Josefine Östh, Andreas Lundin, Peter Wennberg, Sven Andréasson, Anna-Karin Danielsson
{"title":"临床医生将智能手机应用数据整合到常规酒精依赖治疗中的观点:影响实施的因素","authors":"Josefine Östh, Andreas Lundin, Peter Wennberg, Sven Andréasson, Anna-Karin Danielsson","doi":"10.1186/s13722-025-00597-4","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Incorporating clinicians' perspectives is essential for the successful implementation of novel interventions in health care. This study aimed to explore clinicians' experiences of using smartphone-derived data in alcohol dependency treatment, and factors affecting implementation into routine care.</p><p><strong>Methods: </strong>Two focus group discussions were conducted in April 2023, including 10 clinicians working at a specialist addiction clinic in Stockholm, Sweden. The clinicians had various levels of experience using smartphone-based data, which was available through two online portals, as part of a randomised controlled trial evaluating two smartphone-based interventions. Data were analysed using Thematic Framework Analysis, guided by Normalisation Process Theory.</p><p><strong>Results: </strong>Two main themes were identified: The patient as the driving force and Cultivating commitment, competence and credibility. The first theme highlighted a person-centred approach that permeated the practice and how the patients' engagement with the app-based interventions guided the clinicians' own involvement. Benefits of the interventions for both patients (i.e., increased awareness and control) and clinicians (i.e. supportive during treatment sessions) were also acknowledged. Clinicians believed that the interventions offered an opportunity for patients to become more actively involved in treatment and noted that clinician access to the app-derived data was less important. The second theme covered clinician discussions on the need for support and guidance to make better use of the interventions, continuity in the work, and additional work time. Moreover, the use of external portals made the intervention less accessible. Potential risks and concerns with the interventions were raised, including technical instability and data security.</p><p><strong>Discussion and conclusions: </strong>The results of this study indicate that a breathalyser-coupled and a drink-counting smartphone application have potential to be supportive complements to alcohol dependency treatment. According to the clinicians, the app-based interventions enhanced patient accountability in the change process and supported treatment delivery. To be effectively implemented into routine care, using a person-centred approach is key, as well as ensuring optimal conditions for clinicians to effectively use the systems. Technical issues constitute a barrier to acceptance, why technical robustness must be ensured.</p>","PeriodicalId":54223,"journal":{"name":"Addiction Science & Clinical Practice","volume":"20 1","pages":"66"},"PeriodicalIF":3.2000,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12344876/pdf/","citationCount":"0","resultStr":"{\"title\":\"Clinicians' perspectives on integrating smartphone application data into routine alcohol dependency treatment: factors influencing implementation.\",\"authors\":\"Josefine Östh, Andreas Lundin, Peter Wennberg, Sven Andréasson, Anna-Karin Danielsson\",\"doi\":\"10.1186/s13722-025-00597-4\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Incorporating clinicians' perspectives is essential for the successful implementation of novel interventions in health care. This study aimed to explore clinicians' experiences of using smartphone-derived data in alcohol dependency treatment, and factors affecting implementation into routine care.</p><p><strong>Methods: </strong>Two focus group discussions were conducted in April 2023, including 10 clinicians working at a specialist addiction clinic in Stockholm, Sweden. The clinicians had various levels of experience using smartphone-based data, which was available through two online portals, as part of a randomised controlled trial evaluating two smartphone-based interventions. Data were analysed using Thematic Framework Analysis, guided by Normalisation Process Theory.</p><p><strong>Results: </strong>Two main themes were identified: The patient as the driving force and Cultivating commitment, competence and credibility. The first theme highlighted a person-centred approach that permeated the practice and how the patients' engagement with the app-based interventions guided the clinicians' own involvement. Benefits of the interventions for both patients (i.e., increased awareness and control) and clinicians (i.e. supportive during treatment sessions) were also acknowledged. Clinicians believed that the interventions offered an opportunity for patients to become more actively involved in treatment and noted that clinician access to the app-derived data was less important. The second theme covered clinician discussions on the need for support and guidance to make better use of the interventions, continuity in the work, and additional work time. Moreover, the use of external portals made the intervention less accessible. Potential risks and concerns with the interventions were raised, including technical instability and data security.</p><p><strong>Discussion and conclusions: </strong>The results of this study indicate that a breathalyser-coupled and a drink-counting smartphone application have potential to be supportive complements to alcohol dependency treatment. According to the clinicians, the app-based interventions enhanced patient accountability in the change process and supported treatment delivery. To be effectively implemented into routine care, using a person-centred approach is key, as well as ensuring optimal conditions for clinicians to effectively use the systems. Technical issues constitute a barrier to acceptance, why technical robustness must be ensured.</p>\",\"PeriodicalId\":54223,\"journal\":{\"name\":\"Addiction Science & Clinical Practice\",\"volume\":\"20 1\",\"pages\":\"66\"},\"PeriodicalIF\":3.2000,\"publicationDate\":\"2025-08-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12344876/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Addiction Science & Clinical Practice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1186/s13722-025-00597-4\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"SUBSTANCE ABUSE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Addiction Science & Clinical Practice","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s13722-025-00597-4","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SUBSTANCE ABUSE","Score":null,"Total":0}
Clinicians' perspectives on integrating smartphone application data into routine alcohol dependency treatment: factors influencing implementation.
Background: Incorporating clinicians' perspectives is essential for the successful implementation of novel interventions in health care. This study aimed to explore clinicians' experiences of using smartphone-derived data in alcohol dependency treatment, and factors affecting implementation into routine care.
Methods: Two focus group discussions were conducted in April 2023, including 10 clinicians working at a specialist addiction clinic in Stockholm, Sweden. The clinicians had various levels of experience using smartphone-based data, which was available through two online portals, as part of a randomised controlled trial evaluating two smartphone-based interventions. Data were analysed using Thematic Framework Analysis, guided by Normalisation Process Theory.
Results: Two main themes were identified: The patient as the driving force and Cultivating commitment, competence and credibility. The first theme highlighted a person-centred approach that permeated the practice and how the patients' engagement with the app-based interventions guided the clinicians' own involvement. Benefits of the interventions for both patients (i.e., increased awareness and control) and clinicians (i.e. supportive during treatment sessions) were also acknowledged. Clinicians believed that the interventions offered an opportunity for patients to become more actively involved in treatment and noted that clinician access to the app-derived data was less important. The second theme covered clinician discussions on the need for support and guidance to make better use of the interventions, continuity in the work, and additional work time. Moreover, the use of external portals made the intervention less accessible. Potential risks and concerns with the interventions were raised, including technical instability and data security.
Discussion and conclusions: The results of this study indicate that a breathalyser-coupled and a drink-counting smartphone application have potential to be supportive complements to alcohol dependency treatment. According to the clinicians, the app-based interventions enhanced patient accountability in the change process and supported treatment delivery. To be effectively implemented into routine care, using a person-centred approach is key, as well as ensuring optimal conditions for clinicians to effectively use the systems. Technical issues constitute a barrier to acceptance, why technical robustness must be ensured.
期刊介绍:
Addiction Science & Clinical Practice provides a forum for clinically relevant research and perspectives that contribute to improving the quality of care for people with unhealthy alcohol, tobacco, or other drug use and addictive behaviours across a spectrum of clinical settings.
Addiction Science & Clinical Practice accepts articles of clinical relevance related to the prevention and treatment of unhealthy alcohol, tobacco, and other drug use across the spectrum of clinical settings. Topics of interest address issues related to the following: the spectrum of unhealthy use of alcohol, tobacco, and other drugs among the range of affected persons (e.g., not limited by age, race/ethnicity, gender, or sexual orientation); the array of clinical prevention and treatment practices (from health messages, to identification and early intervention, to more extensive interventions including counseling and pharmacotherapy and other management strategies); and identification and management of medical, psychiatric, social, and other health consequences of substance use.
Addiction Science & Clinical Practice is particularly interested in articles that address how to improve the quality of care for people with unhealthy substance use and related conditions as described in the (US) Institute of Medicine report, Improving the Quality of Healthcare for Mental Health and Substance Use Conditions (Washington, DC: National Academies Press, 2006). Such articles address the quality of care and of health services. Although the journal also welcomes submissions that address these conditions in addiction speciality-treatment settings, the journal is particularly interested in including articles that address unhealthy use outside these settings, including experience with novel models of care and outcomes, and outcomes of research-practice collaborations.
Although Addiction Science & Clinical Practice is generally not an outlet for basic science research, we will accept basic science research manuscripts that have clearly described potential clinical relevance and are accessible to audiences outside a narrow laboratory research field.