Substance Abuse Continuing Care through Mobile Assessment and Messaging.

描述(由申请人提供)：这个名为“通过移动评估和信息传递的药物滥用持续护理”的第一阶段SBIR应用程序旨在创建一种低成本、持续护理决策支持短信干预措施，以提高治疗依从性，减少辍学，并防止在专业协助的成瘾治疗期间和之后再次使用问题药物。基于治疗期间的高辍学率和治疗后的复发率，有人建议，对成瘾的治疗应与其他需要长期密集监测和护理的慢性病类似。最近关于基于电话的适应性持续护理干预措施的研究支持对那些试图改变非法药物滥用和整个社会的人使用慢性护理成瘾治疗模式。有一种新兴的文献，关于通过移动电话使用短信和生态瞬时评估来对哮喘和糖尿病等慢性病进行低成本的自动化疾病管理。短信非常适合成瘾持续护理，因为移动电话能够提供低成本的适应性监测和反馈，无论何时何地复发最有可能发生。这项拟议的研究旨在开发一种自动化互动药物治疗持续护理短信干预的内容、结构、编程和用户界面，该干预可根据药物滥用治疗期间和之后的症状严重程度进行调整。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性信息以及辅导员/社交网络警报。这项干预措施旨在留住接受治疗的人，并帮助他们在接受治疗后保持长期的变化。我们将通过与参加药物滥用治疗的不同服务对象的焦点小组，获得外部反馈和对初步干预措施的审查。在成瘾、持续护理、短信和生态瞬时评估方面拥有专业知识的思想领袖将帮助开发干预的核心内容和特征。成功的具体内容和方案编制基准将决定第二阶段的可行性。如果成功，这一信息计划有可能显着改善220万慢性非法药物使用者的结果，这些人每年寻求治疗，而没有实施传统的基于辅导员的持续护理干预所需的财政负担和/或时间承诺。此外，该计划可以由私人成瘾专家的客户使用，并可以调整为在改变的早期阶段接触到物质滥用者，作为一种分步护理干预。

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.