Ecological Momentary assessment and Smartphone application intervention in adolescents with Substance use and Comorbid Severe Psychiatric disorders: Study Protocol
Ecological Momentary assessment and Smartphone application intervention in adolescents with Substance use and Comorbid Severe Psychiatric disorders: Study Protocol
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DOI：
10.3389/fpsyt.2016.00157
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发表时间：
2016-09-20
影响因子：
4.7
通讯作者：
Khazaal, Yasser
中科院分区：
文献类型：
--
作者：
Benarous, Xavier;Edel, Yves;Khazaal, Yasser
背景：物质使用障碍（SUD）在住院的青少年精神疾病患者中非常普遍。在这个人群中，物质使用和其他精神疾病的结果可以相互加强。尽管需要对患有双重诊断的青年进行综合干预，但几乎没有具体的手段。基于应用程序的技术在帮助减少青少年药物使用方面取得了可喜的成果，但其在患有相关严重精神疾病的青少年中的适用性却记录甚少。我们的目标是评估所有物质使用者的生态瞬时评估（EMA）干预的可行性，以及大麻使用者的智能手机应用程序的可行性（Stop-Cannabis），用于出院后的门诊治疗。方法和分析：2016年至2018年期间在大学医院住院的所有患有精神疾病的住院青少年将接受系统的SUD筛查，如果阳性，将由一个独立的成瘾专家小组进行评估。将邀请并帮助确认SUD的受试者在出院前一周下载EMA应用程序，如果需要，还将下载Stop-Cannabis应用程序。有关的可接受性和使用的应用程序和EMA数据的有效性比较，临床assessments.Discussion的信息将在6个月和1年后进行评估：本研究的目的是提出具体的问题，考虑有关物质的使用，上下文因素之间的顺序，和其他精神症状的青少年共病严重精神障碍。更好地了解所涉及的机制将告知在该年龄的双重疾病的综合治疗的发展。伦理和传播：该研究已经获得批准和授予。传播工作将包括在国际大会上发言以及在同行评审期刊上发表文章。
Context: Substance use disorders (SUDs) are highly prevalent among inpatient adolescents with psychiatric disorders. In this population, substance use and other psychiatric outcomes can reinforce one another. Despite the need for integrated interventions in youths with dual diagnoses, few specific instruments are available. App-based technologies have shown promising results to help reduce substance use in adolescents, but their applicability in youths with associated severe psychiatric disorders is poorly documented. We aim to evaluate the feasibility of an ecological momentary assessment (EMA) intervention for all substance users, and of a smartphone application for cannabis users (Stop-Cannabis), for outpatient treatment after hospital discharge.Methods and analysis: All inpatient adolescents with psychiatric disorders hospitalized between 2016 and 2018 in a university hospital will be systematically screened for SUD and, if positive, will be assessed by an independent specialist addiction team. Participants with confirmed SUDs will be invited and helped to download an EMA app and, if required, the Stop-Cannabis app, the week preceding hospital discharge. Information about the acceptability and use of both apps and the validity of EMA data in comparison to clinical assessments will be assessed after 6 months and 1 year.Discussion: This research has been designed to raise specific issues for consideration regarding the sequence between substance use, contextual factors, and other psychiatric symptoms among adolescents with comorbid severe psychiatric disorders. A better understanding of the mechanisms involved will inform the development of integrated treatment for dual disorders at that age.Ethics and dissemination: The study has already been approved and granted. Dissemination will include presentations at international congresses as well as publications in peer-reviewed journals.