Substance Use, Gender and Applied Research, RTI International, Research Triangle Park, North Carolina, USA.
Department of Obstetrics, Gynecology and Reproductive Sciences, Temple University Lewis Katz School of Medicine, Philadelphia, Pennsylvania, USA.
Subst Use Misuse. 2022;57(8):1257-1272. doi: 10.1080/10826084.2022.2076878. Epub 2022 May 18.
Computer-based and telecommunication technology has become increasingly common to address addiction among women. This review assessed the effect of technology-based interventions on substance misuse, alcohol use, and smoking outcomes among women.
The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension for scoping reviews (PRISMA-ScR) guideline was used to conduct the scoping review. Four databases (PubMed, Web of Science, PsycINFO, and Scopus) were used to search for peer-reviewed articles published in English on computer-based and telecommunication technology use to address substance misuse, alcohol use, and smoking among women.
A total of 30 articles were selected after the final full-text review from the U.S., England, Japan, and the Netherlands. The types of technology used in the interventions included computer software (standalone or web-based), mobile applications, video calling, phone, and text messaging. Intervention outcomes included alcohol and other substance misuse reduction as polysubstance misuse ( = 5), smoking cessation ( = 10), substance misuse reduction only ( = 6), and alcohol use reduction only ( = 9). The populations reached included women who were pregnant ( = 13), postpartum ( = 4), or non-pregnant ( = 14) ranging from adolescent to adulthood. Interventions that targeted polysubstance misuse showed statistically significant reductions ( < .05).
Although effective in reducing alcohol and other substance misuse, mixed findings were identified for other outcomes targeting a single substance. Technology-based interventions might maximize their effects by targeting polysubstance misuse and addressing associated contextual issues in the form of a computer-delivered module(s).
计算机和电信技术已越来越多地被用于解决女性的成瘾问题。本综述评估了基于技术的干预措施对女性物质滥用、酒精使用和吸烟结果的影响。
采用系统评价和荟萃分析的首选报告项目(PRISMA)扩展范围综述(PRISMA-ScR)指南进行范围综述。使用四个数据库(PubMed、Web of Science、PsycINFO 和 Scopus)搜索发表在英语中的同行评审文章,内容涉及计算机和电信技术的使用,以解决女性的物质滥用、酒精使用和吸烟问题。
经过最终全文审查,从美国、英国、日本和荷兰共选择了 30 篇文章。干预措施中使用的技术类型包括计算机软件(独立或基于网络)、移动应用程序、视频通话、电话和短信。干预结果包括减少酒精和其他物质滥用(即,5 项)、戒烟(即,10 项)、仅减少物质滥用(即,6 项)和仅减少酒精使用(即,9 项)。所涉及的人群包括孕妇(即,13 项)、产后(即,4 项)或非孕妇(即,14 项),年龄从青少年到成年。针对多种物质滥用的干预措施显示出统计学上显著的减少(<.05)。
尽管在减少酒精和其他物质滥用方面有效,但针对单一物质的其他结果存在混合发现。基于技术的干预措施可以通过针对多种物质滥用和以计算机为媒介的模块形式解决相关的背景问题,从而最大限度地发挥其效果。