ArticleSubstance abuse : research and treatment2019
Using Smartphones to Improve Treatment Retention Among Impoverished Substance-Using Appalachian Women: A Naturalistic Study.
Article in Substance abuse : research and treatment, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- The Landscape of Health Technology for Equity Deserving Groups in Rural Communities: A Systematic Review.Community health equity research & policy · 2025Pooled it
- Couple-Focused Smartphone Intervention to Reduce Problem Drinking: Pilot Randomized Control Trial.JMIR formative research · 2024Trial
- Effects of Bundling Medication for Opioid Use Disorder With an mHealth Intervention Targeting Addiction: A Randomized Clinical Trial.The American journal of psychiatry · 2024Trial
- User experience and real-world implementation of a peer-integrated digital health intervention for substance use disorder.Research square · 2026Article
- Development of the Healthy Women Intervention to Increase Women's Engagement in Medication Treatment for Opioid Use Disorder: Mixed Methods, User-Centered Design Approach.JMIR formative research · 2026Article
- Using Health Information Systems to Support Behavioral Interventions in Local Contexts: Scoping Review.JMIR medical informatics · 2026Review
- Sociodemographic Differences in Logins and Engagement With the Electronic Health Coach Messaging Feature of a Mobile App to Support Opioid and Stimulant Use Recovery: Results From a 1-Month Observational Study.JMIR mHealth and uHealth · 2025Observational
- Feasibility and effectiveness of a smartphone access program for promoting engagement in care among perinatal people with substance use disorders: a pilot study.Frontiers in health services · 2025Article
- Psychosocial Outcomes Associated with Mobile Health App Use among Medicaid Recipients who Use Substances.Journal of social work practice in the addictions · 2025Article
- A randomized trial testing digital medicine support models for mild-to-moderate alcohol use disorder.NPJ digital medicine · 2024Article
- Evaluation of a digital tool for detecting stress and craving in SUD recovery: An observational trial of accuracy and engagement.Drug and alcohol dependence · 2024Observational
- Digital health interventions to support women with opioid use disorder: A scoping review.Drug and alcohol dependence · 2024Article
- Testing support models for implementing an evidence-based digital intervention for alcohol use disorder: results of a pragmatic hybrid implementation-effectiveness trial.Research square · 2024Article
- Use of Digital Health and Digital Therapeutics to Treat SUD in Criminal Justice Settings: a Review.Current addiction reports · 2024Article
- Testing a Digital Health App for Patients With Alcohol-Associated Liver Disease: Mixed Methods Usability Study.JMIR formative research · 2023Article
- The adoption and sustainability of digital therapeutics in justice systems: A pilot feasibility study.The International journal on drug policy · 2023Article
- Leveraging Digital Technology to Support Pregnant and Early Parenting Women in Recovery from Addictive Substances: A Scoping Review.International journal of environmental research and public health · 2023Article
- Practical Technology for Expanding and Improving Substance Use Disorder Treatment: Telehealth, Remote Monitoring, and Digital Health Interventions.The Psychiatric clinics of North America · 2022Review
- Implementation of Smartphone Systems to Improve Quality of Life for People With Substance Use Disorder: Interim Report on a Randomized Controlled Trial.JMIR human factors · 2022Article
- Communication between patients, peers, and care providers through a mobile health intervention supporting medication-assisted treatment for opioid use disorder.Patient education and counseling · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesLonger retention in treatment is associated with positive outcomes. For women, who suffer worse drug-related problems than men, social technologies, which are more readily adopted by women, may offer promise. This naturalistic study examined whether a smartphone-based relapse-prevention system, A-CHESS (Addiction-Comprehensive Health Enhancement Support System), could improve retention for women with substance use disorders in an impoverished rural setting.
methodsA total of 98 women, age 18 to 40, in southeastern Kentucky and mandated to treatment, received A-CHESS with intensive outpatient treatment for 6 months. For comparison, data were obtained for a similar but non-equivalent group of 100 same-age women also mandated to treatment in the same clinics during the period. Electronic medical record data on length-of-stay and treatment service use for both groups were analyzed, with A-CHESS use data, to determine whether those using A-CHESS showed better retention than those without.
resultsWomen with A-CHESS averaged 780 service units compared with 343 for the comparison group. For those with discharge dates prior to the study's end, A-CHESS patients stayed in treatment a mean of 410 vs 262 days for the comparison group.
conclusionsGiven associations between retention and positive outcomes, mobile health technology such as A-CHESS may help improve outcomes among women, especially in settings where access to in-person services is difficult. The findings, based on a non-equivalent comparison, suggest the need for further exploration with rigorous experimental designs to determine whether and to what degree access to a smartphone with A-CHESS may extend and support recovery for women.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.