Mellentin Angelina Isabella, Stenager Elsebeth, Nielsen Bent, Nielsen Anette Søgaard, Yu Fei
Unit of Clinical Alcohol Research, Unit of Psychiatric Research, Department of Clinical Research, University of Southern Denmark, Odense C, Denmark.
Unit of Psychiatric Research, Institute of Regional Health Services Research, University of Southern Denmark, Aabenraa, Denmark.
JMIR Mhealth Uhealth. 2017 Jan 30;5(1):e5. doi: 10.2196/mhealth.6500.
Although the number of alcohol-related treatments in app stores is proliferating, none of them are based on a psychological framework and supported by empirical evidence. Cue exposure treatment (CET) with urge-specific coping skills (USCS) is often used in Danish treatment settings. It is an evidence-based psychological approach that focuses on promoting "confrontation with alcohol cues" as a means of reducing urges and the likelihood of relapse.
The objective of this study was to describe the design and development of a CET-based smartphone app; an innovative delivery pathway for treating alcohol use disorder (AUD).
The treatment is based on Monty and coworkers' manual for CET with USCS (2002). It was created by a multidisciplinary team of psychiatrists, psychologists, programmers, and graphic designers as well as patients with AUD. A database was developed for the purpose of registering and monitoring training activities. A final version of the CET app and database was developed after several user tests.
The final version of the CET app includes an introduction, 4 sessions featuring USCS, 8 alcohol exposure videos promoting the use of one of the USCS, and a results component providing an overview of training activities and potential progress. Real-time urges are measured before, during, and after exposure to alcohol cues and are registered in the app together with other training activity variables. Data packages are continuously sent in encrypted form to an external database and will be merged with other data (in an internal database) in the future.
The CET smartphone app is currently being tested at a large-scale, randomized controlled trial with the aim of clarifying whether it can be classified as an evidence-based treatment solution. The app has the potential to augment the reach of psychological treatment for AUD.
尽管应用商店中与酒精相关的治疗应用数量不断增加，但它们均未基于心理框架且缺乏实证证据支持。丹麦的治疗机构常采用伴有特定冲动应对技能（USCS）的线索暴露疗法（CET）。这是一种基于证据的心理疗法，专注于通过促进“直面酒精线索”来减少冲动及复发可能性。
本研究旨在描述一款基于CET的智能手机应用的设计与开发；这是一种用于治疗酒精使用障碍（AUD）的创新交付途径。
该治疗基于蒙蒂及其同事2002年编写的伴有USCS的CET手册。它由一个多学科团队创建，成员包括精神科医生、心理学家、程序员、平面设计师以及患有AUD的患者。为记录和监测训练活动开发了一个数据库。经过多次用户测试后，开发出了CET应用和数据库的最终版本。
CET应用的最终版本包括一个介绍、4节包含USCS的课程、8个促进使用其中一种USCS的酒精暴露视频，以及一个提供训练活动概述和潜在进展的结果组件。在接触酒精线索之前、期间和之后测量实时冲动，并与其他训练活动变量一起记录在应用中。数据包以加密形式持续发送到外部数据库，未来将与其他数据（在内部数据库中）合并。
CET智能手机应用目前正在一项大规模随机对照试验中进行测试，目的是明确它是否可被归类为基于证据的治疗方案。该应用有潜力扩大对AUD的心理治疗范围。
