Sarah Kanana Kiburi , Elizabeth Ngarachu , Andrew Tomita , Saeeda Paruk , Bonginkosi Chiliza
{"title":"Digital interventions for opioid use disorder treatment: A systematic review of randomized controlled trials","authors":"Sarah Kanana Kiburi , Elizabeth Ngarachu , Andrew Tomita , Saeeda Paruk , Bonginkosi Chiliza","doi":"10.1016/j.jsat.2022.108926","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>Opioid use disorders are associated with a high burden of disease and treatment gap. Digital interventions can be used to provide psycho-social treatment for opioid use disorders, as an alternative to or together with face-to-face interventions. This review aimed to assess the application and effectiveness of digital interventions to treat opioid use disorder globally.</p></div><div><h3>Methods</h3><p>The study team searched four electronic databases (PubMed, Psych INFO, Web of Science and Cochrane Central register of controlled trials). The inclusion criteria were: randomized controlled trials, assessment for opioid use before and at least once following intervention, and use of digital interventions. The primary outcomes were opioid use and/or retention in treatment, with data being summarized in tables and a narrative review presented.</p></div><div><h3>Results</h3><p><span>The initial database search yielded 3542 articles, of which this review includes 20. Nineteen were conducted among adults in the United States. The digital interventions used included web-based, computer-based, telephone calls, video conferencing, automated self-management system, mobile applications and text messaging. They were based on therapeutic education systems, community reinforcement approaches, cognitive behavior therapy, </span>relapse prevention, brief interventions, supportive counselling and motivational interviewing. The studies had mixed findings; of the 20 studies, 10 had statistically significant differences between the treatment groups for opioid abstinence, and four had significant differences for treatment retention. Comparisons were difficult due to varying methodologies. Participants rated the interventions as acceptable and reported high rates of satisfaction.</p></div><div><h3>Conclusion</h3><p>The use of digital interventions for opioid use disorder treatment was acceptable, with varying levels of effectiveness for improving outcomes, which is influenced by participant and intervention delivery factors. Further studies in different parts of the world should compare these findings, specifically in low- and middle-income countries.</p></div>","PeriodicalId":17148,"journal":{"name":"Journal of Substance Abuse Treatment","volume":"144 ","pages":"Article 108926"},"PeriodicalIF":3.7000,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Substance Abuse Treatment","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0740547222002082","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
引用次数: 2
Abstract
Introduction
Opioid use disorders are associated with a high burden of disease and treatment gap. Digital interventions can be used to provide psycho-social treatment for opioid use disorders, as an alternative to or together with face-to-face interventions. This review aimed to assess the application and effectiveness of digital interventions to treat opioid use disorder globally.
Methods
The study team searched four electronic databases (PubMed, Psych INFO, Web of Science and Cochrane Central register of controlled trials). The inclusion criteria were: randomized controlled trials, assessment for opioid use before and at least once following intervention, and use of digital interventions. The primary outcomes were opioid use and/or retention in treatment, with data being summarized in tables and a narrative review presented.
Results
The initial database search yielded 3542 articles, of which this review includes 20. Nineteen were conducted among adults in the United States. The digital interventions used included web-based, computer-based, telephone calls, video conferencing, automated self-management system, mobile applications and text messaging. They were based on therapeutic education systems, community reinforcement approaches, cognitive behavior therapy, relapse prevention, brief interventions, supportive counselling and motivational interviewing. The studies had mixed findings; of the 20 studies, 10 had statistically significant differences between the treatment groups for opioid abstinence, and four had significant differences for treatment retention. Comparisons were difficult due to varying methodologies. Participants rated the interventions as acceptable and reported high rates of satisfaction.
Conclusion
The use of digital interventions for opioid use disorder treatment was acceptable, with varying levels of effectiveness for improving outcomes, which is influenced by participant and intervention delivery factors. Further studies in different parts of the world should compare these findings, specifically in low- and middle-income countries.
阿片类药物使用障碍与高疾病负担和治疗差距相关。数字干预措施可用于为阿片类药物使用障碍提供社会心理治疗,作为面对面干预措施的替代方案或与之相结合。本综述旨在评估数字干预在全球治疗阿片类药物使用障碍中的应用和有效性。方法研究小组检索了PubMed、Psych INFO、Web of Science和Cochrane Central register of controlled trials四个电子数据库。纳入标准为:随机对照试验,干预前和干预后至少一次阿片类药物使用评估,以及数字干预的使用。主要结果是阿片类药物在治疗中的使用和/或保留,数据汇总在表格中,并提出叙述性综述。结果初始数据库检索得到3542篇文献,其中本综述纳入20篇。其中19项是在美国成年人中进行的。使用的数字干预措施包括网络、计算机、电话、视频会议、自动自我管理系统、移动应用程序和短信。它们基于治疗性教育系统、社区强化方法、认知行为疗法、复发预防、简短干预、支持性咨询和动机性访谈。这些研究有不同的发现;在这20项研究中,10项研究在阿片类药物戒断治疗组之间有统计学显著差异,4项研究在治疗保留方面有显著差异。由于方法不同,比较很困难。参与者认为这些干预措施是可以接受的,并报告了很高的满意度。结论数字干预在阿片类药物使用障碍治疗中的应用是可接受的,其改善结果的有效性受参与者和干预交付因素的影响程度不一。在世界不同地区进行的进一步研究应该比较这些发现,特别是在低收入和中等收入国家。
期刊介绍:
The Journal of Substance Abuse Treatment (JSAT) features original reviews, training and educational articles, special commentary, and especially research articles that are meaningful to the treatment of alcohol, heroin, marijuana, and other drugs of dependence. JSAT is directed toward treatment practitioners from all disciplines (medicine, nursing, social work, psychology, and counseling) in both private and public sectors, including those involved in schools, health centers, community agencies, correctional facilities, and individual practices. The editors emphasize that JSAT articles should address techniques and treatment approaches that can be used directly by contemporary practitioners.