Racial/ethnic subgroup differences in outcomes and acceptability of an Internet-delivered intervention for substance use disorders.

Racial/ethnic subgroup differences in outcomes and acceptability of an Internet-delivered intervention for substance use disorders.
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DOI:
10.1080/15332640.2017.1300550
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发表时间:
2017-10
影响因子:
1.3
通讯作者:
Nunes EV
Nunes EV
中科院分区:
医学4区
文献类型:
--
作者:
Campbell ANC;Montgomery L;Sanchez K;Pavlicova M;Hu M;Newville H;Weaver L;Nunes EV

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The Therapeutic Education System (TES), an Internet-version of the Community Reinforcement Approach plus prized-based motivational incentives, is one of few empirically-supported technology-based interventions for substance use disorders. To date, however, there has not been a study exploring differences in substance use outcomes or acceptability of TES among racial/ethnic subgroups. This study uses data from a multi-site (N=10) effectiveness study of TES to explore if race/ethnicity subgroups (White [n=267], Black/African American [n=112], and Hispanic/Latino [n=55]) moderate the effect of TES. Generalized linear mixed models were used to test if abstinence, retention, social functioning, coping, craving or acceptability differed by racial/ethnic subgroup. Findings demonstrated that race/ethnicity did not moderate the effect of TES vs treatment-as-usual (TAU) on abstinence, retention, social functioning or craving. A three-way interaction (treatment, race/ethnicity, and abstinence status at study entry) showed that among White participants not abstinent at study entry, TES was associated with greater coping scores compared to TAU participants (p=.008); among Black participants abstinent at study entry, TES was associated with greater coping scores compared to TAU participants (p<.001). Acceptability of the TES intervention, although high overall, was significantly different by race/ethnicity subgroup with White participants reporting lower acceptability of TES compared to Black (p=.006) and Hispanic/Latino (p=.008) participants. TES appears to be a good candidate treatment among a diverse population of treatment seeking individuals with substance use disorders.
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