Kelly Peter J, Beck Alison K, Baker Amanda L, Deane Frank P, Hides Leanne, Manning Victoria, Shakeshaft Anthony, Larance Briony, Neale Joanne, Kelly John, Oldmeadow Christopher, Searles Andrew, Treloar Carla, Gray Rebecca M, Argent Angela, McGlaughlin Ryan
Faculty of Social Sciences, School of Psychology, University of Wollongong, Wollongong, Australia.
Illawarra Health and Medical Research Institute, Wollongong, Australia.
JMIR Res Protoc. 2020 Jul 9;9(7):e15113. doi: 10.2196/15113.
Despite the importance and popularity of mutual support groups, there have been no systematic attempts to implement and evaluate routine outcome monitoring (ROM) in these settings. Unlike other mutual support groups for addiction, trained facilitators lead all Self-Management and Recovery Training (SMART Recovery) groups, thereby providing an opportunity to implement ROM as a routine component of SMART Recovery groups.
This study protocol aims to describe a stage 1 pilot study designed to explore the feasibility and acceptability of a novel, purpose-built mobile health (mHealth) ROM and feedback app (Smart Track) in SMART Recovery groups coordinated by SMART Recovery Australia (SRAU) The secondary objectives are to describe Smart Track usage patterns, explore psychometric properties of the ROM items (ie, internal reliability and convergent and divergent validity), and provide preliminary evidence for participant reported outcomes (such as alcohol and other drug use, self-reported recovery, and mental health).
Participants (n=100) from the SMART Recovery groups across New South Wales, Australia, will be recruited to a nonrandomized, prospective, single-arm trial of the Smart Track app. There are 4 modes of data collection: (1) ROM data collected from group participants via the Smart Track app, (2) data analytics summarizing user interactions with Smart Track, (3) quantitative interview and survey data of group participants (baseline, 2-week follow-up, and 2-month follow-up), and (4) qualitative interviews with group participants (n=20) and facilitators (n=10). Feasibility and acceptability (primary objectives) will be analyzed using descriptive statistics, a cost analysis, and a qualitative evaluation.
At the time of submission, 13 sites (25 groups per week) had agreed to be involved. Funding was awarded on August 14, 2017, and ethics approval was granted on April 26, 2018 (HREC/18/WGONG/34; 2018/099). Enrollment is due to commence in July 2019. Data collection is due to be finalized in October 2019.
To the best of our knowledge, this study is the first to use ROM and tailored feedback within a mutual support group setting for addictive behaviors. Our study design will provide an opportunity to identify the acceptability of a novel mHealth ROM and feedback app within this setting and provide detailed information on what factors promote or hinder ROM usage within this context. This project aims to offer a new tool, should Smart Track prove feasible and acceptable, that service providers, policy makers, and researchers could use in the future to understand the impact of SMART Recovery groups.
Australian New Zealand Clinical Trials Registry (ANZCTR): ACTRN12619000686101; https://anzctr.org.au/Trial/Registration/TrialReview.aspx?id=377336.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): PRR1-10.2196/15113.
尽管互助小组很重要且广受欢迎，但尚未有系统的尝试在这些环境中实施和评估常规结果监测（ROM）。与其他成瘾互助小组不同，所有自我管理与康复训练（SMART Recovery）小组均由经过培训的主持人带领，这为将ROM作为SMART Recovery小组的常规组成部分提供了契机。
本研究方案旨在描述一项1期试点研究，该研究旨在探索一款专门设计的新型移动健康（mHealth）ROM与反馈应用程序（Smart Track）在澳大利亚SMART Recovery组织（SRAU）协调的SMART Recovery小组中的可行性和可接受性。次要目标是描述Smart Track的使用模式，探索ROM项目的心理测量特性（即内部信度以及聚合效度和区分效度），并为参与者报告的结果（如酒精和其他药物使用情况、自我报告的康复情况以及心理健康状况）提供初步证据。
将招募来自澳大利亚新南威尔士州SMART Recovery小组的100名参与者，参与Smart Track应用程序的非随机、前瞻性、单臂试验。有4种数据收集方式：（1）通过Smart Track应用程序从小组参与者收集ROM数据；（2）汇总用户与Smart Track交互情况的数据分析；（3）小组参与者的定量访谈和调查数据（基线、2周随访和2个月随访）；（4）对20名小组参与者和10名主持人进行定性访谈。将使用描述性统计、成本分析和定性评估来分析可行性和可接受性（主要目标）。
在提交本文时，已有13个场所（每周25个小组）同意参与。2017年8月14日获得资金，2018年4月26日获得伦理批准（HREC/18/WGONG/34；2018/099）。预计2019年7月开始招募。数据收集预计于2019年10月完成。
据我们所知，本研究是首次在成瘾行为的互助小组环境中使用ROM和量身定制的反馈。我们的研究设计将提供一个机会，以确定新型mHealth ROM和反馈应用程序在此环境中的可接受性，并提供有关在此背景下促进或阻碍ROM使用的因素的详细信息。如果Smart Track被证明是可行和可接受的，本项目旨在提供一种新工具，供服务提供者、政策制定者和研究人员未来用于了解SMART Recovery小组的影响。
澳大利亚新西兰临床试验注册中心（ANZCTR）：ACTRN12619000686101；https://anzctr.org.au/Trial/Registration/TrialReview.aspx?id=377336。
国际注册报告识别码（IRRID）：PRR1-10.2196/15113。
