TY - JOUR
KW - Appalachian Region
KW - Women
KW - Aftercare
KW - alcohol-related disorders
KW - opioid-related disorders
KW - retention in care
KW - Rural Health Services
KW - Social Networking
KW - Substance-Related Disorders
KW - Telemedicine
AU - D. C. Johnston
AU - W. D. Mathews
AU - A. Maus
AU - D. H. Gustafson
A1 - 
AB - OBJECTIVES: Longer 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. METHODS: A 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. RESULTS: Women 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. CONCLUSIONS: Given 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.
AD - Center for Health Enhancement Systems Studies, University of Wisconsin-Madison, Madison, WI, USA.; Red River Gorge Institute, Campton, KY, USA.; Center for Health Enhancement Systems Studies, University of Wisconsin-Madison, Madison, WI, USA.; Center for Health Enhancement Systems Studies, University of Wisconsin-Madison, Madison, WI, USA.; Department of Industrial and Systems Engineering, University of Wisconsin-Madison, Madison, WI, USA.
BT - Substance abuse : research and treatment
C5 - Education & Workforce; Healthcare Disparities; HIT & Telehealth; Opioids & Substance Use
DO - 10.1177/1178221819861377
JF - Substance abuse : research and treatment
LA - eng
M1 - Journal Article
N2 - OBJECTIVES: Longer 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. METHODS: A 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. RESULTS: Women 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. CONCLUSIONS: Given 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.
PY - 2019
SN - 1178-2218; 1178-2218; 1178-2218
SP - 1178221819861377
T1 - Using Smartphones to Improve Treatment Retention Among Impoverished Substance-Using Appalachian Women: A Naturalistic Study
T2 - Substance abuse : research and treatment
TI - Using Smartphones to Improve Treatment Retention Among Impoverished Substance-Using Appalachian Women: A Naturalistic Study
U1 - Education & Workforce; Healthcare Disparities; HIT & Telehealth; Opioids & Substance Use
U2 - 31312084
U3 - 10.1177/1178221819861377
VL - 13
VO - 1178-2218; 1178-2218; 1178-2218
Y1 - 2019
Y2 - Jul 8
ER -