Hybrid Virtual Group Model for Substance Use Disorder Therapy: A Scoping Review.

IF 5.1 Q1 SUBSTANCE ABUSE
Substance Abuse and Rehabilitation Pub Date : 2025-05-14 eCollection Date: 2025-01-01 DOI:10.2147/SAR.S518266
Edward A Trimble, Nicholas L Bormann, Alyssa H Kalata, Dana Gerberi, Stephan Arndt, Tyler S Oesterle
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引用次数: 0

Abstract

Background: Substance use disorder (SUD) group therapy has traditionally been conducted in-person; however, there is growing interest in virtual formats. While virtual group therapy can address certain barriers for in-person attendance, it may compromise key elements like therapeutic alliance and group cohesiveness. A model that integrates both in-person and virtual participants may help balance the benefits of these two approaches.

Objective: To identify and define approaches to SUD group therapy that integrate in-person and virtual participants, summarize study outcomes associated with these models, propose standardized terminology, and provide preliminary recommendations for their application in SUD treatment.

Design: A comprehensive search was conducted on 11/13/2024 and updated on 12/16/2024 by a medical librarian. Included articles were published 2000 onwards and conducted with SUD group therapy where participants or group facilitators were both in-person and virtual. We extracted data from 4 articles that met the search criteria.

Results: A total of 1353 articles were screened, 20 were evaluated at the full-text level, and 4 met study inclusion criteria. Two "hybrid" model designs for SUD were identified. One model utilized a virtual group facilitator, while participants remained together in-person. The second model kept the facilitator in-person and allowed group participants to be present either virtually or in-person within the same group. Outcomes evaluated included treatment completion across groups and patient perceived changes in therapeutic alliance, group cohesion, and understanding of addiction.

Conclusion: We propose a consensus definition of hybrid virtual group models where at least one group member, either the facilitator or one of the participants, attends groups in-person while at least one member attends virtually. While research is limited, early findings suggest that hybrid SUD groups have similar outcomes to in-person groups and better outcomes than virtual-only groups. Unique considerations should be made to ensure that hybrid SUD models are implemented appropriately and effectively.

物质使用障碍治疗的混合虚拟群体模型:范围综述。
背景:物质使用障碍(SUD)团体治疗传统上是面对面进行的;然而,人们对虚拟格式的兴趣越来越大。虽然虚拟团体治疗可以解决某些障碍,亲自出席,它可能会损害关键因素,如治疗联盟和团体凝聚力。一个整合了面对面和虚拟参与者的模型可能有助于平衡这两种方法的好处。目的:识别和定义整合现场和虚拟参与者的SUD团体治疗方法,总结与这些模型相关的研究结果,提出标准化术语,并为其在SUD治疗中的应用提供初步建议。设计:在2024年11月13日进行了全面的搜索,并在2024年12月16日由医学图书管理员更新。纳入的文章于2000年以后发表,并与SUD小组治疗一起进行,参与者或小组辅导员都是面对面和虚拟的。我们从符合检索标准的4篇文章中提取数据。结果:共筛选了1353篇文章,20篇在全文水平上进行了评估,4篇符合研究纳入标准。确定了SUD的两种“混合”模型设计。一个模型使用了一个虚拟的小组促进者,而参与者仍然面对面地在一起。第二种模式让引导者亲自出席,并允许小组参与者在同一组中虚拟或亲自出席。评估的结果包括各组的治疗完成情况和患者在治疗联盟、团体凝聚力和对成瘾的理解方面的感知变化。结论:我们提出了一个混合虚拟小组模型的共识定义,其中至少有一个小组成员,无论是调解人还是参与者之一,亲自参加小组,而至少有一个成员参加虚拟。虽然研究有限,但早期的研究结果表明,混合SUD组的结果与真人组相似,比纯虚拟组的结果更好。为了确保混合SUD模式得到适当和有效的实施,应该考虑独特的因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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