Compliance to Cell Phone-Based EMA Among Latino Youth in Outpatient Treatment

Compliance to Cell Phone-Based EMA Among Latino Youth in Outpatient Treatment
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DOI:
10.1080/15332640.2014.986354
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发表时间:
2015-07-03
影响因子:
1.3
通讯作者:
Wu, Nancy
Wu, Nancy
中科院分区:
医学4区
文献类型:
--
作者:
Comulada, W. Scott;Lightfoot, Marguerita;Wu, Nancy

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青少年药物使用者门诊治疗实践采用回顾性自我报告监测药物使用情况。基于手机的生态瞬时评估(CEMA)克服了回顾性自我报告的偏见,可以提高门诊治疗,特别是在拉丁裔青少年中,他们在CEMA方面的研究不足。本研究探讨了青少年(n=28; 93%拉丁裔)在门诊治疗中对基于短信的CEMA的依从性。在为期1个月的时间里,参与者轮流使用每日、随机和基于事件的CEMA策略。总体依从性高(约80%)。在研究期间,依从性略有下降,在随机策略与日常策略以及回顾性报告饮酒的日子里,依从性更低。研究结果表明,CEMA是拉丁裔青年门诊治疗的一种可行的监测工具,但需要进一步研究以确定最佳的CEMA策略、监测时间段以及CEMA对不同药物使用水平的适用性。
Outpatient treatment practices for adolescent substance users utilize retrospective self-report to monitor drug use. Cell phone-based ecological momentary assessment (CEMA) overcomes retrospective self-report biases and can enhance outpatient treatment, particularly among Latino adolescents, who have been understudied with regard to CEMA. This study explores compliance to text message-based CEMA with youth (n=28; 93% Latino) in outpatient treatment. Participants were rotated through daily, random, and event-based CEMA strategies for 1-month periods. Overall compliance was high (>80%). Compliance decreased slightly over the study period and was less during random versus daily strategies and on days when alcohol use was retrospectively reported. Findings suggest that CEMA is a viable monitoring tool for Latino youth in outpatient treatment, but further study is needed to determine optimal CEMA strategies, monitoring time periods, and the appropriateness of CEMA for differing levels of substance use.