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Online technologies are well integrated into the day-to-day lives of individuals with alcohol and other drug (i.e., substance use) problems. Interventions that leverage online technologies have been shown to enhance outcomes for these individuals. To date, however, little is known about how those with substance use problems naturally engage with such platforms. In addition, the scientific literatures on health behavior change facilitated by technology and harms driven by technology engagement have developed largely independent of one another. In this secondary analysis of the National Recovery Study (NRS), which provides a geo-demographically representative sample of US adults who resolved a substance use problem, we examined a) the weighted prevalence estimate of individuals who engaged with online technologies to "cut down on substance use, abstain from substances, or strengthen one's recovery" (i.e., recovery-related use of online technology, or ROOT), b) clinical/recovery correlates of ROOT, controlling for demographic covariates, and c) the unique association between ROOT and self-reported history of internet addiction. Results showed one in ten (11%) NRS participants reported ROOT. Significant correlates included greater current psychological distress, younger age of first substance use, as well as history of anti-craving/anti-relapse medication, recovery support services, and drug court participation. Odds of lifetime internet addiction were 4 times greater for those with ROOT (vs. no ROOT). These data build on studies of technology-based interventions, highlighting the reach of ROOT, and therefore, the potential for a large, positive impact on substance-related harms in the US.

Titel:	Expanding the reach of alcohol and other drug services: Prevalence and correlates of US adult engagement with online technology to address substance problems.
Autor/in / Beteiligte Person:	Bergman, BG ; Claire Greene, M ; Hoeppner, BB ; Kelly, JF
Zeitschrift:	Addictive behaviors, Jg. 87 (2018-12-01), S. 74-81
Veröffentlichung:	Oxford : Elsevier Science ; <i>Original Publication</i>: Oxford, Elmsford, N. Y., Pergamon Press., 2018
Medientyp:	academicJournal
ISSN:	1873-6327 (electronic)
DOI:	10.1016/j.addbeh.2018.06.018
Schlagwort:	Adult Female Humans Male Middle Aged Mobile Applications statistics & numerical data Online Social Networking Substance-Related Disorders rehabilitation Surveys and Questionnaires Telemedicine statistics & numerical data United States Alcoholism rehabilitation Delivery of Health Care Internet statistics & numerical data Mental Health Services statistics & numerical data Patient Participation statistics & numerical data
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [Addict Behav] 2018 Dec; Vol. 87, pp. 74-81. <i>Date of Electronic Publication: </i>2018 Jun 18. MeSH Terms: Delivery of Health Care* ; Alcoholism / rehabilitation ; Internet / statistics & numerical data ; Mental Health Services / statistics & numerical data ; Patient Participation / statistics & numerical data ; Adult ; Female ; Humans ; Male ; Middle Aged ; Mobile Applications / statistics & numerical data ; Online Social Networking ; Substance-Related Disorders / rehabilitation ; Surveys and Questionnaires ; Telemedicine / statistics & numerical data ; United States References: J Med Internet Res. 2018 Mar 06;20(3):e84. (PMID: 29510968) ; Proc R Soc Med. 1965 May;58:295-300. (PMID: 14283879) ; J Stud Alcohol. 1998 Jul;59(4):427-38. (PMID: 9647425) ; Am J Epidemiol. 2010 Dec 15;172(12):1364-72. (PMID: 21044992) ; J Subst Abuse Treat. 2015 Apr;51:38-46. (PMID: 25481690) ; Prev Chronic Dis. 2014 Jun 26;11:E109. (PMID: 24967831) ; Am J Psychiatry. 2008 Jul;165(7):881-8. (PMID: 18450927) ; Addict Behav. 2017 Jan;64:287-293. (PMID: 27072491) ; Psychol Addict Behav. 2017 Jun;31(4):506-512. (PMID: 28206780) ; Drug Alcohol Depend. 2015 May 1;150:14-23. (PMID: 25813268) ; Addict Behav. 2013 Mar;38(3):1747-56. (PMID: 23254225) ; J Subst Abuse Treat. 2015 Nov;58:95-9. (PMID: 26231698) ; Alcohol Clin Exp Res. 2018 Apr;42(4):770-780. (PMID: 29473966) ; J Addict Dis. 2012;31(3):313-8. (PMID: 22873192) ; Psychol Rep. 2012 Apr;110(2):501-17. (PMID: 22662404) ; Eur J Public Health. 2006 Aug;16(4):420-8. (PMID: 16141303) ; J Subst Abuse Treat. 2017 Nov;82:67-73. (PMID: 29021117) ; Drug Alcohol Depend. 2017 Aug 1;177:71-76. (PMID: 28578224) ; Lancet. 2009 Jun 27;373(9682):2223-33. (PMID: 19560604) ; Curr Pharm Des. 2014;20(25):4026-52. (PMID: 24001297) ; Drug Alcohol Depend. 2015 Jan 1;146:111-5. (PMID: 25468818) ; Drug Alcohol Depend. 2013 Apr 1;129(1-2):145-50. (PMID: 23107600) ; JAMA Psychiatry. 2014 May;71(5):566-72. (PMID: 24671165) ; Drug Alcohol Rev. 2014 Nov;33(6):667-73. (PMID: 24689339) ; Drug Alcohol Depend. 2017 Dec 1;181:162-169. (PMID: 29055821) ; Patient Educ Couns. 2001 Aug;44(2):119-27. (PMID: 11479052) ; Harv Rev Psychiatry. 2017 May/Jun;25(3):123-134. (PMID: 28475504) ; J Subst Abuse Treat. 2014 Jul;47(1):20-6. (PMID: 24629885) ; J Affect Disord. 2017 Jan 01;207:251-259. (PMID: 27736736) ; J Subst Abuse Treat. 2004 Apr;26(3):151-8; discussion 159-65. (PMID: 15063905) ; Arch Gen Psychiatry. 2003 Feb;60(2):184-9. (PMID: 12578436) ; Drug Alcohol Rev. 2013 Mar;32(2):187-94. (PMID: 22882622) ; Drug Alcohol Depend. 2017 Dec 1;181:5-10. (PMID: 29024875) ; J Stud Alcohol Suppl. 1994 Dec;12:112-8. (PMID: 7722987) ; Int J Drug Policy. 2018 Mar;53:55-64. (PMID: 29287223) ; Health Educ Res. 2006 Oct;21(5):688-94. (PMID: 16945984) ; J Subst Abuse Treat. 2014 Jan;46(1):43-51. (PMID: 24060350) ; Alcohol Treat Q. 2011 Jan 1;29(3):181-203. (PMID: 22081741) ; Alcohol Clin Exp Res. 2008 Feb;32(2):222-9. (PMID: 18162076) ; Addiction. 1995 Sep;90(9):1223-40. (PMID: 7580820) ; Drug Alcohol Depend. 2013 Dec 15;133(3):805-13. (PMID: 23953657) ; Addict Behav. 2016 Nov;62:25-34. (PMID: 27310031) ; N Engl J Med. 2016 Jan 28;374(4):363-71. (PMID: 26816013) ; Subst Abus. 2012;33(2):85-91. (PMID: 22489579) Grant Information: K23 AA025707 United States AA NIAAA NIH HHS; K24 AA022136 United States AA NIAAA NIH HHS Contributed Indexing: Keywords: Recovery; Smartphone applications; Social network sites; Technology; mHealth Entry Date(s): Date Created: 20180701 Date Completed: 20191206 Latest Revision: 20210109 Update Code: 20240513 PubMed Central ID: PMC6485924

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Expanding the reach of alcohol and other drug services: Prevalence and correlates of US adult engagement with online technology to address substance problems.