Center for Innovation to Implementation, VA Palo Alto Health Care System.
National Center for PTSD, Dissemination and Training Division, VA Palo Alto Health Care System.
Psychol Addict Behav. 2021 Nov;35(7):829-839. doi: 10.1037/adb0000598. Epub 2020 Jun 29.
Mobile apps can only increase access to alcohol treatment if patients actively engage with them. Peers may be able to facilitate such engagement by providing supportive accountability and instruction and encouragement for app use. We developed a protocol for peers to support engagement in the Stand Down app for unhealthy alcohol use in veterans and tested the acceptability and utility of the protocol. Thirty-one veteran primary care patients who screened positive for unhealthy alcohol use and were not currently in addiction treatment were given access to Stand Down for four weeks and concurrently received weekly phone support from a Department of Veterans Affairs peer specialist to facilitate engagement with the app. App usage was extracted daily, and pre/post treatment assessments measured changes in drinking patterns, via the Timeline Followback interview, and satisfaction with care, via quantitative and qualitative approaches. A priori benchmarks for acceptability were surpassed: time spent in the app (M = 93.89 min, SD = 92.1), days of app use (M = 14.05, SD = 8.0), and number of daily interviews completed for tracking progress toward a drinking goal (M = 12.64, SD = 9.7). Global satisfaction, per the Client Satisfaction Questionnaire, was high (M = 26.4 out of 32, SD = 4.5). Pre to post, total standard drinks in the prior 30 days (MPre = 142.7, MPost = 85.6), Drinks Per Drinking Day (MPre = 5.4, MPost = 4.0), and Percent Heavy Drinking Days (MPre = 35.3%, MPost = 20.1%) decreased significantly (ps < .05). Findings indicate that Peer-Supported Stand Down is highly acceptable to veteran primary care patients and may help reduce drinking in this population. A larger controlled trial of this intervention is warranted. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
移动应用程序只有在患者积极使用的情况下才能增加获得酒精治疗的机会。同伴可以通过提供支持性的问责制以及对应用程序使用的指导和鼓励来促进这种参与。我们为同伴制定了一项支持参与退伍军人不健康饮酒的 Stand Down 应用程序的方案，并测试了该方案的可接受性和实用性。31 名经筛选患有不健康饮酒且未接受成瘾治疗的退伍军人初级保健患者被允许使用 Stand Down 四周，并同时每周接受一名退伍军人事务部同伴专家的电话支持，以促进他们对该应用程序的使用。每天提取应用程序使用情况，通过时间线回溯访谈评估治疗前后饮酒模式的变化，并通过定量和定性方法评估对护理的满意度。可接受性的预先设定基准得到了超过：在应用程序中花费的时间（M = 93.89 分钟，SD = 92.1），应用程序使用天数（M = 14.05，SD = 8.0），以及为跟踪实现饮酒目标而完成的每日访谈次数（M = 12.64，SD = 9.7）。根据客户满意度问卷，总体满意度很高（M = 26.4 分，满分 32 分，SD = 4.5）。治疗前后，前 30 天内的总标准饮酒量（MPre = 142.7，MPost = 85.6），每日饮酒量（MPre = 5.4，MPost = 4.0）和重度饮酒日百分比（MPre = 35.3%，MPost = 20.1%）均显著降低（p <.05）。研究结果表明，同伴支持的 Stand Down 对退伍军人初级保健患者非常有吸引力，并且可能有助于减少该人群的饮酒量。有必要对此干预措施进行更大规模的对照试验。（PsycInfo 数据库记录（c）2021 APA，保留所有权利）。
