Continuing Care App for Justice-Involved Individuals with Substance Use Disorders

适用于患有药物滥用障碍的司法相关个人的持续护理应用程序

• 批准号: 10673293
• 负责人: Steven Bernard Carswell
• 金额: $ 57.35万
• 依托单位: FRIENDS RESEARCH INSTITUTE, INC.
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-06-01 至 2025-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10673293
• 关键词: 2 arm randomized control trial; Address; Adoption; Adult; Ambulatory Care; Attention; Behavior; COVID-19; Caring; Cellular Phone; Chronic Disease; Client; Cognitive Therapy; Communities; Conduct Clinical Trials; Crime; Criminology; Development; Diffusion; Disparity population; Dropout; Drug Screening; Drug abuse; Drug usage; Effectiveness; Enrollment; Evaluation; Evidence based treatment; Feedback; General Population; Growth; Health; Health Insurance Portability and Accountability Act; Health Personnel; Health Services Accessibility; High Prevalence; Imprisonment; Individual; Internet; Intervention; Interview; Justice; Learning; Long-Term Care; Mental Health; Outcome; Outpatients; Participant; Patient Self-Report; Phase; Population; Process; Public Health; Randomized; Randomized, Controlled Trials; Recovery; Recovery Support; Regulatory Pathway; Relapse; Research Personnel; Risk; Risk Behaviors; Sampling; Schedule; Screening Result; Self Management; Services; Site; Substance Use Disorder; Supervision; Support System; Systems Integration; Technology; Theoretical model; Transportation; Treatment outcome; Urine; Vulnerable Populations; Woman; Work; adverse outcome; alcohol use disorder; arm; behavior change; compare effectiveness; criminal behavior; criminal thinking; design; digital intervention; digital treatment; effectiveness evaluation; effectiveness trial; experience; feasibility trial; field study; flexibility; high risk; improved; informant; innovation; men; mobile application; mortality risk; outpatient programs; outreach; parole; parolee; physical conditioning; premature; primary outcome; probation; probationer; programs; prototype; rearrest; reduced substance use; relapse risk; satisfaction; secondary outcome; societal costs; substance use; substance use treatment; support tools; theories; therapy design; tool; treatment as usual; usability

Abstract Substance use disorders (SUDs) continue to be one of the most serious public health problems in the US.1 Studies have consistently documented a substantially higher prevalence of SUDs among adults under justice supervision in the community (i.e., probation/parole) as compared to the general population.2-4 Continuing care initiatives for individuals with SUDs have gained increased attention with the recognition that substance use treatment requires long-term care.15, 46, 47, 54-58 Studies show that continuing care interventions can provide ongoing support or extend primary treatment gains with respect to reductions in substance use, relapse, and criminal activity.12, 52, 55, 56, 61-63 Recent diffusion of Internet and smartphone technologies among disadvantaged populations now offers unprecedented opportunities for increasing access to quality continuing care interventions as well as chronic disease self-management tools. Probationers and parolees at high risk for drug abuse relapse and involvement in health compromising behaviors are an important population that stands to benefit from continuing care technologies. Building on our team’s extensive experience in the fields of criminology and substance use, we propose to finalize the development of a Continuing Care mobile application (app) by enhancing app capabilities and conducting a randomized controlled trial to assess its effectiveness among clients on probation or parole who are enrolled in outpatient substance use treatment. The app is designed to meet the recovery and personal support needs of probationers and parolees with SUDs who are at elevated risk of relapse, treatment discontinuation, re-arrest, and incarceration. It is guided by the principles of the transtheoretical model of behavior change,24 and app content is derived from the Your Own Reintegration System (YOURS) program,25 an empirically-supported26 intervention that focuses on substance use recovery, reducing criminal thinking and behavior, and cultivating support systems. If proven to be effective, the CC app could be deployed across the national network of outpatient treatment providers and be highly significant in its direct impact on public health.

摘要 物质使用障碍(SODS)仍然是美国最严重的公共卫生问题之一。 研究一直证明，在受司法制裁的成年人中，肥胖症的患病率要高得多。 社区监督(即，缓刑/假释)与普通民众相比。2-4继续护理 随着人们认识到物质的使用，针对肥皂泡患者的倡议得到了越来越多的关注 治疗需要长期护理15、46、47、54-58研究表明，持续护理干预可以提供 持续支持或延长初级治疗成果，以减少药物使用、复发和 犯罪活动12、52、55、56、61-63最近互联网和智能手机技术在弱势群体中的传播 人口现在为增加获得优质持续护理干预的机会提供了前所未有的机会 以及慢性病自我管理工具。药物滥用复发的高危缓刑人员和假释犯 参与危害健康的行为是一个重要的人群，将从 持续护理技术。 基于我们团队在犯罪学和药物使用领域的丰富经验，我们建议 通过增强持续关怀移动应用程序(APP)的功能和 进行随机对照试验，评估其在缓刑或假释患者中的有效性 都参加了门诊药物使用治疗。该应用程序旨在满足恢复和个人 对复发风险较高的缓刑和假释犯的支持需求，治疗 停职、重新逮捕和监禁。它是由跨理论模型的原则指导的 行为改变，24和应用程序内容源自您自己的重新整合系统(您的)计划，25 26有经验支持的干预措施，重点是恢复药物使用，减少犯罪思维和 行为，培养支持系统。如果证明是有效的，CC应用程序可以部署在 它是由全国门诊治疗提供者组成的网络，对公众健康的直接影响非常重大。