Considerations and recommendations for mHealth interventions for substance use among Sexual and Gender Minority (SGM) individuals: A narrative review of the past 5 years.

IF 4.1 2区医学 Q1 SUBSTANCE ABUSE Current Addiction Reports Pub Date : 2023-05-26 DOI:10.1007/s40429-023-00497-0

Min-Jeong Yang, Úrsula Martínez, Vani N Simmons, Matthew B Schabath, Christine Vinci

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Abstract

Purposeof review: The prevalence of problematic substance use is disproportionately higher among sexual and gender minority (SGM) adults compared to adults in the general population. mHealth as a treatment modality could reduce barriers to accessing substance use treatments among SGM populations. Through a qualitative literature search, the current narrative review aimed to understand the lived experiences of SGM individuals who use substances and to synthesize recommendations made in the literature to inform future mHealth interventions.

Recent findings: Positive and negative reinforcement motives were prominent reasons for substance use, which included SGM identity expression and conformity motives. Individual- and system-level treatment barriers included a lack of safe and nonjudgmental environment, shame and stigma, and limited knowledge about treatment options. Barriers were directly linked to the reported substance use treatment needs in this population.

Summary: On-demand app features, real-time intervention and assessment, and anonymity should be considered in future mHealth trials.

Supplementary information: The online version contains supplementary material available at 10.1007/s40429-023-00497-0.

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针对性少数群体和性别少数群体（SGM）个体药物使用的mHealth干预措施的考虑因素和建议：过去5年的叙述性综述。

审查目的：与普通人群中的成年人相比，性少数和性别少数（SGM）成年人中问题药物使用的流行率不成比例地高。mHealth作为一种治疗模式可以减少SGM人群获得药物使用治疗的障碍。通过定性文献检索，目前的叙述性综述旨在了解使用药物的SGM个体的生活经历，并综合文献中提出的建议，为未来的mHealth干预措施提供信息。最近的研究结果：积极和消极强化动机是物质使用的主要原因，包括SGM身份表达和从众动机。个人和系统层面的治疗障碍包括缺乏安全和非评判性的环境、羞耻感和耻辱感，以及对治疗选择的了解有限。障碍与该人群报告的物质使用治疗需求直接相关。总结：在未来的mHealth试验中，应考虑随需应变的应用程序功能、实时干预和评估以及匿名性。补充信息：在线版本包含补充材料，可访问10.1007/s40429-023-00497-0。

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来源期刊

Current Addiction Reports Psychology-Clinical Psychology

CiteScore

6.60

自引率

4.70%

发文量

期刊介绍： This journal focuses on the prevention, assessment and diagnosis, and treatment of addiction. Designed for physicians and other mental health professionals who need to keep up-to-date with the latest research, Current Addiction Reports offers expert reviews on the most recent and important research in addiction. We accomplish this by appointing leaders in the field to serve as Section Editors in key subject areas and disciplines, such asAlcoholTobaccoStimulants, cannabis, and club drugsBehavioral addictionsGender disparities in addictionComorbid psychiatric disorders and addictionSubstance abuse disorders and HIVSection Editors, in turn, select the most pressing topics as well as experts to evaluate the latest research, report on any controversial discoveries or hypotheses of interest, and ultimately bring readers up-to-date on the topic. Articles represent interdisciplinary endeavors with research from fields such as psychiatry, psychology, pharmacology, epidemiology, and neuroscience.Additionally, an international Editorial Board—representing a range of disciplines within addiction medicine—ensures that the journal content includes current, emerging research and suggests articles of special interest to their country or region.