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Attitudes and Associated Demographic Factors Contributing towards the Abuse of Illicit Drugs: A Cross-Sectional Study from Health Care Students in Saudi Arabia
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In: Medicina; Volume 58; Issue 2; Pages: 322 (2022)
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Adolescent Protective and Risk Factors for Incarceration through Early Adulthood
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In: JOURNAL OF CHILD AND FAMILY STUDIES, vol 30, iss 6 (2021)
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A Therapeutic Relational Agent for Reducing Problematic Substance Use (Woebot): Development and Usability Study.
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In: Journal of medical Internet research, vol 23, iss 3 (2021)
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Examining Cannabis, Tobacco, and Vaping Discourse on Reddit: An Exploratory Approach Using Natural Language Processing.
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The Brief Young Adult Alcohol Consequences Questionnaire: A Cross-Country Examination Among University Students In Australia, New Zealand, Canada, Argentina, and the United States
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In: Faculty Publications (2021)
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Dialectical Behavior Therapy for Dual Diagnosis: Treating Adolescent Substance Use Disorder and Co-Occurring Mood Disorders
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In: Senior Honors Projects (2021)
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A Therapeutic Relational Agent for Reducing Problematic Substance Use (Woebot): Development and Usability Study (Preprint)
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Abstract:
BACKGROUND Misuse 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. OBJECTIVE This study aims to adapt Woebot for the treatment of substance use disorders (W-SUDs) and examine its feasibility, acceptability, and preliminary efficacy. METHODS American 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. RESULTS The 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%). CONCLUSIONS W-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. CLINICALTRIAL ClinicalTrials.gov NCT04096001; http://clinicaltrials.gov/ct2/show/NCT04096001.
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Keyword:
Behavioral and Social Science; Brain Disorders; Clinical Research; Clinical Trials and Supportive Activities; Mental Health; Neurosciences; Substance Abuse
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URL: https://escholarship.org/uc/item/4q42x0f7
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Perinatal Substance Exposure and Long-Term Outcomes in Children: A Literature Review
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In: Faculty Publications and Presentations (2020)
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An Examination of Electronic Nicotine Delivery System Use Among College Students Using Social Cognitive Theory
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In: Public Health Faculty Publications (2020)
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Substance use in later life
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In: Research outputs 2014 to 2021 (2019)
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A Phenomenology of Elementary Teachers' Perceptions of Alternative Classroom and Behavior Management Strategies to Support Students Impacted by Parental Substance Abuse
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In: Doctoral Dissertations and Projects (2019)
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Sober social networks : the role of online support groups in recovery from alcohol addiction
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The Importance of Shared Language in Rural Behavioral Health Interventions: An Exploratory Linguistic Analysis
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In: Behavioral Science Faculty Publications (2019)
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Exploring how prison-based drug rehabilitation programming shapes racial disparities in substance use disorder recovery.
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In: Social science & medicine (1982), vol 199, iss C (2018)
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Breaking the Cycle: An Ethnographic Study on Hispanic Mothers in Family Drug Court
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In: Doctoral Dissertations and Projects (2018)
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Social Work Trauma Interventions: Dialectical Behavioral Therapy
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In: Senior Honors Theses (2018)
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Prevalence of Communication Disorders in Children with Neonatal Abstinence Syndrome on School Speech-Language Pathology Caseloads: A National Survey
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In: Electronic Theses and Dissertations (2017)
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Interventions for comorbid problem gambling and psychiatric disorders : advancing a developing field of research
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Evaluating the Impact of Curriculum Infusion on US College Students’ Alcohol Use and Academic Performance
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In: Psychology Faculty Publications (2016)
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