%的预测下限，其中3月有15天，4月有7天明显低于预测的参与度。结论：StopDrinking的活动相对较低，可能表明在最初的COVID-19社交距离时间段内，有问题的酒精使用和恢复脱离的更广泛的人口趋势。需要对在线MHG进行持续调查，以了解其监测人口健康趋势的潜力，并了解这些群体如何在危机和孤立的情况下支持酒精使用的恢复。
Introduction: COVID-19 and associated social distancing has presented challenges for individuals engaging in face-to-face mutual help groups (MHGs) such as Alcoholics Anonymous for alcohol use recovery. Online MHGs may be particularly appealing to individuals with limited access or inclination to attend in-person MHGs. We examined engagement within the popular "StopDrinking" online MHG, hypothesizing that engagement would increase due to demand for virtual peer support as COVID-19 social distancing progressed. Methods: We collected publicly available engagement data for StopDrinking from February 19, 2018 through April 30, 2020 while considering March and April of 2020 as months initially impacted by voluntary or mandated COVID-19 social distancing. Using seasonal autoregressive integrated moving average models, we predicted daily engagement for this social distancing time period based on all available engagement data collected before April 2020. Kalman filtering with 95% prediction limits was employed to define significant thresholds for observed data to reside within. Results: All days of observed engagement in March and April 2020 were lower than corresponding predicted values. Observed engagement fell below the lower 95% prediction limit for 36% of days, with 15 days in March and 7 days in April having significantly lower than predicted engagement. Conclusions: Relatively low activity on StopDrinking may signal broader population trends of problematic alcohol use and recovery disengagement during the initial COVID-19 social distancing timeframe. Continued investigation of online MHGs is needed to understand their potential for monitoring population health trends and to understand how such groups might support alcohol use recovery in contexts of crisis and isolation.