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1
Brazilian phonoaudiology telepractice before and during the COVID-19 pandemic
Bárbara Niegia Garcia de Goulart
;
Simone Aparecida Lopes-Herrera
;
Cibelle Albuquerque de la Higuera Amato
...
In: Revista CEFAC, Vol 24, Iss 1 (2022) (2022)
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2
What matters when exploring fidelity when using health IT to reduce disparities?
Handley, Margaret A
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Landeros, Jerad
;
Wu, Cindie
...
In: BMC medical informatics and decision making, vol 21, iss 1 (2021)
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3
Evolution and differentiation of the cybersecurity communities in three social question and answer sites: A mixed-methods analysis.
Wu, Muting
;
Aranovich, Raul
;
Filkov, Vladimir
In: PloS one, vol 16, iss 12 (2021)
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4
A Therapeutic Relational Agent for Reducing Problematic Substance Use (Woebot): Development and Usability Study.
Prochaska, Judith J
;
Vogel, Erin A
;
Chieng, Amy
;
Kendra, Matthew
;
Baiocchi, Michael
;
Pajarito, Sarah
;
Robinson, Athena
In: Journal of medical Internet research, vol 23, iss 3 (2021)
Abstract:
BackgroundMisuse of substances is common, can be serious and costly to society, and often goes untreated due to barriers to accessing care. Woebot is a mental health digital solution informed by cognitive behavioral therapy and built upon an artificial intelligence-driven platform to deliver tailored content to users. In a previous 2-week randomized controlled trial, Woebot alleviated depressive symptoms.ObjectiveThis study aims to adapt Woebot for the treatment of substance use disorders (W-SUDs) and examine its feasibility, acceptability, and preliminary efficacy.MethodsAmerican adults (aged 18-65 years) who screened positive for substance misuse without major health contraindications were recruited from online sources and flyers and enrolled between March 27 and May 6, 2020. In a single-group pre/postdesign, all participants received W-SUDs for 8 weeks. W-SUDs provided mood, craving, and pain tracking and modules (psychoeducational lessons and psychotherapeutic tools) using elements of dialectical behavior therapy and motivational interviewing. Paired samples t tests and McNemar nonparametric tests were used to examine within-subject changes from pre- to posttreatment on measures of substance use, confidence, cravings, mood, and pain.ResultsThe sample (N=101) had a mean age of 36.8 years (SD 10.0), and 75.2% (76/101) of the participants were female, 78.2% (79/101) were non-Hispanic White, and 72.3% (73/101) were employed. Participants' W-SUDs use averaged 15.7 (SD 14.2) days, 12.1 (SD 8.3) modules, and 600.7 (SD 556.5) sent messages. About 94% (562/598) of all completed psychoeducational lessons were rated positively. From treatment start to end, in-app craving ratings were reduced by half (87/101, 86.1% reporting cravings in the app; odds ratio 0.48, 95% CI 0.32-0.73). Posttreatment assessment completion was 50.5% (51/101), with better retention among those who initially screened higher on substance misuse. From pre- to posttreatment, confidence to resist urges to use substances significantly increased (mean score change +16.9, SD 21.4; P<.001), whereas past month substance use occasions (mean change -9.3, SD 14.1; P<.001) and scores on the Alcohol Use Disorders Identification Test-Concise (mean change -1.3, SD 2.6; P<.001), 10-item Drug Abuse Screening Test (mean change -1.2, SD 2.0; P<.001), Patient Health Questionnaire-8 item (mean change 2.1, SD 5.2; P=.005), Generalized Anxiety Disorder-7 (mean change -2.3, SD 4.7; P=.001), and cravings scale (68.6% vs 47.1% moderate to extreme; P=.01) significantly decreased. Most participants would recommend W-SUDs to a friend (39/51, 76%) and reported receiving the service they desired (41/51, 80%). Fewer felt W-SUDs met most or all of their needs (22/51, 43%).ConclusionsW-SUDs was feasible to deliver, engaging, and acceptable and was associated with significant improvements in substance use, confidence, cravings, depression, and anxiety. Study attrition was high. Future research will evaluate W-SUDs in a randomized controlled trial with a more diverse sample and with the use of greater study retention strategies.Trial registrationClinicalTrials.gov NCT04096001; http://clinicaltrials.gov/ct2/show/NCT04096001.
Keyword:
acceptability
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addiction
;
Adult
;
Alcoholism
;
Artificial Intelligence
;
Behavioral and Social Science
;
Brain Disorders
;
chatbot
;
Clinical Research
;
Clinical Trials and Supportive Activities
;
Cognitive Behavioral Therapy
;
conversational agent
;
craving
;
Depression
;
Drug Abuse (NIDA Only)
;
feasibility
;
Female
;
Humans
;
Information and Computing Sciences
;
Medical and Health Sciences
;
Medical Informatics
;
Mental Health
;
mobile phone
;
Neurosciences
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psychoeducation
;
Psychology and Cognitive Sciences
;
psychotherapeutic
;
Substance Abuse
;
substance misuse
;
Substance-Related Disorders
;
treatment
URL:
https://escholarship.org/uc/item/38v7w5g9
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5
How to create social media contents based on Motivational Interviewing ...
Pócs, Dávid
. - : figshare, 2021
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6
How to create social media contents based on Motivational Interviewing ...
Pócs, Dávid
. - : figshare, 2021
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7
Current projects of the scholarship holders of the Friedrich-Wingert-Stiftung ...
Hoffmann, Sven
. - : German Medical Science GMS Publishing House, 2021
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8
The Use of Technology for Communicating With Clinicians or Seeking Health Information in a Multilingual Urban Cohort: Cross-Sectional Survey.
Khoong, Elaine C
;
Rivadeneira, Natalie A
;
Hiatt, Robert A
...
In: Journal of medical Internet research, vol 22, iss 4 (2020)
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9
The Use of Technology for Communicating With Clinicians or Seeking Health Information in a Multilingual Urban Cohort: Cross-Sectional Survey.
Khoong, Elaine C
;
Rivadeneira, Natalie A
;
Hiatt, Robert A
...
In: Journal of medical Internet research, vol 22, iss 4 (2020)
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10
Capturing Domain Semantics with Representation Learning: Applications to Health and Function
Newman-Griffis, Denis R
In: http://rave.ohiolink.edu/etdc/view?acc_num=osu1587658607378958 (2020)
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11
SciBabel : a system for crowd-sourced validation of automatic translations of scientific texts
Soares, Felipe
;
Rebechi, Rozane Rodrigues
;
Stevenson, Mark
. - 2020
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12
Perspectives of English, Chinese, and Spanish-Speaking Safety-Net Patients on Clinician Computer Use: Qualitative Analysis.
Khoong, Elaine C
;
Cherian, Roy
;
Matta, George Y
...
In: Journal of medical Internet research, vol 21, iss 5 (2019)
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13
Gender-based differences in letters of recommendation written for ophthalmology residency applicants.
Lin, Fei
;
Oh, Soo Kyung
;
Gordon, Lynn K
...
In: BMC medical education, vol 19, iss 1 (2019)
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14
Su salud a la mano (your health at hand): patient perceptions about a bilingual patient portal in the Los Angeles safety net.
Casillas, Alejandra
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Perez-Aguilar, Giselle
;
Abhat, Anshu
...
In: Journal of the American Medical Informatics Association : JAMIA, vol 26, iss 12 (2019)
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15
Challenges and adaptations in implementing an English-medium medical program:a case study in China.
Yang, Miao
;
O'Sullivan, Patricia S
;
Irby, David M
...
In: BMC medical education, vol 19, iss 1 (2019)
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16
Challenges and adaptations in implementing an English-medium medical program:a case study in China
Yang, Miao
;
O'Sullivan, Patricia S
;
Irby, David M
...
In: Yang, Miao; O'Sullivan, Patricia S; Irby, David M; Chen, Zexin; Lin, Chun; & Lin, Changmin. (2019). Challenges and adaptations in implementing an English-medium medical program:a case study in China. BMC MEDICAL EDUCATION, 19(1), 15. doi:10.1186/s12909-018-1452-3. UCSF: Retrieved from: http://www.escholarship.org/uc/item/05n0g32d (2019)
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17
A Multi-Lingual Dictionary for Health Informatics as an International Cooperation Pillar.
Benis, Arriel
;
Crisan-Vida, Mihaela
;
Stoicu-Tivadar, Lăcrămioara
...
In: 17th International Conference on Informatics, Management and Technology in Healthcare ; https://hal.archives-ouvertes.fr/hal-02407147 ; 17th International Conference on Informatics, Management and Technology in Healthcare, Jul 2019, Athens, Greece. pp.31-34, ⟨10.3233/SHTI190009⟩ (2019)
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18
Trust me, I'm a chatbot: How artificial intelligence in health care fails the Turing test
Powell, J
. - 2019
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19
NPC POPLINE: A Tool for Population and Reproductive Health Evidence-Based Decisions in Egypt
Khairy, Walaa Ahmed
;
Elden, Nesreen Mohamed Kamal
. - : Republic of Macedonia, 2019
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20
Distributed knowledge based clinical auto-coding system
Kaur, Rajvir
(S33301). - : U.S., Association for Computational Linguistics, 2019
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