Trends in telemedicine use in addiction treatment

Molfenter, Todd; Boyle, Mike; Holloway, Don C.; Zwick, Janet

doi:10.1186/s13722-015-0035-4

Cited by 103 publications

(84 citation statements)

References 38 publications

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“…Videoconferencing-based treatment, either alone or combined with face-to-face treatment such as blended care, has shown great potential for enhancing treatment and recovery within substance use and psychiatric areas, as it decreases barriers of time and distance [ 11 , 12 ]. The field of videoconferencing-based treatment of AUDs is relatively new, and the few existing studies were predominantly small pilot and feasibility studies, which found high levels of patient satisfaction and acceptance [ 13 - 19 ].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Optional Videoconferencing-Based Treatment of Alcohol Use Disorders: Randomized Controlled Trial

Tarp¹,

Bojesen²,

Mejldal³

et al. 2017

JMIR Ment Health

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BackgroundTreatment of alcohol use disorders (AUDs) is characterized by an adherence rate below 50%. Clinical research has found that patient adherence enhances treatment effect; hence, health authorities, clinicians, and researchers strive to explore initiatives contributing to patients receiving treatment. Concurrently, videoconferencing-based treatment is gaining ground within other addiction and psychiatric areas.ObjectiveThe aim of this study was to test whether optional videoconferencing increases adherence to and effectiveness of AUD treatment in a randomized controlled trial (RCT). We hypothesized that the intervention would decrease premature dropout (the primary outcome), as well as increase successful treatment termination, treatment duration, and treatment outcome (secondary outcomes).MethodsWe conducted this study in the public outpatient alcohol clinic in Odense, Denmark, between September 2012 and April 2013. It was an RCT with 2 groups: treatment as usual (TAU) and treatment as usual with add-on intervention (TAU+I). The TAU+I group had the option, from session to session, to choose to receive treatment as usual via videoconferencing. Data consisted of self-reported responses to the European version of the Addiction Severity Index (EuropASI). We collected data at baseline, at follow-up at 3, 6, and 12 months, and at discharge.ResultsAmong consecutive patients attending the clinic, 128 met the inclusion criteria, and 71 of them were included at baseline. For the primary outcome, after 180 days, 2 of 32 patients (6%) in the TAU+I group and 12 of 39 patients (31%) in the TAU group had dropped out prematurely. The difference is significant (P=.008). After 365 days, 8 patients (25%) in the TAU+I group and 17 patients (44%) in the TAU group had dropped out prematurely. The difference is significant (P=.02). For the secondary outcomes, significantly more patients in the TAU+I group were still attending treatment after 1 year (P=.03). We found no significant differences between the 2 groups with regard to successful treatment termination and treatment outcome.ConclusionsThe results indicate that offering patients optional videoconferencing may prevent premature dropouts from treatment and prolong treatment courses. However, the small sample size precludes conclusions regarding the effect of the intervention, which was not detectable in the patients’ use of alcohol and severity of problems.Trial RegistrationThe Regional Health Research Ethics Committee System in Denmark: S-20110052; https://komite.regionsyddanmark.dk/wm258128 (Archived by WebCite at http://www.webcitation.org/6tTL3CO6u)

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Section: Introductionmentioning

confidence: 99%

Effectiveness of Optional Videoconferencing-Based Treatment of Alcohol Use Disorders: Randomized Controlled Trial

Tarp¹,

Bojesen²,

Mejldal³

et al. 2017

JMIR Ment Health

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“…Its potential to increase the efficiency of healthcare for chronic diseases has been studied, as in the case of alcohol abuse (4, 5). Furthermore, some research has indicated that this tool might provide a way for the patient to not suffer the stigma of being identified as an addict (6, 7). This issue seems to be crucial in countries such as Brazil, not only because of its geographical extension; it is also because the prevalence of alcohol-related disorders affect 4.1%, and 2.3% is dependent on alcohol dependence (8).…”

Section: Introductionmentioning

confidence: 99%

CBI-20: Psychometric Properties for the Coping Behaviors Inventory for Alcohol Abuse in Brazil

Constant¹,

Moret-Tatay

Benchaya³

et al. 2018

Front. Psychiatry

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For any professional, it is of crucial importance to know not only how coping styles and strategies are present in an individual, but to know about its role to the treatment of alcohol abuse. Moreover, new approaches have emerged in this area in terms of relapse prevention and the counseling by phone can be an alternative. The aim of this study is to examine the factor structure of the Coping Behaviors Inventory (CBI) and to test its invariance across groups face-to-face and phone counseling in Brazil. For this purpose, two studies were carried out: study I, the factor structure was revisited in terms of exploratory factor analysis. Study II, face-to-face and phone counseling were examined through confirmatory factor analysis and multigroup analysis. The results confirmed the 4-factor solution with a revised model for the removal of 16 items. Thus presented, a reduced version with better indexes than the previous versions developed over the last 30 years that was ones reformulated from 60 items. The Internal consistency for study I presented α = 0.90 and homogeneity was between 0.17 and 0.5). In addition the KMO = 0.9 = 0.932, X(df=630)2 = 6091.94, p < 0.0 < 0.001. In study II, cronbach's alpha = 0.91 and homogeneity 0.23–0.61 (telemedicine treatment) and α = 0.90 0.17 to 0.63 (face-to-face treatment). In the CFA, the examination of the current version has better fit than the that the traditional model. Moreover, the new version showed convergent validity with the IDHEA questionnaire. In the multigroup analysis no significant changes between groups to a metric level. Finally, the Brazilian version of inventory showed no differences between the phone counseling and face-to-face participants in a metric level after a multigroup analysis.

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“…Each of these risk factors – childhood and adult antisocial patterns, procriminal attitudes, weak pro-social support, employment problems, and lack of social-recreational activities – can be reliably assessed and improved with help from formal treatment, and possibly from informal sources such as mutual-help groups and technology-based programs (Bickel, Christensen, & Marsch , 2011; Lipsey, Landenberger, & Wilson, 2007). Telemedicine modalities, such as telephone-based care, internet-based screening and treatment, videoconferencing, and smartphone mobile applications (apps), remove the barrier of distance and so offer great potential for enhancing treatment and recovery for people with unhealthy drug use living in rural settings (Molfenter, Boyle, Holloway, & Zwick, 2015). In addition, the media has reported instances in which rural communities used technology-based resources to increase residents’ engagement in fun educational and creative artistic activities (Mader, 2014).…”

Section: Discussionmentioning

confidence: 99%

Criminogenic needs, substance use, and offending among rural stimulant users.

Timko

Booth

Han

et al. 2017

Journal of Rural Mental Health

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There is a need to understand the determinants of both substance use and criminal activity in rural areas in order to design appropriate treatment interventions for these linked problems. The present study drew on a predominant model used to assess and treat offenders -- the Risk-Need-Responsivity (RNR) model -- to examine risk factors for substance use and criminal activity in a rural drug using sample. This study extends the RNR model’s focus on offenders to assessing rural-dwelling individuals using stimulants (N=462). We examined substance use and criminal justice outcomes at 6-month (91%) and 3-year (79%) follow-ups, and used Generalized Estimating Equations to examine the extent to which RNR criminogenic need factors at baseline predicted outcomes at follow-ups. Substance use and criminal justice outcomes improved at six months, and even more at three years, post-baseline. As expected, higher risk was associated with poorer outcomes. Antisocial personality patterns and procriminal attitudes at baseline predicted poorer legal and drug outcomes measured at subsequent follow-ups. In contrast, less connection to antisocial others and fewer work difficulties predicted lower alcohol problem severity, but more frequent alcohol use. Engagement in social-recreational activities was associated with fewer subsequent arrests and less severe alcohol and drug problems. The RNR model’s criminogenic need factors predicted drug use and crime-related outcomes among rural residents. Services adapted to rural settings that target these factors, such as telehealth and other technology-based resources, may hasten improvement on both types of outcomes among drug users.

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Trends in telemedicine use in addiction treatment

Cited by 103 publications

References 38 publications

Effectiveness of Optional Videoconferencing-Based Treatment of Alcohol Use Disorders: Randomized Controlled Trial

Effectiveness of Optional Videoconferencing-Based Treatment of Alcohol Use Disorders: Randomized Controlled Trial

CBI-20: Psychometric Properties for the Coping Behaviors Inventory for Alcohol Abuse in Brazil

Criminogenic needs, substance use, and offending among rural stimulant users.

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