支持海洛因成瘾康复的智能手机应用程序:中国大陆、中国台湾和美国患者与医疗服务提供者的观点。

IF 5.2 3区 医学 Q1 NEUROSCIENCES Journal of Neuroimmune Pharmacology Pub Date : 2016-09-01 Epub Date: 2016-02-04 DOI:10.1007/s11481-016-9653-1
Marya Schulte, Di Liang, Fei Wu, Yu-Ching Lan, Wening Tsay, Jiang Du, Min Zhao, Xu Li, Yih-Ing Hser
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引用次数: 0

摘要

基于智能手机的干预措施越来越多地用于支持自我监控、自我管理、治疗和药物依从性,以改善整体功能和福祉。为了开发一款能帮助海洛因依赖者康复的智能手机应用程序(S-Health),我们在中国、台湾和美国开展了一系列焦点小组活动(72 名患者,22 名医疗服务提供者),以了解他们对该应用程序的接受程度和潜在应用的看法。根据创新扩散(DOI)理论对采用创新的重要特征进行了数据分析。在相对优势方面,美国的参与者认为 S-Health 具有克服物流障碍的潜在能力,而中国大陆和台湾的参与者则重视其补充目前有限服务的潜力。在兼容性方面,不同地区的参与者都提到了康复需求和目标,认为这种应用软件有助于支持这些需求和目标;然而,在中国大陆和台湾,这种应用软件在强烈渴求时的实用性受到了质疑。与 "复杂性 "相关的重要因素包括对智能手机访问和熟悉程度的担忧、内容的个性化,特别是在中国大陆和台湾,参与者希望隐私和安全得到保证。研究结果表明,人们普遍接受智能手机,但同时也表明,在获得治疗和其他社会支持系统、使用药物的法律后果、社会对成瘾的看法以及家庭和其他社会支持在康复中的作用等方面存在文化差异。考虑到这些因素可能会提高这些基于智能手机的干预措施的普及率和有效性。
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A Smartphone Application Supporting Recovery from Heroin Addiction: Perspectives of Patients and Providers in China, Taiwan, and the USA.

Smartphone-based interventions are increasingly used to support self-monitoring, self-management, and treatment and medication compliance in order to improve overall functioning and well-being. In attempting to develop a smartphone application (S-Health) that assists heroin-dependent patients in recovery, a series of focus groups (72 patients, 22 providers) were conducted in China, Taiwan, and the USA to obtain their perspectives on its acceptance and potential adoption. Data were analyzed according to the Diffusion of Innovation (DOI) theory of characteristics important to the adoption of innovation. Important to Relative Advantage, USA participants cited S-Health's potential ability to overcome logistical barriers, while those in China and Taiwan valued its potential to supplement currently limited services. In terms of Compatibility, participants across sites reported recovery needs and goals that such an application could be helpful in supporting; however, its utility during strong craving was questioned in China and Taiwan. Important factors relevant to Complexity included concerns about smartphone access and familiarity, individualization of content, and particularly in China and Taiwan, participants wanted assurance of privacy and security. The study results suggest a general acceptance, but also indicate cultural variations in access to therapeutic and other social support systems, legal repercussions of substance use, societal perceptions of addiction, and the role of family and other social support in recovery. Taking these factors into consideration is likely to increase diffusion as well as effectiveness of these smartphone-based interventions.

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来源期刊
CiteScore
13.60
自引率
0.00%
发文量
18
审稿时长
6-12 weeks
期刊介绍: The aims of the Journal of Neuroimmune Pharmacology are to promote the dissemination, interest, and exchange of new and important discoveries for the pharmacology and immunology of the nervous system. The aims parallel that of the Society on NeuroImmune Pharmacology by increasing the fundamental understanding of neurologic and neuropsychiatric disorders affected by the immune system or vice versa and towards pharmacologic measures that lead, either to a better understanding of disease mechanisms, or by improving disease outcomes. The scope of JNIP includes all primary works and reviews into the etiology, prevention, and treatment of neuroimmune and nervous system diseases affected by disordered immunity. Original studies serving to define neuroimmune modulation of environmental or endogenous cues such as toxins and drugs of abuse, hormones, and cytokines are welcome. JNIP will serve as a reliable source of interdisciplinary information bridging the fields of pharmacology, immunology, and neuroscience.
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