Edward A Trimble, Nicholas L Bormann, Alyssa H Kalata, Dana Gerberi, Stephan Arndt, Tyler S Oesterle
{"title":"物质使用障碍治疗的混合虚拟群体模型:范围综述。","authors":"Edward A Trimble, Nicholas L Bormann, Alyssa H Kalata, Dana Gerberi, Stephan Arndt, Tyler S Oesterle","doi":"10.2147/SAR.S518266","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Objective: </strong>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.</p><p><strong>Design: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","PeriodicalId":22060,"journal":{"name":"Substance Abuse and Rehabilitation","volume":"16 ","pages":"137-146"},"PeriodicalIF":5.1000,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12086859/pdf/","citationCount":"0","resultStr":"{\"title\":\"Hybrid Virtual Group Model for Substance Use Disorder Therapy: A Scoping Review.\",\"authors\":\"Edward A Trimble, Nicholas L Bormann, Alyssa H Kalata, Dana Gerberi, Stephan Arndt, Tyler S Oesterle\",\"doi\":\"10.2147/SAR.S518266\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>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.</p><p><strong>Objective: </strong>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.</p><p><strong>Design: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>\",\"PeriodicalId\":22060,\"journal\":{\"name\":\"Substance Abuse and Rehabilitation\",\"volume\":\"16 \",\"pages\":\"137-146\"},\"PeriodicalIF\":5.1000,\"publicationDate\":\"2025-05-14\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12086859/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Substance Abuse and Rehabilitation\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.2147/SAR.S518266\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q1\",\"JCRName\":\"SUBSTANCE ABUSE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Substance Abuse and Rehabilitation","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2147/SAR.S518266","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q1","JCRName":"SUBSTANCE ABUSE","Score":null,"Total":0}
Hybrid Virtual Group Model for Substance Use Disorder Therapy: A Scoping Review.
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.