Bridges to Sobriety: Testing the Feasibility and Acceptability of a Mobile App Designed to Supplement an Adolescent Substance Use Disorder Treatment Program

Overview

Journal Clin Soc Work J

Date 2022 Nov 24

PMID 36420447

Authors

David A Patterson Silver Wolf

Alex T Ramsey

Joel Epstein

Sara Beeler-Stinn

Autumn Asher Black Deer

Affiliations

Soon will be listed here.

Abstract

Adolescent substance use is a growing problem that causes a myriad of negative outcomes. Using substances during adolescence can lead to decreased executive functioning and is correlated with the top three causes of deaths for adolescents. Treatment options vary and the impact on outcomes are mixed, with engagement being of the most important indicators. Gaming is a popular activity among adolescents, and yet smartphone applications are relatively unexplored within substance use disorder treatment programs. This paper explores the feasibility and acceptability of implementing a mobile application as a supplement to existing adolescent substance use disorder treatment in a behavioral health agency in eastern Missouri. Feedback was received from staff and clients to assess feasibility and acceptability of implementation with barriers discussed. Results indicate there is promise with incorporation of smartphone-based applications into existing interventions and act as recommendations for other providers.

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References

Jensen C, Cushing C, Aylward B, Craig J, Sorell D, Steele R . Effectiveness of motivational interviewing interventions for adolescent substance use behavior change: a meta-analytic review. J Consult Clin Psychol. 2011; 79(4):433-40. DOI: 10.1037/a0023992. View

Stiles-Shields C, Montague E, Lattie E, Kwasny M, Mohr D . What might get in the way: Barriers to the use of apps for depression. Digit Health. 2018; 3:2055207617713827. PMC: 6001178. DOI: 10.1177/2055207617713827. View

Bickel W, Yi R, Landes R, Hill P, Baxter C . Remember the future: working memory training decreases delay discounting among stimulant addicts. Biol Psychiatry. 2010; 69(3):260-5. PMC: 3015021. DOI: 10.1016/j.biopsych.2010.08.017. View

Crews F, Boettiger C . Impulsivity, frontal lobes and risk for addiction. Pharmacol Biochem Behav. 2009; 93(3):237-47. PMC: 2730661. DOI: 10.1016/j.pbb.2009.04.018. View

Eaton D, Kann L, Kinchen S, Shanklin S, Flint K, Hawkins J . Youth risk behavior surveillance - United States, 2011. MMWR Surveill Summ. 2012; 61(4):1-162. View

Granic I, Lobel A, Engels R . The benefits of playing video games. Am Psychol. 2013; 69(1):66-78. DOI: 10.1037/a0034857. View

Winters K, Tanner-Smith E, Bresani E, Meyers K . Current advances in the treatment of adolescent drug use. Adolesc Health Med Ther. 2014; 5:199-210. PMC: 4241949. DOI: 10.2147/AHMT.S48053. View

Lord S, Moore S, Ramsey A, Dinauer S, Johnson K . Implementation of a Substance Use Recovery Support Mobile Phone App in Community Settings: Qualitative Study of Clinician and Staff Perspectives of Facilitators and Barriers. JMIR Ment Health. 2016; 3(2):e24. PMC: 4942682. DOI: 10.2196/mental.4927. View

Meier M, Caspi A, Ambler A, Harrington H, Houts R, Keefe R . Persistent cannabis users show neuropsychological decline from childhood to midlife. Proc Natl Acad Sci U S A. 2012; 109(40):E2657-64. PMC: 3479587. DOI: 10.1073/pnas.1206820109. View

10.

Dennis M, Stevens S . Maltreatment issues and outcomes of adolescents enrolled in substance abuse treatment. Child Maltreat. 2003; 8(1):3-6. DOI: 10.1177/1077559502239757. View

11.

Mermelstein L, Garske J . A brief mindfulness intervention for college student binge drinkers: A pilot study. Psychol Addict Behav. 2014; 29(2):259-69. DOI: 10.1037/adb0000040. View

12.

Karbach J, Unger K . Executive control training from middle childhood to adolescence. Front Psychol. 2014; 5:390. PMC: 4019883. DOI: 10.3389/fpsyg.2014.00390. View

13.

Cornelius J, Maisto S, Pollock N, Martin C, Salloum I, Lynch K . Rapid relapse generally follows treatment for substance use disorders among adolescents. Addict Behav. 2003; 28(2):381-6. DOI: 10.1016/s0306-4603(01)00247-7. View

14.

Broglia E, Millings A, Barkham M . Counseling With Guided Use of a Mobile Well-Being App for Students Experiencing Anxiety or Depression: Clinical Outcomes of a Feasibility Trial Embedded in a Student Counseling Service. JMIR Mhealth Uhealth. 2019; 7(8):e14318. PMC: 6714497. DOI: 10.2196/14318. View

15.

Carroll K, Onken L . Behavioral therapies for drug abuse. Am J Psychiatry. 2005; 162(8):1452-60. PMC: 3633201. DOI: 10.1176/appi.ajp.162.8.1452. View

16.

Yang Q, Van Stee S . The Comparative Effectiveness of Mobile Phone Interventions in Improving Health Outcomes: Meta-Analytic Review. JMIR Mhealth Uhealth. 2019; 7(4):e11244. PMC: 6468337. DOI: 10.2196/11244. View

17.

Chan Y, Dennis M, Funk R . Prevalence and comorbidity of major internalizing and externalizing problems among adolescents and adults presenting to substance abuse treatment. J Subst Abuse Treat. 2007; 34(1):14-24. PMC: 2238174. DOI: 10.1016/j.jsat.2006.12.031. View

18.

Pullmann M, Ague S, Johnson T, Lane S, Beaver K, Jetton E . Defining engagement in adolescent substance abuse treatment. Am J Community Psychol. 2013; 52(3-4):347-58. DOI: 10.1007/s10464-013-9600-8. View

19.

Lipschitz J, Miller C, Hogan T, Burdick K, Lippin-Foster R, Simon S . Adoption of Mobile Apps for Depression and Anxiety: Cross-Sectional Survey Study on Patient Interest and Barriers to Engagement. JMIR Ment Health. 2019; 6(1):e11334. PMC: 6367667. DOI: 10.2196/11334. View

20.

Sanchez R, Bartel C . The Feasibility and Acceptability of "Arise": An Online Substance Abuse Relapse Prevention Program. Games Health J. 2015; 4(2):136-44. PMC: 4601551. DOI: 10.1089/g4h.2014.0015. View