Barrio Pablo, Ortega Lluisa, López Hugo, Gual Antoni
GRAC, Addictions Unit, Department of Psychiatry, Clinical Institute of Neuroscience, Hospital Clínic, Fundació Clínic Recerca Biomèdica (FCRB), RETICS (Red de Trastornos adictivos), University of Barcelona, Villarroel, 170 08036, Barcelona, Spain.
GRAC, Addictions Unit, Department of Psychiatry, Clinical Institute of Neuroscience, Hospital Clínic, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), RETICS (Red de Trastornos Adictivos), University of Barcelona, Barcelona, Spain.
Int J Behav Med. 2017 Oct;24(5):722-727. doi: 10.1007/s12529-017-9643-6.
Mobile applications (apps) have created new opportunities in the field of alcohol dependence (AD) within new paradigms of shared decision-making and self-management. The aim of this study is to report the results of a pilot study testing the usability of and satisfaction with a mobile app (called SIDEAL) in AD patients.
Adult AD outpatients were included. SIDEAL was installed on patients' personal phones. The Timeline Followback (TLFB) method for the preceding 6 weeks was administered both at baseline and after 6 weeks (end of the study). Self-reports from the app were also assessed at the end of the study and compared to data provided by the TLFB. An online questionnaire about usability and satisfaction was administered to participants after completion of the study. Exploratory efficacy analyses were conducted.
Twenty-four patients were included (mean age 48 years (SD 11.3), women 50%). Most patients (22/24) selected a goal to reduce their consumption. Patients used the self-register module of the app for an average of 80% of the study days. The consumption and medication self-register modules were the most valued, as along with the weekly feedback provided by the app about participants' weekly rate of usage. Participants' satisfaction with the app was high. Significant reductions were observed in alcohol consumption (binge drinking days in the last 6 weeks declined from 25 (SD 18.6) to 5.8 (SD 8), p < 0.001; mean daily alcohol consumption in standard units declined from 6.5 (SD 4.3) to 1.9 (SD 1.8), p < 0.001). On most days (88%), patients achieved their self-imposed objectives.
SIDEAL is a well-accepted and highly used app by AD patients that could improve their efficacy in managing their AD. Further larger, randomized studies are warranted.
移动应用程序（应用）在酒精依赖（AD）领域的共同决策和自我管理新范式中创造了新机遇。本研究旨在报告一项试点研究的结果，该研究测试了一款移动应用程序（名为SIDEAL）在AD患者中的可用性和满意度。
纳入成年AD门诊患者。SIDEAL安装在患者的个人手机上。在基线时以及6周后（研究结束时）采用时间线追溯法（TLFB）对前6周的情况进行评估。在研究结束时还对应用程序的自我报告进行了评估，并与TLFB提供的数据进行比较。在研究完成后，向参与者发放了一份关于可用性和满意度的在线问卷。进行了探索性疗效分析。
纳入了24名患者（平均年龄48岁（标准差11.3），女性占50%）。大多数患者（22/24）选择了减少饮酒量的目标。患者在平均80%的研究天数中使用了应用程序的自我记录模块。饮酒量和药物自我记录模块最受重视，还有应用程序提供的关于参与者每周使用率的反馈。参与者对该应用程序的满意度很高。观察到酒精摄入量有显著减少（过去6周的暴饮天数从25天（标准差18.6）降至5.8天（标准差8），p<0.001；标准单位下的平均每日酒精摄入量从6.5（标准差4.3）降至1.9（标准差1.8），p<0.001）。在大多数日子（88%）里，患者实现了自己设定的目标。
SIDEAL是一款AD患者广泛接受且高度使用的应用程序，可提高他们管理AD的效果。有必要开展进一步的大规模随机研究。
