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Using Smartphones to Improve Treatment Retention Among Impoverished Substance-Using Appalachian Women: A Naturalistic Study
OBJECTIVES: Longer retention in treatment is associated with positive outcomes. For women, who suffer worse drug-related problems than men, social technologies, which are more readily adopted by women, may offer promise. This naturalistic study examined whether a smartphone-based relapse-prevention...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6614935/ https://www.ncbi.nlm.nih.gov/pubmed/31312084 http://dx.doi.org/10.1177/1178221819861377 |
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author | Johnston, Darcie C Mathews, W David Maus, Adam Gustafson, David H |
author_facet | Johnston, Darcie C Mathews, W David Maus, Adam Gustafson, David H |
author_sort | Johnston, Darcie C |
collection | PubMed |
description | OBJECTIVES: Longer retention in treatment is associated with positive outcomes. For women, who suffer worse drug-related problems than men, social technologies, which are more readily adopted by women, may offer promise. This naturalistic study examined whether a smartphone-based relapse-prevention system, A-CHESS (Addiction-Comprehensive Health Enhancement Support System), could improve retention for women with substance use disorders in an impoverished rural setting. METHODS: A total of 98 women, age 18 to 40, in southeastern Kentucky and mandated to treatment, received A-CHESS with intensive outpatient treatment for 6 months. For comparison, data were obtained for a similar but non-equivalent group of 100 same-age women also mandated to treatment in the same clinics during the period. Electronic medical record data on length-of-stay and treatment service use for both groups were analyzed, with A-CHESS use data, to determine whether those using A-CHESS showed better retention than those without. RESULTS: Women with A-CHESS averaged 780 service units compared with 343 for the comparison group. For those with discharge dates prior to the study’s end, A-CHESS patients stayed in treatment a mean of 410 vs 262 days for the comparison group. CONCLUSIONS: Given associations between retention and positive outcomes, mobile health technology such as A-CHESS may help improve outcomes among women, especially in settings where access to in-person services is difficult. The findings, based on a non-equivalent comparison, suggest the need for further exploration with rigorous experimental designs to determine whether and to what degree access to a smartphone with A-CHESS may extend and support recovery for women. |
format | Online Article Text |
id | pubmed-6614935 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-66149352019-07-16 Using Smartphones to Improve Treatment Retention Among Impoverished Substance-Using Appalachian Women: A Naturalistic Study Johnston, Darcie C Mathews, W David Maus, Adam Gustafson, David H Subst Abuse Original Research OBJECTIVES: Longer retention in treatment is associated with positive outcomes. For women, who suffer worse drug-related problems than men, social technologies, which are more readily adopted by women, may offer promise. This naturalistic study examined whether a smartphone-based relapse-prevention system, A-CHESS (Addiction-Comprehensive Health Enhancement Support System), could improve retention for women with substance use disorders in an impoverished rural setting. METHODS: A total of 98 women, age 18 to 40, in southeastern Kentucky and mandated to treatment, received A-CHESS with intensive outpatient treatment for 6 months. For comparison, data were obtained for a similar but non-equivalent group of 100 same-age women also mandated to treatment in the same clinics during the period. Electronic medical record data on length-of-stay and treatment service use for both groups were analyzed, with A-CHESS use data, to determine whether those using A-CHESS showed better retention than those without. RESULTS: Women with A-CHESS averaged 780 service units compared with 343 for the comparison group. For those with discharge dates prior to the study’s end, A-CHESS patients stayed in treatment a mean of 410 vs 262 days for the comparison group. CONCLUSIONS: Given associations between retention and positive outcomes, mobile health technology such as A-CHESS may help improve outcomes among women, especially in settings where access to in-person services is difficult. The findings, based on a non-equivalent comparison, suggest the need for further exploration with rigorous experimental designs to determine whether and to what degree access to a smartphone with A-CHESS may extend and support recovery for women. SAGE Publications 2019-07-08 /pmc/articles/PMC6614935/ /pubmed/31312084 http://dx.doi.org/10.1177/1178221819861377 Text en © The Author(s) 2019 http://www.creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Research Johnston, Darcie C Mathews, W David Maus, Adam Gustafson, David H Using Smartphones to Improve Treatment Retention Among Impoverished Substance-Using Appalachian Women: A Naturalistic Study |
title | Using Smartphones to Improve Treatment Retention Among Impoverished
Substance-Using Appalachian Women: A Naturalistic Study |
title_full | Using Smartphones to Improve Treatment Retention Among Impoverished
Substance-Using Appalachian Women: A Naturalistic Study |
title_fullStr | Using Smartphones to Improve Treatment Retention Among Impoverished
Substance-Using Appalachian Women: A Naturalistic Study |
title_full_unstemmed | Using Smartphones to Improve Treatment Retention Among Impoverished
Substance-Using Appalachian Women: A Naturalistic Study |
title_short | Using Smartphones to Improve Treatment Retention Among Impoverished
Substance-Using Appalachian Women: A Naturalistic Study |
title_sort | using smartphones to improve treatment retention among impoverished
substance-using appalachian women: a naturalistic study |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6614935/ https://www.ncbi.nlm.nih.gov/pubmed/31312084 http://dx.doi.org/10.1177/1178221819861377 |
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