Evidence map›Paper›PMID 34730535›Full record

ArticleJMIR formative research2021

A Mobile App to Enhance Behavioral Activation Treatment for Substance Use Disorder: App Design, Use, and Integration Into Treatment in the Context of a Randomized Controlled Trial.

Catherine E Paquette, Dillon T Rubalcava, Yun Chen, Deepika Anand, Stacey B Daughters

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JMIR formative research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02707887 (Technology Enhanced Behavioral Activation Treatment for Substance Use), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 22% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT02707887 nacompletednot on this map

Technology Enhanced Behavioral Activation Treatment for Substance Use

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2016 to 2020Enrolled206ConditionsSubstance-Related Disorders, Depressive Disorder, Behavioral Symptoms, Risk-TakingArmsLETS ACT, LETS ACT-SE, Treatment as Usual
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 12 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Catherine E PaquetteDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.ORCID https://orcid.org/0000-0001-5618-2059
Dillon T RubalcavaDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.ORCID https://orcid.org/0000-0002-1881-0509
Yun ChenDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.ORCID https://orcid.org/0000-0003-2683-9077
Deepika AnandDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.ORCID https://orcid.org/0000-0002-1944-5072
Stacey B DaughtersDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, NC, United States.ORCID https://orcid.org/0000-0001-5075-030X
University of North Carolina at Chapel Hill · US

Funding

Training Program for Scientists Conducting Research to Reduce HIV Health DisparitR25MH067127 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Emily A Arnold, Torsten Brian Neilands · 2003 to 2026
$5.4M
Technology Enhanced Behavioral Activation Treatment for Substance UseR01DA026424 · NIDA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAUGHTERS, STACEY B · 2010 to 2019
$4.4M
Behavioral Activation for Substance Use Among People Who Inject DrugsF31DA049457 · NIDA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI PAQUETTE, CATHERINE E. · 2019 to 2021
$112k
NIDA NIH HHS F31 DA049457NIDA NIH HHS R01 DA026424NIMH NIH HHS R25 MH067127
6 · The paper itself

Abstract

backgroundGroup-based formats typically used in low-resource substance use disorder (SUD) treatment settings result in little individual attention to help reinforce and guide skill use, which may contribute to poor posttreatment outcomes. Smartphone apps offer a convenient, user-friendly, and cost-effective tool that can extend the reach of effective SUD treatments. A smartphone app was developed and integrated into a group-based, brief behavioral activation (BA) treatment for SUD to increase engagement in treatment skills outside clinician-administered sessions.

objectiveThis study aims to describe the features of the app and its use and integration into treatment, report the participants' self-reported feasibility and acceptability of the app, and discuss challenges and provide recommendations for future smartphone app integration into behavioral treatments for SUD.

methodsA total of 56 individuals recruited from intensive outpatient SUD treatment received a smartphone-enhanced BA treatment, the Life Enhancement Treatment for Substance Use. Self-reported weekly app use and reasons for nonuse were assessed at posttreatment and at 1- and 3-month follow-ups. In addition, 2-tailed t tests and chi-square tests compared the self-reported use of each app component and overall app use over time.

resultsParticipant feedback suggested that the integration of the smartphone app into the Life Enhancement Treatment for Substance Use was feasible and well accepted, and participants found the app useful for planning value-based activities outside of sessions. Self-reported app engagement decreased over the follow-up period: 72% (39/54) of participants reported using the app at posttreatment, decreasing to 69% (37/54) at the 1-month follow-up and 37% (20/54) at the 3-month follow-up. Participants reported forgetting to use the app as a primary reason for nonuse.

conclusionsThis study provides support for the feasibility and acceptability of smartphone-enhanced BA treatment, offering promise for future research testing the integration of technology into SUD treatment. Design decisions may help streamline smartphone integration into treatment, for example, allowing participants to download the treatment app on their own phones or use a low-cost study smartphone (or offering both options). Long-term app engagement may be increased via built-in reminders, alerts, and in-app messages.

trial registrationClinicalTrials.gov NCT02707887; https://clinicaltrials.gov/ct2/show/study/NCT02707887.

Indexed as

behavioral activationmHealthmobile phonesmartphone appsubstance use disorder

Identifiers

PMID34730535
PMCPMC8600431
OpenAlexW3208953320

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.