Adding CM to MOUD using smartphone is effective: Study

Alison Knopf
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Abstract

Researchers have found that contingency management (CM)– rewarding desired behavior – using a smartphone application is effective in the treatment of opioid use disorder (OUD). In “Smartphone App–Based Contingency Management and Opioid Use Disorder Treatment Outcomes published in the December 2 issue of JAMA Network Open, researchers reported that augmenting medication for opioid use disorder (MOUD) with a smartphone app that financial rewards to patients for not using opioids was effective. Patients participating using the app plus receiving MOUD had fewer days of illicit opioid use and were retained in treatment longer than patients receiving MOUD only. Led by Elise N. Marino, Ph.D. of the Be Well Institute on Substance Use and Related Disorders, University of Texas Health Science Center at San Antonio, the researchers suggested that such programs should be expanded. Senior author Jennifer S. Potter, Ph.D. reported as a conflict of interest that she has received funding from KIOS, which makes a smartphone app to treat addiction, but did not participate in this study. The study was funded by Texas Targeted Opioid Response, a public health initiative operated by the Texas Health and Human Services Commission (HHSC) through federal funding from the Substance Abuse and Mental Health Services Administration (SAMHSA) and from the National Institute on Drug Abuse (NIDA). The study used the WEconnect smartphone app, a competitor to KIOS. The sample included 600 individuals, with 300 in each treatment group.

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使用智能手机将CM添加到mod中是有效的:学习
研究人员发现,使用智能手机应用程序进行应急管理(CM)——奖励期望的行为——对治疗阿片类药物使用障碍(OUD)是有效的。在12月2日出版的《美国医学会杂志网络开放》上发表的“基于智能手机应用程序的应急管理和阿片类药物使用障碍治疗结果”中,研究人员报告说,通过智能手机应用程序增加阿片类药物使用障碍(mod)的药物治疗,对不使用阿片类药物的患者进行经济奖励是有效的。与仅接受mod治疗的患者相比,使用该应用程序并接受mod治疗的患者使用非法阿片类药物的天数更少,并且持续治疗的时间更长。在圣安东尼奥德克萨斯大学健康科学中心物质使用和相关疾病研究所的Elise N. Marino博士的带领下,研究人员建议应该扩大这样的项目。资深作者Jennifer S. Potter博士报告说,由于利益冲突,她得到了KIOS的资助,该公司开发了一款治疗成瘾的智能手机应用程序,但她没有参与这项研究。该研究由德克萨斯州针对性阿片类药物反应资助,这是一项由德克萨斯州卫生与人类服务委员会(HHSC)通过药物滥用和精神卫生服务管理局(SAMHSA)和国家药物滥用研究所(NIDA)提供的联邦资金运营的公共卫生倡议。这项研究使用了智能手机应用WEconnect,这是KIOS的竞争对手。样本包括600人,每个治疗组300人。
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