Addictive Behaviors Reports最新文献

{"title":"Gaming Disorder: The role of a gamers flow profile","authors":"Trent Footitt ,&nbsp;Natasha Christofi ,&nbsp;Dylan R Poulus ,&nbsp;Michelle Colder Carras ,&nbsp;Vasileios Stavropoulos","doi":"10.1016/j.abrep.2024.100555","DOIUrl":"10.1016/j.abrep.2024.100555","url":null,"abstract":"<div><p>Digital games are widely popular and integral to contemporary entertainment. Nevertheless, a proportion of users present with disordered/excessive gaming behaviours, provisionally classified as Internet Gaming Disorder (IGD). Previous literature suggests examining the contribution of an individual’s profile of immersive engagement with their gaming activity, known as online flow, for disordered gaming behaviours. Therefore, the main goals of this study were (1) to categorise gamers into distinct profiles based on their online flow experiences and (2) to investigate the differences in disordered gaming among these different flow profiles. A sample of 565 gamers (12–68 years, Mage = 29.3 years) was assessed twice over six months with the Online Flow Questionnaire (OFQ), the Internet Gaming Disorder Scale-Short-Form (IGDS9-SF), and the Gaming Disorder Test (GDT). Latent profile analysis (LPA) identified five distinct profiles encompassing ’High-Flow with High Loss of Control’ (HF-HLOC; 14.0 %), ’Low Flow with Low Enjoyment’ (LF-LE; 11.9 %), ’Average Flow with Low Enjoyment’ (AF-LE; 17.5 %), ’Low Flow with High Enjoyment’ (LF-HE; 20.2 %), and ’High Loss of Sense of Time with Low Loss of Control’ groups (HLOT-LLOC; 36.5 %). As hypothesised, individuals across varying profiles evidenced differences in their concurrent and longitudinal disordered gaming behaviours. Overall, findings suggest that ’loss of sense of time’ may be the most pivotal factor in differentiating flow states and profiles during gaming, advocating its consideration in disordered gaming assessment and treatment.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"19 ","pages":"Article 100555"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352853224000324/pdfft?md5=bf736a86cb452c5554f34a3ed93a878f&pid=1-s2.0-S2352853224000324-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141279548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association between discrimination and drinking among sexual minorities: A daily diary study","authors":"A. Surace ,&nbsp;D. Operario ,&nbsp;C.W. Kahler","doi":"10.1016/j.abrep.2024.100554","DOIUrl":"https://doi.org/10.1016/j.abrep.2024.100554","url":null,"abstract":"<div><h3>Background</h3><p>Among sexual minorities (SMs), experiencing discrimination has been associated with greater substance use at the day-level. However, variations in sample characteristics and measures of day-level discrimination limit the generalizability of findings. Furthermore, it is unknown how positive experiences due to minority identity (“Minority Strengths”) may impact the association between experiencing discrimination and same day drinking.</p></div><div><h3>Methods</h3><p>The present study extends prior research on discrimination and drinking using detailed discrimination measures, Minority Strengths measures, and a gender diverse sample. Participants (N = 61) were majority White (n = 45, 73.8 %) adult (mean age 26.8 years) self-identified SMs (e.g., 44.3 % identified as “gay”) who engaged in alcohol use within the past month. Participants completed up to 31 days of daily diary surveys about their experiences and drinking. Recruitment took place in the northeastern U.S. from May to December 2021.</p></div><div><h3>Results</h3><p>Multilevel model analysis indicated that experiencing discrimination was associated with increased same day drinking among Black, Indigenous, people of color (BIPOC) participants but not among White participants. A significant gender by discrimination interaction indicated that cisgender men drank more the same day they experienced discrimination compared to cisgender women and transgender/non-binary participants. Minority Strengths had no impact on these relationships.</p></div><div><h3>Conclusions</h3><p>Results highlight that the experience of discrimination and its association with drinking may be influenced by a host of contextual factors that are attached to racial and gender identities. Future research should examine how discrimination in different contexts (e.g., regions) and based on specific identities may be associated with alcohol use.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"19 ","pages":"Article 100554"},"PeriodicalIF":0.0,"publicationDate":"2024-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352853224000312/pdfft?md5=e5d054be84bcb65ee859308ed15938cc&pid=1-s2.0-S2352853224000312-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141091000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"First semester college experiences: Associations with substance use and mental health","authors":"Brooke J. Arterberry,&nbsp;Sarah J. Peterson,&nbsp;Megan E. Patrick","doi":"10.1016/j.abrep.2024.100552","DOIUrl":"10.1016/j.abrep.2024.100552","url":null,"abstract":"<div><h3>Introduction</h3><p>Substance use (SU) and mental health (MH) concerns often occur as students transition from high school to college and may be associated with first semester experiences.</p></div><div><h3>Methods</h3><p>Incoming first-year college students at a U.S., predominantly white, midwestern university were recruited for an intervention study. Participants reported on substance use, mental health, and college experiences at the end of their first semester of college (n = 781; 62.9 % female, mean age = 18.06 [<em>SD</em> = 0.24]; 77.2 % non-Hispanic white; 84.6 % heterosexual). Data for these current analyses were cross-sectional.</p></div><div><h3>Results</h3><p>Identifying as Black, Indigenous, or another Person of Color, as a sexual minority, or as female was associated with more challenging first semester experiences. Social experiences that represent more social engagement were associated with greater substance use. College experiences reflecting an easier transition were associated with fewer mental health concerns. Alcohol use moderated the relation between academic challenges and mental health with stronger associations found at greater levels of alcohol use.</p></div><div><h3>Conclusions</h3><p>First semester experiences were related to student mental health and substance use, suggesting the importance of early, targeted support for students to adjust to campus life.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"19 ","pages":"Article 100552"},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352853224000294/pdfft?md5=5e8eabaf07cf29adb3690d74239ea9e3&pid=1-s2.0-S2352853224000294-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141056094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mortality, morbidity, and predictors of death among amphetamine-type stimulant users − a longitudinal, nationwide register study","authors":"A. Åhman ,&nbsp;A. Karlsson ,&nbsp;J. Berge ,&nbsp;A. Håkansson","doi":"10.1016/j.abrep.2024.100553","DOIUrl":"https://doi.org/10.1016/j.abrep.2024.100553","url":null,"abstract":"<div><h3>Introduction</h3><p>Use of amphetamine-type stimulants (ATS) contributes substantially to the global burden of disease. Large-scale follow-up studies of morbidity and mortality in ATS users are few. This study analysed morbidity, mortality, and potential predictors of all-cause mortality in a nationwide cohort of patients with ATS use disorder.</p></div><div><h3>Methods</h3><p>Data was acquired from national Swedish registers. All Swedish residents 18 years or older, with a registered ATS use diagnosis in 2013–2014 were included (N = 5,018) and followed until December 31, 2017. Comorbid diagnoses and causes of death were assessed and potential predictors of all-cause mortality were examined through Cox regression.</p></div><div><h3>Results</h3><p>Median age at inclusion was 36.6 years (interquartile range 27.4–––48.1) and 70.5 % were men. The crude mortality rate was 24.6 per 1,000 person-years. The adjusted all-cause standardized mortality ratio was 12.4 (95 % CI [11.34–13.55]). The most common cause of death was overdose (28.9 %). Multiple drug use (hazard ratio 1.39, 95 % CI [1.14–1.70], p = 0.004), anxiety (hazard ratio 1.39, 95 % CI [1.11–1.72], p = 0.014), viral hepatitis (hazard ratio 1.85, 95 % CI [1.50–2.29], p = 0.004), and liver disease (hazard ratio 2.41, 95 % CI [1.55–3.74], p = 0.004) were predictors of all-cause mortality.</p></div><div><h3>Conclusions</h3><p>Multiple drug use, anxiety disorders, viral hepatitis and liver diseases were identified as risk factors for death. Our findings call for better screening, prevention, and treatment of somatic and psychiatric comorbidity among ATS users to reduce mortality.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"19 ","pages":"Article 100553"},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352853224000300/pdfft?md5=7385f5ab37bc7c4234753d101da8cf80&pid=1-s2.0-S2352853224000300-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140950421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Promises and pitfalls of #Relapse narratives in Destigmatization: The mediating role of emotions","authors":"Hang Lu","doi":"10.1016/j.abrep.2024.100551","DOIUrl":"https://doi.org/10.1016/j.abrep.2024.100551","url":null,"abstract":"<div><p>The disclosure of recovery journeys on social media by individuals with substance use is a growing trend, but its impact on public attitudes toward stigmatized groups is not well-understood. To address this gap, an experiment was conducted with 1,438 U.S. adults who viewed a series of Instagram posts about a person’s recovery journey. Participants were randomly assigned to view posts that either included a relapse episode or not. Structural equation modeling was used for data analyses. The results revealed that presenting a relapse narrative increased feelings of compassion, anger, and pity. In addition, mediation analyses provided evidence supporting the role these emotions played in mediating the effects of a relapse narrative on stigma beliefs and desire for social distance. These findings prompt a reevaluation of digital storytelling practices in health communication strategies, aiming for a balanced representation that can effectively reduce stigma and promote community support for those navigating substance use recovery. It is recommended to incorporate the study’s insights into educational content, therapeutic interventions, and policy formulations to foster a more supportive and understanding environment for individuals in recovery.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"19 ","pages":"Article 100551"},"PeriodicalIF":0.0,"publicationDate":"2024-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352853224000282/pdfft?md5=7678aa9492ca54756e9e9459076a6199&pid=1-s2.0-S2352853224000282-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140893734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Loneliness and problematic pornography Use: What is the role of emotion regulation and interaction with content Creators?","authors":"Maria Vescan ,&nbsp;Mal Flack ,&nbsp;Kim M Caudwell","doi":"10.1016/j.abrep.2024.100550","DOIUrl":"https://doi.org/10.1016/j.abrep.2024.100550","url":null,"abstract":"<div><p>Problematic pornography use is a growing area of interest necessitating a deeper understanding of its contributing factors. Loneliness and emotion regulation difficulties have been advanced as factors that may exacerbate or perpetuate PPU, however, to date, researchers typically consider these factors in isolation. In addition, the evolving landscape of problematic pornography is further shaped by the emergence of pornography content creators. This study explores the relationships between loneliness, emotion regulation difficulties and problematic pornography use and individuals’ interactions with pornography content creators. Specifically, we examine whether emotion regulation difficulties mediate the relationship between loneliness and PPU and whether this mediation is contingent on interactions with content creators. A total of 213 adults (<em>M</em>_age = 35.57 years, <em>SD</em> = 16.90; 77.50 % men) participants completed an online questionnaire assessing PPU, emotion regulation difficulties and loneliness. Results revealed loneliness is associated with increased PPU and emotion regulation difficulties. Emotion regulation difficulties, in turn, relate to PPU. Though interaction with pornographic content creators was associated with reduced PPU, interacting with content creators did not moderate the effect of emotion regulation on the relationship between loneliness and PPU. Our findings support the hypothesised model, suggesting that emotion regulation difficulties mediate the relationship between loneliness and PPU. The identified mediating role of emotion regulation difficulties provides a foundation for further investigations into the underlying mechanisms connecting emotional well-being and problematic pornography use, offering potential directions for future research.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"19 ","pages":"Article 100550"},"PeriodicalIF":0.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352853224000270/pdfft?md5=a2a39bed22f4017751de887a9fb031c8&pid=1-s2.0-S2352853224000270-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140878925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Towards virtual reality exposure therapy for cocaine use disorder: A feasibility study of inducing cocaine craving through virtual reality","authors":"Thomas Lehoux ,&nbsp;Christelle Nithart Porche ,&nbsp;Antonio Capobianco ,&nbsp;Miguel Gervilla ,&nbsp;Flavien Lecuyer ,&nbsp;Julien Anthouard ,&nbsp;Luisa Weiner","doi":"10.1016/j.abrep.2024.100549","DOIUrl":"https://doi.org/10.1016/j.abrep.2024.100549","url":null,"abstract":"<div><h3>Background</h3><p>Craving is a core symptom of cocaine use disorders (CUD). Inducing craving in exposure to substance cues is of relevant interest for numerous clinical applications. Virtual reality exposure (VRE) might be a promising candidate for improving cue-exposure paradigms but remains almost not studied for cocaine. This feasibility study’s main aim is to assess whether VRE to cocaine cues is capable to induce cocaine craving compared with VRE to neutral cues.</p></div><div><h3>Methods</h3><p>We conducted a within-subjects controlled trial in which cocaine users performed 3 consecutive 10 mins-tasks: VRE to neutral and cocaine cues, and a relaxation-based resting procedure. The primary outcome was the change in Cocaine Craving Questionnaire-Brief (CCQ-Brief) scores between VRE to neutral and cocaine cues. Secondary outcomes included between-tasks changes in scores of cocaine craving, pleasant/unpleasant emotions as well as self-efficacy to cope with craving.</p></div><div><h3>Results</h3><p>We recruited 11 chronic cocaine users including mostly crack smokers (45 %), cocaine snorters (36 %) and injectors (18 %), with 73 % of participants meeting DSM-IV criteria for cocaine dependence and/or abuse. Non-parametrical sign tests indicated significant large increases of CCQ-Brief scores from neutral to cocaine cue-VRE (S(11) = 11, p &lt; 0.01, Cliff’s Δ = 0.65, <em>95 % CI:</em> 0.17–0.88). Exploratory comparative analyses indicated significant changes after our post-cues VRE relaxation procedure, with cocaine craving and emotions restored to baseline.</p></div><div><h3>Conclusions</h3><p>VRE to cocaine cues was feasible and capable to induce cocaine craving in cocaine users. This second VRE-based cue-reactivity study in cocaine paves the way for unexplored research on VRE clinical applications for CUD.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"19 ","pages":"Article 100549"},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352853224000269/pdfft?md5=fbaa3d2d2f5f84d7c8e35ae0f2958b40&pid=1-s2.0-S2352853224000269-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140823720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bidirectional relationships between nicotine vaping and maladaptive eating behaviors among young adults","authors":"H. Isabella Lanza ,&nbsp;Kailey Waller ,&nbsp;Lalaine Sevillano","doi":"10.1016/j.abrep.2024.100547","DOIUrl":"https://doi.org/10.1016/j.abrep.2024.100547","url":null,"abstract":"<div><h3>Background</h3><p>Past research indicates that young adult cigarette smokers are at risk of engaging in maladaptive eating behaviors (MEBs); however, whether this relationship extends to nicotine vaping is unclear. The current study assessed bidirectional associations between four types of MEBs and nicotine vaping among young adults.</p></div><div><h3>Methods</h3><p>1,303 young adults (20.5 ± 2.3 years; 63 % female) from a public, urban university were recruited and completed online surveys at six-month intervals from spring 2021 (W1) to spring 2023 (W5). Past 30-day nicotine vaping and four types of MEBs (susceptibility to external cues, emotional eating, routine restraint, and compensatory restraint) were evaluated.</p></div><div><h3>Results</h3><p>Longitudinal cross-lagged models examined the bidirectional relationships between past 30-day nicotine vaping and each type of MEB across five waves. Nicotine vaping predicted both susceptibility to external cues (β = 0.10, <em>p</em> &lt;.05; Wave 2 to 3) and emotional eating (β = 0.08, <em>p</em> &lt;.05; Wave 1 to 2). A significant cross-lag regression (Wave 4 to 5) showed nicotine vaping predicted to routine restraint (β = 0.08, <em>p</em> &lt;.05), and routine restraint predicted to nicotine vaping (β = 0.12, <em>p</em> &lt;.05).</p></div><div><h3>Conclusions</h3><p>Results indicated that nicotine vaping predicted MEBs; however, the type of MEB differed across waves, which may have been due to the COVID-19 pandemic context. Nicotine vaping predicted to MEBs reflecting vulnerability to the external environment and emotion regulation during a period of heightened restrictions, whereas later when pandemic restrictions had ceased nicotine vaping predicted only to routine restraint. Integrating research and practice on nicotine vaping and MEBs may inform public health efforts to decrease co-occurring health-risks in young adulthood.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"19 ","pages":"Article 100547"},"PeriodicalIF":0.0,"publicationDate":"2024-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352853224000245/pdfft?md5=793ed0fffac5139669f6117e8db82c43&pid=1-s2.0-S2352853224000245-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140823719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Switching people who smoke to unfiltered cigarettes: Effects on smoking topography","authors":"Devan R. Romero ,&nbsp;Giovanni Appolon ,&nbsp;Thomas E. Novotny ,&nbsp;Kim Pulvers ,&nbsp;LaRee Tracy ,&nbsp;Nora Satybaldiyeva ,&nbsp;Jose Magraner ,&nbsp;Eyal Oren","doi":"10.1016/j.abrep.2024.100548","DOIUrl":"https://doi.org/10.1016/j.abrep.2024.100548","url":null,"abstract":"<div><h3>Introduction</h3><p>Smoking topography (ST) describes smoking behavior and patterns. Removal of the cigarette filter and subsequent impact on ST has not been investigated. This is the first clinical trial comparing ST for filtered and unfiltered cigarettes in a naturalistic experiment.</p></div><div><h3>Methods</h3><p>We conducted a crossover clinical trial following established people who smoke cigarettes (n = 32) for two weeks under filtered and unfiltered smoking experimental conditions. Participants (50 % female, mean age 38.3 yr.) smoked in each experimental condition followed by a 3-week post-washout period. ST (puff count, volume, duration, peak and average flow) was measured at six time-points. Statistical analysis included a linear repeated mixed-effects model of smoking experimental conditions by visit number and sex.</p></div><div><h3>Results</h3><p>Average flow (ml/sec) was significantly less for filtered smoking (−6.92 lower (95 % CI: −13.44 to −0.39), p <em>&lt;</em> 0.05), thus demonstrating more resistance on inhalation. No significant differences were found between filtered or unfiltered experimental conditions for other ST variables. However, average volume and average peak flow were somewhat higher in unfiltered smoking, and lower mean puff counts/cigarette were observed for unfiltered compared to filtered smoking.</p></div><div><h3>Conclusion</h3><p>Lower average flow rates were associated with filtered cigarette smoking. No significant differences were found for other ST variables between smoking experimental conditions. ST measurements comparing cigarette smoking conditions may determine if product regulatory changes, such as removing the cigarette filter could impact smoking behavioral patterns among people who smoke. This proof-of-principle study measuring ST may be replicated in larger trials to determine potential behavioral changes in smoking unfiltered cigarettes.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"19 ","pages":"Article 100548"},"PeriodicalIF":0.0,"publicationDate":"2024-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352853224000257/pdfft?md5=eaab824b1ca47b96988e9f6f63df4537&pid=1-s2.0-S2352853224000257-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140807097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing a remotely delivered intensive outpatient program adapted for hospitalized patients with opioid use disorder: A qualitative study","authors":"Veronica Szpak ,&nbsp;Sara Prostko ,&nbsp;Roger D. Weiss ,&nbsp;Joji Suzuki","doi":"10.1016/j.abrep.2024.100546","DOIUrl":"https://doi.org/10.1016/j.abrep.2024.100546","url":null,"abstract":"<div><h3>Introduction</h3><p>Individuals with opioid use disorder (OUD) who inject drugs have an elevated risk of experiencing serious injection-related infections. While such infections can be treated, treatment for the underlying OUD is often limited. One potential strategy for more intensive addiction treatment is to offer a remotely delivered intensive outpatient program (IOP), adapted from an existing remote IOP (“Smart IOP”). We aimed to conduct a qualitative study to gather feedback on Smart IOP and identify adaptations needed for hospitalized patients.</p></div><div><h3>Methods</h3><p>Individuals with OUD and a history of serious injection-related infections completed a semi-structured interview and were shown samples of the videos and program content. The interviews were transcribed verbatim and coded to conduct a thematic analysis.</p></div><div><h3>Results</h3><p>Seventeen individuals participated. The mean age was 40.8 years and 70.6 % were men. Participants reported that IOP during the hospitalization would have been helpful to their recovery. The themes that emerged were the importance of medications for OUD, having a relapse prevention plan, engaging with a recovery coach, and ensuring treatment linkage post-discharge. Other themes included the recognition of the severity of one’s illness and the emotional experiences related to the hospitalization.</p></div><div><h3>Conclusions</h3><p>Participants expressed the value of an IOP during hospitalization and provided insights into the support needed while hospitalized. The tailored IOP is now being developed and will undergo a pilot feasibility trial.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":"19 ","pages":"Article 100546"},"PeriodicalIF":0.0,"publicationDate":"2024-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352853224000233/pdfft?md5=24cdb050ad1438ab2517e2a25130cf79&pid=1-s2.0-S2352853224000233-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140620948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}