A Randomized Trial of a Telecommunications Network for Pregnant Women Who Use Cocaine

Alemi, Farrokh; Stephens, Richard C.; Javalghi, Rajshekhar G.; Dyches, Hayne; Butts, John D.; Ghadiri, Ali

doi:10.1097/00005650-199610003-00002

Cited by 38 publications

(27 citation statements)

References 6 publications

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“…1999; Rapp, Siegel & Fisher, 1992; Sullivan, Wolf & Hartmann, 1992). Additionally, electronic communication with a case manager has been shown to support behavioral change efforts of people with chronic diseases (Tufano & Karras, 2005) including addictions (Alemi, Stephens, Javalghi et al, 1996). Research suggests that ongoing program contact can be beneficial as it provides complementary social support, in addition to teaching coping skills and providing prompts.…”

Section: Explicating a Mobile Technology-based Relapse Prevention Symentioning

confidence: 99%

Explicating an Evidence-Based, Theoretically Informed, Mobile Technology-Based System to Improve Outcomes for People in Recovery for Alcohol Dependence

Gustafson¹,

Shaw²,

Isham³

et al. 2010

Substance Use & Misuse

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Post treatment relapse to uncontrolled alcohol use is common. More cost-effective approaches are needed. We believe currently available communication technology can use existing models for relapse prevention to cost-effectively improve long-term relapse prevention. This paper describes: 1) research-based elements of alcohol related relapse prevention and how they can be encompassed in Self Determination Theory (SDT) and Marlatt’s Cognitive Behavioral Relapse Prevention Model, 2) how technology could help address the needs of people seeking recovery, 3) a technology-based prototype, organized around Self Determination Theory and Marlatt’s model and 4) how we are testing a system based on the ideas in this article and related ethical and operational considerations.

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Section: Explicating a Mobile Technology-based Relapse Prevention Symentioning

confidence: 99%

Explicating an Evidence-Based, Theoretically Informed, Mobile Technology-Based System to Improve Outcomes for People in Recovery for Alcohol Dependence

Gustafson¹,

Shaw²,

Isham³

et al. 2010

Substance Use & Misuse

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“…Specifically, in the area of substance use disorder treatment, technology-assisted programs have shown potential to enhance treatment engagement and retention among pregnant cocaine abusers [5,6], disaster survivors with mental health and substance use disorders [7], and problem drinkers [8-11]. Researchers have proposed that computer- and internet-based interventions have potential to close the gap between treatment need and capacity by reaching populations that have not traditionally participated in treatment [12,13] and improving overall treatment outcomes [14].…”

Section: Introductionmentioning

confidence: 99%

“…In a study of pregnant cocaine abusers, those who used online services three or more times per week were found to be two to three times more likely to participate in self-care activities and treatment than clients assigned to the usual face-to-face support [6]. In a separate study, 87% of clients offered online services with therapeutic e-mail participated in the program, and use of these services was positively associated with treatment retention [5].…”

Section: Introductionmentioning

confidence: 99%

An exploratory study of engagement in a technology-supported substance abuse intervention

VanDeMark

Burrell²,

LaMendola

et al. 2010

Subst Abuse Treat Prev Policy

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BackgroundThe continuing gap between the number of people requiring treatment for substance use disorders and those receiving treatment suggests the need to develop new approaches to service delivery. Meanwhile, the use of technology to provide counseling and support in the substance abuse field is exploding. Despite the increase in the use of technology in treatment, little is known about the impact of technology-supported interventions on access to services for substance use disorders. The E-TREAT intervention brings together the evidence-based practice of Motivational Interviewing and theories of Persuasive Technology to sustain clients' motivation to change substance use behaviors, provide support for change, and facilitate continuity across treatment settings.MethodsThis study used descriptive statistics, tests of statistical significance, and logistic regression to explore the characteristics and perceptions of the first 157 people who agreed to participate in E-TREAT and the predictors of their active engagement in E-TREAT services. In addition, responses to open-ended questions about the participants' experiences with the intervention were analyzed.ResultsThe data reveal that clients who engaged in E-TREAT were more likely than those who did not engage to be female, have children and report a positive relationship with their recovery coach, and were less likely to have completed treatment for a substance use disorder in the past. A majority of people engaging in E-TREAT reported that it was helpful to talk with others with similar problems and that the program assisted them in developing a sense of community.ConclusionsThe authors conclude that technology-assisted interventions hold promise in expanding access to treatment for substance use disorders especially for women and parents. Further, the characteristics of the relationship with a coach or helper may be critical to engagement in technology-supported interventions. Additional investigation into ways technology may be useful to enhance treatment access for certain subgroups is needed.

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“…In a second study [24], the impact of electronic self-help groups on 53 recovering pregnant women was examined. Subjects were recruited from previously randomly assigned groups.…”

Section: Introductionmentioning

confidence: 99%

Therapeutic emails

Alemi

Haack²,

Nemes

et al. 2007

Subst Abuse Treat Prev Policy

Self Cite

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Background: In this paper, we show how counselors and psychologists can use emails for online management of substance abusers, including the anatomy and content of emails that clinicians should send substance abusers. Some investigators have attempted to determine if providing mental health services online is an efficacious delivery of treatment. The question of efficacy is an empirical issue that cannot be settled unless we are explicitly clear about the content and nature of online treatment. We believe that it is not the communications via internet that matters, but the content of these communications. The purpose of this paper is to provide the content of our online counseling services so others can duplicate the work and investigate its efficacy.

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A Randomized Trial of a Telecommunications Network for Pregnant Women Who Use Cocaine

Abstract: Almost all patients used the computer services to some extent, but there seems to be a threshold after which the use of the services had a more positive impact.

Cited by 38 publications

References 6 publications

Explicating an Evidence-Based, Theoretically Informed, Mobile Technology-Based System to Improve Outcomes for People in Recovery for Alcohol Dependence

Explicating an Evidence-Based, Theoretically Informed, Mobile Technology-Based System to Improve Outcomes for People in Recovery for Alcohol Dependence

An exploratory study of engagement in a technology-supported substance abuse intervention

Therapeutic emails

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