Substance Abuse Continuing Care through Mobile Assessment and Messaging.

描述（由申请人提供）：这个名为“通过移动评估和短信的药物滥用持续护理”的第一阶段SBIR应用程序旨在创建低成本，持续护理决策支持短信干预，以增加治疗依从性，减少退出并防止在专业协助成瘾治疗期间和之后问题药物使用的复发。基于治疗期间的高辍学率和治疗后的复发率，有人建议应该像治疗其他需要长期密切监测和护理的慢性疾病一样治疗成瘾。最近对适应性手机持续护理干预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。有一个新兴的文献使用短信和生态瞬间评估通过手机对慢性疾病如哮喘和糖尿病的低成本自动化疾病管理。短信非常适合于成瘾的持续护理，因为移动电话能够提供低成本的自适应监测和反馈，无论何时何地最可能复发。本研究旨在开发一种自动交互药物治疗持续护理短信干预的内容、结构、程序和用户界面，该干预可以在药物滥用治疗期间和之后根据症状的严重程度进行调节。干预将包括基于网络的评估、生态瞬间评估（EMA）、基于评估结果的适应性支持信息和咨询师/社会网络警报。干预的目的是让患者继续接受治疗，并帮助他们在治疗后维持长期的变化。我们将通过焦点小组获得外界对初步干预措施的反馈和审查，该小组由一组不同类型的参加药物滥用治疗的客户组成。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，这一信息传递计划有可能显著改善每年寻求治疗的220万慢性非法药物使用者的结果，这些人无需承担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，该方案可以由私人成瘾专家的客户使用，并可以适应到药物滥用者在早期阶段的变化作为一个阶梯式护理干预。

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.