Agyapong Vincent Israel Opoku, Hrabok Marianne, Vuong Wesley, Gusnowski April, Shalaby Reham, Surood Shireen, Greenshaw Andrew J, Aulakh Avininder, Abba-Aji Adam, Singh Mohit
Division of Community Psychiatry, Department of Psychiatry, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada.
University of Calgary, Calgary, AB, Canada.
JMIR Res Protoc. 2020 Nov 17;9(11):e22047. doi: 10.2196/22047.
With the emergence of the COVID-19 pandemic, providing counseling to people with drug or alcohol addiction while maintaining physical distance has been challenging. This protocol describes the use of text messaging (as used in the Text4Hope-Addiction Support program) as a convenient, evidence-based, cost-effective, and accessible population-level mental health intervention with high user satisfaction proven in prior research.
The project goal is to implement a program of daily supportive text messaging (Text4Hope-Addiction Support) to reduce drug or alcohol cravings as well as anxiety and depression, typically associated with alcohol and substance use disorders. The aim of this study is to evaluate the prevalence of cravings, anxiety, and depressive symptoms; demographic correlates of the same; and the outcomes of the Text4Hope-Addiction Support intervention in mitigating cravings, anxiety, and depressive symptoms.
Self-administered, anonymous, online questionnaires will be used to assess cravings for the primary substance of addiction (Brief Substance Craving Scale), anxiety (Generalized Anxiety Disorder-7), and depressive symptoms (Patient Health Questionnaire-9). Data will be collected at baseline (onset of receiving text messages), program midpoint (6 weeks), and program end (12 weeks).
As of October 2020, data collection is in progress; and it is expected to be completed by fall 2021. Data analysis will include parametric and nonparametric techniques, focusing on primary outcomes (ie, cravings, anxiety, and depressive symptoms) and metrics of use, including the number of subscribers and user satisfaction.
This Text4Hope-Addiction Support project will provide key information regarding the prevalence rates of cravings, anxiety, and depressive symptoms among persons with alcohol and substance use disorders; demographic correlates of cravings, anxiety, and depression; and outcome data related to this scalable population-level intervention. Information from this study will be valuable for addiction care practitioners; it will inform the policy and decision making regarding population-level addiction treatment and support during emergencies.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/22047.
随着新冠疫情的出现，在保持身体距离的同时为药物或酒精成瘾者提供咨询服务一直具有挑战性。本方案描述了使用短信（如Text4Hope-成瘾支持项目中所使用的）作为一种方便、基于证据、具有成本效益且易于获得的人群层面心理健康干预措施，先前研究已证明其具有较高的用户满意度。
该项目的目标是实施一项每日支持性短信项目（Text4Hope-成瘾支持），以减少通常与酒精和物质使用障碍相关的药物或酒精渴望以及焦虑和抑郁。本研究的目的是评估渴望、焦虑和抑郁症状的患病率；它们的人口统计学相关性；以及Text4Hope-成瘾支持干预在减轻渴望、焦虑和抑郁症状方面的效果。
将使用自我管理的匿名在线问卷来评估对成瘾主要物质的渴望（简短物质渴望量表）、焦虑（广泛性焦虑障碍-7）和抑郁症状（患者健康问卷-9）。数据将在基线（开始接收短信时）、项目中期（6周）和项目结束时（12周）收集。
截至2020年10月，数据收集正在进行中；预计将于2021年秋季完成。数据分析将包括参数和非参数技术，重点关注主要结果（即渴望、焦虑和抑郁症状）以及使用指标，包括订阅者数量和用户满意度。
这个Text4Hope-成瘾支持项目将提供关于酒精和物质使用障碍患者中渴望、焦虑和抑郁症状患病率的关键信息；渴望、焦虑和抑郁的人口统计学相关性；以及与这种可扩展的人群层面干预相关的结果数据。本研究的信息对成瘾护理从业者将很有价值；它将为紧急情况下人群层面成瘾治疗和支持的政策制定和决策提供参考。
国际注册报告识别码（IRRID）：DERR1-10.2196/22047
