Computerized continuing care support for alcohol and drug dependence: A preliminary analysis of usage and outcomes

Butler Center for Research, Hazelden Foundation, Center City, MN 55012-0011, USA.
Journal of substance abuse treatment (Impact Factor: 2.9). 08/2011; 42(1):25-34. DOI: 10.1016/j.jsat.2011.07.002
Source: PubMed


The central aim of this administrative data analysis was to examine usage of a Web-based disease management program designed to provide continuing recovery support to patients discharged from residential drug and alcohol treatment. Tailored clinical content was delivered in a multimedia format over the course of 18 months posttreatment. The program also included access to a recovery coach across the 18 months. Consistent with other disease management programs, program usage decreased over time. A small subsample of patients accessed a large number of program modules in the year following treatment; these patients had significantly higher abstinence rates and consumed less alcohol than patients accessing few or no modules. Regression analyses revealed a significant relationship between the number of modules accessed and substance use outcomes in the year following treatment when controlling for motivation, self-efficacy, and pretreatment substance use. Limiting the analyses to only the more compliant patients did not reduce the magnitude of these effects. These preliminary results suggest that computerized support programs may be beneficial to patients recently treated for drug and alcohol issues. Methods to increase program engagement need additional study.

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Available from: Karen L Dugosh, Jan 23, 2014
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    • "As Postel and colleagues (2011) highlight, completion rates for Web-based alcohol interven­ tion studies range from about 16.5 percent to 92 percent, depending on the study design, but are lower for real-world trials. For example, in the real-world trial of a Web-based computer continuing-care intervention, 90 percent of all individuals did not access the Web site after 6 months (Klein et al. 2012 "
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