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Integration of Technology-Based Behavioral Health Interventions in Substance Abuse and Addiction Services

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Abstract

The past decade has witnessed revolutionary changes to the delivery of health services, ushered in to a great extent by the introduction of electronic health record systems. More recently, a new class of technological advancements—technology-based behavioral health interventions, which involve the delivery of evidence-informed practices via computers, web-based applications, mobile phones, wearable sensors, or other technological platforms—has emerged and is primed to once again radically shift current models for behavioral healthcare. Despite the promise and potential of these new therapeutic approaches, a greater understanding of the impact of technology-based interventions on cornerstone issues of mental health and addiction services—namely access, quality, and cost—is needed. The current review highlights 1) relevant conceptual frameworks that guide this area of research, 2) key studies that inform the relevance of technology-based interventions for behavioral healthcare access, quality, and cost, 3) pressing methodological issues that require attention, 4) unresolved questions that warrant further investigation, and 5) practical implications that underscore important new directions for this emerging area of research.

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References

  • Barak, A., Hen, L., Boniel-Nissim, M., & Shapira, N. A. (2008). A comprehensive review and a meta-analysis of the effectiveness of internet-based psychotherapeutic interventions. Journal of Technology in Human Services, 26(2–4), 109–160.

    Article  Google Scholar 

  • Becker, M. H. (Ed.) (1974). The health belief model and personal health behavior. Health Education Monographs, 2, 324–473

  • Bickel, W. K., Marsch, L. A., Buchhalter, A. R., & Badger, G. J. (2008). Computerized behavior therapy for opioid-dependent outpatients: a randomized controlled trial. Experimental and Clinical Psychopharmacology, 16(2), 132.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  • Britt, E., Hudson, S. M., & Blampied, N. M. (2004). Motivational interviewing in health settings: a review. Patient Education and Counseling, 53(2), 147–155.

    Article  PubMed  Google Scholar 

  • Caccia-Bava, M., Guimaraes, T., & Harrington, S. J. (2006). Hospital organization culture, capacity to innovate and success in technology adoption. Journal of Health Organization and Management, 20(3), 194–217.

    Article  Google Scholar 

  • Carroll, K., Ball, S., Martino, S., Nich, C., Babuscio, T., Nuro, K., & Rounsaville, B. (2008). Computer-assisted delivery of cognitive-behavioral therapy for addiction: a randomized trial of CBT4CBT. American Journal of Psychiatry, 165(7), 881–888.

    Article  PubMed Central  PubMed  Google Scholar 

  • Cassell, M. M., Jackson, C., & Cheuvront, B. (1998). Health communication on the Internet: an effective channel for health behavior change? Journal of Health Communication, 3(1), 71–79.

    Article  CAS  PubMed  Google Scholar 

  • Clarke, G., & Yarborough, B. J. (2013). Evaluating the promise of health IT to enhance/expand the reach of mental health services. General Hospital Psychiatry, 35(4), 339–344.

    Article  PubMed Central  PubMed  Google Scholar 

  • Cucciare, M. A., Weingardt, K. R., & Humphreys, K. (2009). How Internet technology can improve the quality of care for substance use disorders. Current Drug Abuse Reviews, 2(3), 256–262.

    Article  PubMed  Google Scholar 

  • Cunningham, J. A., Kypri, K., & McCambridge, J. (2011). The use of emerging technologies in alcohol treatment. Alcohol Research & Health, 33(4), 320.

    Google Scholar 

  • Curtis, B. L., McLellan, A. T., & Gabellini, B. N. (2014). Translating SBIRT to public school settings: an initial test of feasibility. Journal of Substance Abuse Treatment, 46(1), 15–21.

    Article  PubMed  Google Scholar 

  • Danaher, B. G., & Seeley, J. R. (2009). Methodological issues in research on web-based behavioral interventions. Annals of Behavioral Medicine, 38(1), 28–39.

    Article  PubMed  Google Scholar 

  • Doumas, D. M., & Hannah, E. (2008). Preventing high-risk drinking in youth in the workplace: a web-based normative feedback program. Journal of Substance Abuse Treatment, 34(3), 263–271.

    Article  PubMed  Google Scholar 

  • Emmons, K. M., Weiner, B., Fernandez, M. E., & Tu, S. P. (2012). Systems antecedents for dissemination and implementation a review and analysis of measures. Health Education & Behavior, 39(1), 87–105.

    Article  Google Scholar 

  • Finfgeld-Connett, D., & Madsen, R. (2008). Web based treatment of alcohol problems among rural women: results of a randomized pilot investigation. Journal of Psychosocial Nursing and Mental Health Services, 46(9), 46.

    Article  PubMed Central  PubMed  Google Scholar 

  • Greenhalgh, T., Robert, G., Macfarlane, F., Bate, P., & Kyriakidou, O. (2004). Diffusion of innovations in service organizations: systematic review and recommendations. Milbank Quarterly, 82(4), 581–629.

    Article  PubMed Central  PubMed  Google Scholar 

  • Gustafson, D. H., Shaw, B. R., Isham, A., Baker, T., Boyle, M. G., & Levy, M. (2011). Explicating an evidence-based, theoretically informed, mobile technology-based system to improve outcomes for people in recovery for alcohol dependence. Substance Use & Misuse, 46(1), 96–111.

    Article  Google Scholar 

  • Hester, R. K., Delaney, H. D., Campbell, W., & Handmaker, N. (2009). A web application for moderation training: initial results of a randomized clinical trial. Journal of Substance Abuse Treatment, 37(3), 266–276.

    Article  PubMed Central  PubMed  Google Scholar 

  • Jones, D. J., Forehand, R., Cuellar, J., Kincaid, C., Parent, J., Fenton, N., & Goodrum, N. (2013). Harnessing innovative technologies to advance children’s mental health: behavioral parent training as an example. Clinical Psychology Review, 33(2), 241–252.

    Article  PubMed Central  PubMed  Google Scholar 

  • King, V. L., Stoller, K. B., Kidorf, M., Kindbom, K., Hursh, S., Brady, T., & Brooner, R. K. (2009). Assessing the effectiveness of an internet-based videoconferencing platform for delivering intensified substance abuse counseling. Journal of Substance Abuse Treatment, 36(3), 331–338.

    Article  PubMed  Google Scholar 

  • King, V. L., Brooner, R. K., Peirce, J. M., Kolodner, K., & Kidorf, M. S. (2014). A randomized trial of Web-based videoconferencing for substance abuse counseling. Journal of Substance Abuse Treatment, 46(1), 36–42.

    Article  PubMed  Google Scholar 

  • Litvin, E. B., Abrantes, A. M., & Brown, R. A. (2013). Computer and mobile technology-based interventions for substance use disorders: an organizing framework. Addictive Behaviors, 38(3), 1747–1756.

    Article  PubMed  Google Scholar 

  • Marsch, L. A. (2012). Leveraging technology to enhance addiction treatment and recovery. Journal of Addictive Diseases, 31(3), 313–318.

    Article  PubMed Central  PubMed  Google Scholar 

  • Marsch, L. A., Bickel, W. K., & Badger, G. J. (2007). Applying computer technology to substance abuse prevention science: results of a preliminary examination. Journal of Child & Adolescent Substance Abuse, 16(2), 69–94.

    Article  Google Scholar 

  • Marsch, L. A., Carroll, K. M., & Kiluk, B. D. (2014). Technology-based interventions for the treatment and recovery management of substance use disorders: a JSAT special issue. Journal of Substance Abuse Treatment, 46(1), 1–4.

    Article  PubMed  Google Scholar 

  • Mohr, D. C., Burns, M. N., Schueller, S. M., Clarke, G., & Klinkman, M. (2013a). Behavioral intervention technologies: evidence review and recommendations for future research in mental health. General Hospital Psychiatry, 35(4), 332–338.

    Article  PubMed Central  PubMed  Google Scholar 

  • Mohr, D. C., Cheung, K., Schueller, S. M., Brown, H. C., & Duan, N. (2013b). Continuous evaluation of evolving behavioral intervention technologies. American Journal of Preventive Medicine, 45(4), 517–523.

    Article  PubMed  Google Scholar 

  • National Institute on Drug Abuse, & National Institutes of Health. (2011). Understanding drug abuse and addiction (p. 1). Bethesda: NIDA. InfoFacts.

    Google Scholar 

  • Newman, M. G., Szkodny, L. E., Llera, S. J., & Przeworski, A. (2011). A review of technology-assisted self-help and minimal contact therapies for drug and alcohol abuse and smoking addiction: is human contact necessary for therapeutic efficacy? Clinical Psychology Review, 31(1), 178–186.

    Article  PubMed  Google Scholar 

  • Olmstead, T. A., Ostrow, C. D., & Carroll, K. M. (2010). Cost-effectiveness of computer-assisted training in cognitive-behavioral therapy as an adjunct to standard care for addiction. Drug and Alcohol Dependence, 110(3), 200–207.

    Article  PubMed Central  PubMed  Google Scholar 

  • Ondersma, S. J., Chase, S. K., Svikis, D. S., & Schuster, C. R. (2005). Computer-based brief motivational intervention for perinatal drug use. Journal of Substance Abuse Treatment, 28(4), 305–312.

    Article  PubMed  Google Scholar 

  • Pating, D. R., Miller, M. M., Goplerud, E., Martin, J., & Ziedonis, D. M. (2012). New systems of care for substance use disorders: treatment, finance, and technology under health care reform. Psychiatric Clinics of North America, 35(2), 327–356.

    Article  PubMed  Google Scholar 

  • Riley, W. T., Rivera, D. E., Atienza, A. A., Nilsen, W., Allison, S. M., & Mermelstein, R. (2011). Health behavior models in the age of mobile interventions: are our theories up to the task? Translational Behavioral Medicine, 1(1), 53–71.

    Article  PubMed Central  PubMed  Google Scholar 

  • Strecher, V. (2007). Internet methods for delivering behavioral and health-related interventions (eHealth). Annual Review of Clinical Psychology, 3, 53–76.

    Article  PubMed  Google Scholar 

  • Strecher, V. J., McClure, J. B., Alexander, G. L., Chakraborty, B., Nair, V. N., Konkel, J. M., & Pomerleau, O. F. (2008). Web-based smoking-cessation programs: results of a randomized trial. American Journal of Preventive Medicine, 34(5), 373–381.

    Article  PubMed Central  PubMed  Google Scholar 

  • Substance Abuse and Mental Health Services Administration. (2013). Results from the 2012 National Survey on Drug Use and Health: Summary of National Findings, NSDUH Series H-46, HHS Publication No. (SMA) 13–4795. Rockville: SAMHSA.

    Google Scholar 

  • Weingardt, K. R., Cucciare, M. A., Bellotti, C., & Lai, W. P. (2009). A randomized trial comparing two models of web-based training in cognitive–behavioral therapy for substance abuse counselors. Journal of Substance Abuse Treatment, 37(3), 219–227.

    Article  PubMed Central  PubMed  Google Scholar 

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Acknowledgments

The preparation of this manuscript was supported by NIMH T32 MH019960.

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Correspondence to Alex T. Ramsey.

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Ramsey, A.T. Integration of Technology-Based Behavioral Health Interventions in Substance Abuse and Addiction Services. Int J Ment Health Addiction 13, 470–480 (2015). https://doi.org/10.1007/s11469-015-9551-4

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