Substance Abuse Continuing Care through Mobile Assessment and Messaging.

通过移动评估和消息传递进行药物滥用持续护理。

• 批准号: 7998538
• 负责人: Fred John Muench
• 金额: $ 11.93万
• 依托单位: MOBILE HEALTH INTERVENTIONS, LLC
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-07-01 至 2010-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7998538
• 关键词: Abstinence; Alcohol or Other Drugs use; Artificial Intelligence; Asthma; Back; Behavioral Research; Benchmarking; Body Weight decreased; Car Phone; Caring; Chronic; Chronic Care; Chronic Disease; Client; Clinical; Data; Databases; Decision Support Systems; Development; Diabetes Mellitus; Disease Management; Drops; Drug abuse; Drug usage; Drug user; Effectiveness; Enrollment; Ensure; Environment; Expenditure; Feedback; Focus Groups; Fostering; Frequencies; Goals; Health; Health Care Costs; Health Personnel; Health behavior; Illicit Drugs; Individual; Intervention; Knowledge; Literature; Long-Term Care; Marketing; Memory; Modeling; Monitor; Motivation; Online Systems; Outcome; Persons; Pharmaceutical Preparations; Phase; Principal Investigator; Professional counselor; Provider; Randomized Controlled Trials; Recurrence; Relapse; Reporting; Research; Resources; Running; Secure; Severities; Small Business Innovation Research Grant; Smoking; Social Network; Societies; Specialist; Staging; Stimulus Generalization; Structure; Substance Addiction; Substance abuse problem; Symptoms; System; Technology; Telephone; Testing; Text; Therapeutic; Time; United States Substance Abuse and Mental Health Services Administration; addiction; base; cost; data management; design; disorder later incidence prevention; financial incentive; improved; meetings; prevent; programs; prototype; psychosocial; response; substance abuse treatment; substance abuser; success; treatment adherence; treatment program; volunteer

DESCRIPTION (provided by applicant): This Phase I SBIR application entitled "Substance Abuse Continuing Care through Mobile Assessment and Messaging" is designed to create a low cost, continuous care decision support text messaging intervention to increase treatment adherence, decrease drop-out and prevent the recurrence of problem drug use during and following professionally facilitated addiction treatment. Based on the high drop-out rates during treatment and relapse rates following treatment, it has been proposed that addiction should be treated similarly to other chronic illnesses that require long-term intensive monitoring and care. Recent research on adaptive phone-based continuing care interventions supports the use of a chronic care addictions treatment model both for those attempting to change illicit substance abuse and society as a whole. There is an emerging literature on the use of text messaging and ecological momentary assessment through mobile phones for low cost automated disease management of chronic illnesses like asthma and diabetes. Text messaging is ideally suited to addiction continuous care because the mobile phone is capable of providing low cost adaptive monitoring and feedback wherever and whenever relapse is most likely to occur. The proposed study is designed to develop the content, structure, programming and user interface of an automated interactive drug treatment continuous care text messaging intervention that can be modulated by the severity of symptoms during and following substance abuse treatment. The intervention will include web-based assessment, ecological momentary assessment (EMA), adaptive supportive messaging based on assessment results and counselor/social network alerts. The intervention is designed to both retain persons in treatment and help them sustain long-term change following treatment. We will obtain outside feedback and review of the preliminary intervention through focus groups with a heterogeneous group of clients enrolled in substance abuse treatment. Thought leaders with expertise in addiction, continuous care, text messaging and ecological momentary assessment will help develop the core content and features of the intervention. Specific content and programming benchmarks for success will determine Phase II feasibility. If successful this messaging program has the potential to significantly improve outcomes for the 2.2 million chronic illicit substance users who seek treatment each year without the financial burden and/or time commitment needed to implement traditional counselor based continuing care interventions. Additionally, the program can be used by clients of private addiction specialists and could be adapted to reach substance abusers in earlier stages of change as a stepped care intervention.

描述（由申请人提供）：本SBIR I期申请题为“通过移动的评估和消息传递进行药物滥用持续护理”，旨在创建一种低成本的持续护理决策支持短信干预，以提高治疗依从性，减少脱落，并防止在专业辅助成瘾治疗期间和之后再次使用问题药物。鉴于治疗期间的高辍学率和治疗后的高复发率，有人建议，成瘾应与其他需要长期密切监测和护理的慢性病一样得到治疗。最近的研究自适应电话为基础的持续护理干预支持使用慢性护理成瘾治疗模式，无论是对那些试图改变非法药物滥用和整个社会。有一个新兴的文献使用短信和生态瞬时评估通过移动的电话的低成本自动化疾病管理的慢性疾病，如哮喘和糖尿病。短信非常适合成瘾持续护理，因为移动的电话能够提供低成本的自适应监测和反馈，无论何时何地复发最有可能发生。拟议的研究旨在开发自动化交互式药物治疗持续护理短信干预的内容、结构、编程和用户界面，该干预可以在药物滥用治疗期间和之后通过症状的严重程度进行调节。干预措施将包括基于网络的评估、生态瞬时评估（EMA）、基于评估结果的适应性支持信息以及顾问/社交网络警报。干预措施旨在使患者继续接受治疗，并帮助他们在治疗后保持长期变化。我们将通过焦点小组与参加药物滥用治疗的异质性客户群获得外部反馈和初步干预的审查。在成瘾、持续护理、短信和生态瞬时评估方面具有专业知识的思想领袖将有助于制定干预的核心内容和特征。具体内容和成功的方案编制基准将决定第二阶段的可行性。如果成功的话，这个信息传递计划有可能显着改善220万慢性非法药物使用者的结果，他们每年寻求治疗，而没有实施传统的基于咨询师的持续护理干预所需的经济负担和/或时间承诺。此外，该方案可供私人成瘾专家的客户使用，并可作为一种阶梯式护理干预措施，在改变的早期阶段适用于药物滥用者。