Gender-based outcomes and acceptability of a computer-assisted psychosocial intervention for substance use disorders

Aimee N C Campbell, Edward V. Nunes, Martina Pavlicova, Mary Hatch-Maillette, Mei Chen Hu, Genie L. Bailey, Dawn E. Sugarman, Gloria M. Miele, Traci Rieckmann, Kathy Shores-Wilson, Eva Turrigiano, Shelly F. Greenfield

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Background: Digital technologies show promise for increasing treatment accessibility and improving quality of care, but little is known about gender differences. This secondary analysis uses data from a multi-site effectiveness trial of a computer-assisted behavioral intervention, conducted within NIDA's National Drug Abuse Clinical Trials Network, to explore gender differences in intervention acceptability and treatment outcomes. Methods: Men (n= 314) and women (n=192) were randomly assigned to 12-weeks of treatment-as-usual (TAU) or modified TAU. + Therapeutic Education System (TES), whereby TES substituted for 2. hours of TAU per week. TES is composed of 62 Web-delivered, multimedia modules, covering skills for achieving and maintaining abstinence plus prize-based incentives contingent on abstinence and treatment adherence. Outcomes were: (1) abstinence from drugs and heavy drinking in the last 4. weeks of treatment, (2) retention, (3) social functioning, and (4) drug and alcohol craving. Acceptability was the mean score across five indicators (i.e., interesting, useful, novel, easy to understand, and satisfaction). Results: Gender did not moderate the effect of treatment on any outcome. Women reported higher acceptability scores at week 4 (p= .02), but no gender differences were detected at weeks 8 or 12. Acceptability was positively associated with abstinence, but only among women (p= .01). Conclusions: Findings suggest that men and women derive similar benefits from participating in a computer-assisted intervention, a promising outcome as technology-based treatments expand. Acceptability was associated with abstinence outcomes among women. Future research should explore characteristics of women who report less satisfaction with this modality of treatment and ways to improve overall acceptability.

Original languageEnglish (US)
Pages (from-to)9-15
Number of pages7
JournalJournal of Substance Abuse Treatment
Volume53
DOIs
StatePublished - Jun 1 2015

Fingerprint

Substance-Related Disorders
Therapeutics
Education
Technology
Multimedia
Quality of Health Care
Pharmaceutical Preparations
Drinking
Motivation
Alcohols
Clinical Trials

Keywords

  • Acceptability
  • Computer-assisted treatment
  • Gender differences
  • Internet-delivered treatment
  • Substance use disorders

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology
  • Phychiatric Mental Health
  • Medicine (miscellaneous)

Cite this

Campbell, A. N. C., Nunes, E. V., Pavlicova, M., Hatch-Maillette, M., Hu, M. C., Bailey, G. L., ... Greenfield, S. F. (2015). Gender-based outcomes and acceptability of a computer-assisted psychosocial intervention for substance use disorders. Journal of Substance Abuse Treatment, 53, 9-15. https://doi.org/10.1016/j.jsat.2014.12.006

Gender-based outcomes and acceptability of a computer-assisted psychosocial intervention for substance use disorders. / Campbell, Aimee N C; Nunes, Edward V.; Pavlicova, Martina; Hatch-Maillette, Mary; Hu, Mei Chen; Bailey, Genie L.; Sugarman, Dawn E.; Miele, Gloria M.; Rieckmann, Traci; Shores-Wilson, Kathy; Turrigiano, Eva; Greenfield, Shelly F.

In: Journal of Substance Abuse Treatment, Vol. 53, 01.06.2015, p. 9-15.

Research output: Contribution to journalArticle

Campbell, ANC, Nunes, EV, Pavlicova, M, Hatch-Maillette, M, Hu, MC, Bailey, GL, Sugarman, DE, Miele, GM, Rieckmann, T, Shores-Wilson, K, Turrigiano, E & Greenfield, SF 2015, 'Gender-based outcomes and acceptability of a computer-assisted psychosocial intervention for substance use disorders', Journal of Substance Abuse Treatment, vol. 53, pp. 9-15. https://doi.org/10.1016/j.jsat.2014.12.006
Campbell, Aimee N C ; Nunes, Edward V. ; Pavlicova, Martina ; Hatch-Maillette, Mary ; Hu, Mei Chen ; Bailey, Genie L. ; Sugarman, Dawn E. ; Miele, Gloria M. ; Rieckmann, Traci ; Shores-Wilson, Kathy ; Turrigiano, Eva ; Greenfield, Shelly F. / Gender-based outcomes and acceptability of a computer-assisted psychosocial intervention for substance use disorders. In: Journal of Substance Abuse Treatment. 2015 ; Vol. 53. pp. 9-15.
@article{0cf9f0adaf5b414388b59674047e2afd,
title = "Gender-based outcomes and acceptability of a computer-assisted psychosocial intervention for substance use disorders",
abstract = "Background: Digital technologies show promise for increasing treatment accessibility and improving quality of care, but little is known about gender differences. This secondary analysis uses data from a multi-site effectiveness trial of a computer-assisted behavioral intervention, conducted within NIDA's National Drug Abuse Clinical Trials Network, to explore gender differences in intervention acceptability and treatment outcomes. Methods: Men (n= 314) and women (n=192) were randomly assigned to 12-weeks of treatment-as-usual (TAU) or modified TAU. + Therapeutic Education System (TES), whereby TES substituted for 2. hours of TAU per week. TES is composed of 62 Web-delivered, multimedia modules, covering skills for achieving and maintaining abstinence plus prize-based incentives contingent on abstinence and treatment adherence. Outcomes were: (1) abstinence from drugs and heavy drinking in the last 4. weeks of treatment, (2) retention, (3) social functioning, and (4) drug and alcohol craving. Acceptability was the mean score across five indicators (i.e., interesting, useful, novel, easy to understand, and satisfaction). Results: Gender did not moderate the effect of treatment on any outcome. Women reported higher acceptability scores at week 4 (p= .02), but no gender differences were detected at weeks 8 or 12. Acceptability was positively associated with abstinence, but only among women (p= .01). Conclusions: Findings suggest that men and women derive similar benefits from participating in a computer-assisted intervention, a promising outcome as technology-based treatments expand. Acceptability was associated with abstinence outcomes among women. Future research should explore characteristics of women who report less satisfaction with this modality of treatment and ways to improve overall acceptability.",
keywords = "Acceptability, Computer-assisted treatment, Gender differences, Internet-delivered treatment, Substance use disorders",
author = "Campbell, {Aimee N C} and Nunes, {Edward V.} and Martina Pavlicova and Mary Hatch-Maillette and Hu, {Mei Chen} and Bailey, {Genie L.} and Sugarman, {Dawn E.} and Miele, {Gloria M.} and Traci Rieckmann and Kathy Shores-Wilson and Eva Turrigiano and Greenfield, {Shelly F.}",
year = "2015",
month = "6",
day = "1",
doi = "10.1016/j.jsat.2014.12.006",
language = "English (US)",
volume = "53",
pages = "9--15",
journal = "Journal of Substance Abuse Treatment",
issn = "0740-5472",
publisher = "Elsevier Inc.",

}

TY - JOUR

T1 - Gender-based outcomes and acceptability of a computer-assisted psychosocial intervention for substance use disorders

AU - Campbell, Aimee N C

AU - Nunes, Edward V.

AU - Pavlicova, Martina

AU - Hatch-Maillette, Mary

AU - Hu, Mei Chen

AU - Bailey, Genie L.

AU - Sugarman, Dawn E.

AU - Miele, Gloria M.

AU - Rieckmann, Traci

AU - Shores-Wilson, Kathy

AU - Turrigiano, Eva

AU - Greenfield, Shelly F.

PY - 2015/6/1

Y1 - 2015/6/1

N2 - Background: Digital technologies show promise for increasing treatment accessibility and improving quality of care, but little is known about gender differences. This secondary analysis uses data from a multi-site effectiveness trial of a computer-assisted behavioral intervention, conducted within NIDA's National Drug Abuse Clinical Trials Network, to explore gender differences in intervention acceptability and treatment outcomes. Methods: Men (n= 314) and women (n=192) were randomly assigned to 12-weeks of treatment-as-usual (TAU) or modified TAU. + Therapeutic Education System (TES), whereby TES substituted for 2. hours of TAU per week. TES is composed of 62 Web-delivered, multimedia modules, covering skills for achieving and maintaining abstinence plus prize-based incentives contingent on abstinence and treatment adherence. Outcomes were: (1) abstinence from drugs and heavy drinking in the last 4. weeks of treatment, (2) retention, (3) social functioning, and (4) drug and alcohol craving. Acceptability was the mean score across five indicators (i.e., interesting, useful, novel, easy to understand, and satisfaction). Results: Gender did not moderate the effect of treatment on any outcome. Women reported higher acceptability scores at week 4 (p= .02), but no gender differences were detected at weeks 8 or 12. Acceptability was positively associated with abstinence, but only among women (p= .01). Conclusions: Findings suggest that men and women derive similar benefits from participating in a computer-assisted intervention, a promising outcome as technology-based treatments expand. Acceptability was associated with abstinence outcomes among women. Future research should explore characteristics of women who report less satisfaction with this modality of treatment and ways to improve overall acceptability.

AB - Background: Digital technologies show promise for increasing treatment accessibility and improving quality of care, but little is known about gender differences. This secondary analysis uses data from a multi-site effectiveness trial of a computer-assisted behavioral intervention, conducted within NIDA's National Drug Abuse Clinical Trials Network, to explore gender differences in intervention acceptability and treatment outcomes. Methods: Men (n= 314) and women (n=192) were randomly assigned to 12-weeks of treatment-as-usual (TAU) or modified TAU. + Therapeutic Education System (TES), whereby TES substituted for 2. hours of TAU per week. TES is composed of 62 Web-delivered, multimedia modules, covering skills for achieving and maintaining abstinence plus prize-based incentives contingent on abstinence and treatment adherence. Outcomes were: (1) abstinence from drugs and heavy drinking in the last 4. weeks of treatment, (2) retention, (3) social functioning, and (4) drug and alcohol craving. Acceptability was the mean score across five indicators (i.e., interesting, useful, novel, easy to understand, and satisfaction). Results: Gender did not moderate the effect of treatment on any outcome. Women reported higher acceptability scores at week 4 (p= .02), but no gender differences were detected at weeks 8 or 12. Acceptability was positively associated with abstinence, but only among women (p= .01). Conclusions: Findings suggest that men and women derive similar benefits from participating in a computer-assisted intervention, a promising outcome as technology-based treatments expand. Acceptability was associated with abstinence outcomes among women. Future research should explore characteristics of women who report less satisfaction with this modality of treatment and ways to improve overall acceptability.

KW - Acceptability

KW - Computer-assisted treatment

KW - Gender differences

KW - Internet-delivered treatment

KW - Substance use disorders

UR - http://www.scopus.com/inward/record.url?scp=84928761920&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84928761920&partnerID=8YFLogxK

U2 - 10.1016/j.jsat.2014.12.006

DO - 10.1016/j.jsat.2014.12.006

M3 - Article

C2 - 25613105

AN - SCOPUS:84928761920

VL - 53

SP - 9

EP - 15

JO - Journal of Substance Abuse Treatment

JF - Journal of Substance Abuse Treatment

SN - 0740-5472

ER -