Tampere University, Tampere, Finland.
Queen's University Belfast, Belfast, Northern Ireland, UK.
Subst Abuse Treat Prev Policy. 2024 Aug 1;19(1):36. doi: 10.1186/s13011-024-00618-6.
Some people with substance use disorders (SUD) can experience multiple co-occurring social problems. Digital solutions have been developed to support effective and cost-effective social welfare and healthcare in addictions treatment. Given the varying severity of problems from alcohol and other drug use, digital service tools can save money and provide tailored care.
In this study we aimed to understand the perspectives of those who develop digital service tools on people with SUD and treatment encounters. As a case, we interviewed those who have been involved in the development of a digital client segmentation tool The Navigator.
Ten (N = 10) semi-structured interviews were conducted with professionals involved in digital client segmentation tool development and were analysed with inductive content analysis. Participants were asked about the development of the Navigator from the perspectives of their own role as developers, the clients, the effectiveness of the services, and decision-making processes.
Some people with SUD may face several obstacles when using digital services. Digital divide, feared or experienced stigma and biased attitudes, complex life situations, and difficulties in committing to treatment were identified as challenges. Nevertheless, digital solutions can offer the clients alternative ways of using the services that can better meet their individual needs. The anonymity and facelessness of digital solutions can reduce the fear of immediate judgement. Implementing digital solutions in substance use work poses challenges due to chronic staff shortages. Digitalisation often results in the creation of multiple simultaneously managed channels, potentially reducing time-consumption but increasing the perceived workload. There is a call for multi-professionalism, acknowledging inequalities between various disciplines within the field.
一些物质使用障碍（SUD）患者可能同时存在多种社会问题。已经开发了数字解决方案，以支持成瘾治疗中的有效和具有成本效益的社会福利和医疗保健。鉴于酒精和其他药物使用问题的严重程度不同，数字服务工具可以节省资金并提供量身定制的护理。
在这项研究中，我们旨在了解开发数字服务工具的人员对 SUD 患者和治疗接触的看法。作为一个案例，我们采访了那些参与开发数字客户端细分工具 Navigator 的人。
对参与数字客户端细分工具开发的专业人员进行了 10 次（N=10）半结构化访谈，并采用归纳内容分析进行分析。参与者被要求从开发人员、客户、服务效果和决策过程等方面介绍 Navigator 的开发情况。
一些 SUD 患者在使用数字服务时可能会面临多种障碍。数字鸿沟、恐惧或经历的污名化和偏见态度、复杂的生活状况以及难以承诺治疗被确定为挑战。然而，数字解决方案可为客户提供使用服务的替代方式，从而更好地满足他们的个人需求。数字解决方案的匿名性和非面对面性可以减少对即时判断的恐惧。由于慢性人员短缺，在物质使用工作中实施数字解决方案带来挑战。数字化通常会导致同时管理多个渠道，这可能会减少消耗的时间，但会增加感知到的工作量。呼吁多专业主义，承认该领域内不同学科之间的不平等。
