PDF(Pubmed)
Abstract：
As the return to alcohol use in individuals with alcohol use disorder (AUD) is common during treatment and recovery, it is important that abstinence motivation is maintained after such critical incidences. Our study aims to explore how individuals with AUD participating in an app-based intervention with telephone coaching after inpatient treatment perceived their abstinence motivation after the return to alcohol use, whether their app use behavior was affected and to identify helpful factors to maintain abstinence motivation.
Using a mixed-methods approach, ten participants from the intervention group of the randomized controlled trial SmartAssistEntz who returned to alcohol use and recorded this in the app Appstinence, a smartphone application with telephone coaching designed for individuals with AUD, were interviewed about their experiences. The interviews were recorded, transcribed and coded using qualitative content analysis. App use behavior was additionally examined by using log data.
Of the ten interviewees, seven reported their abstinence motivation increased after the return to alcohol use. Reasons included the reminder of negative consequences of drinking, the desire to regain control of their situation as well as the perceived support provided by the app. App data showed that app use remained stable after the return to alcohol use with an average of 58.70 days of active app use (SD = 25.96, Mdn = 58.50, range = 24-96, IQR = 44.25) after the return to alcohol use which was also indicated by the participants\' reported use behavior.
The findings of the study tentatively suggest that the app can provide support to individuals after the return to alcohol use to maintain and increase motivation after the incidence. Future research should (1) focus on specifically enhancing identification of high risk situations and reach during such critical incidences, (2) actively integrate the experience of the return to alcohol use into app-based interventions to better support individuals in achieving their personal AUD behavior change goals, and (3) investigate what type of support individuals might need who drop out of the study and intervention and discontinue app use altogether.
The primary evaluation study is registered in the German Clinical Trials Register (DRKS, registration number DRKS00017700) and received approval of the ethical committee of the Friedrich-Alexander University Erlangen-Nuremberg (193_19 B).
Using a mixed-methods approach, ten participants from the intervention group of the randomized controlled trial SmartAssistEntz who returned to alcohol use and recorded this in the app Appstinence, a smartphone application with telephone coaching designed for individuals with AUD, were interviewed about their experiences. The interviews were recorded, transcribed and coded using qualitative content analysis. App use behavior was additionally examined by using log data.
Of the ten interviewees, seven reported their abstinence motivation increased after the return to alcohol use. Reasons included the reminder of negative consequences of drinking, the desire to regain control of their situation as well as the perceived support provided by the app. App data showed that app use remained stable after the return to alcohol use with an average of 58.70 days of active app use (SD = 25.96, Mdn = 58.50, range = 24-96, IQR = 44.25) after the return to alcohol use which was also indicated by the participants\' reported use behavior.
The findings of the study tentatively suggest that the app can provide support to individuals after the return to alcohol use to maintain and increase motivation after the incidence. Future research should (1) focus on specifically enhancing identification of high risk situations and reach during such critical incidences, (2) actively integrate the experience of the return to alcohol use into app-based interventions to better support individuals in achieving their personal AUD behavior change goals, and (3) investigate what type of support individuals might need who drop out of the study and intervention and discontinue app use altogether.
The primary evaluation study is registered in the German Clinical Trials Register (DRKS, registration number DRKS00017700) and received approval of the ethical committee of the Friedrich-Alexander University Erlangen-Nuremberg (193_19 B).
摘要：
背景：由于患有酒精使用障碍（AUD）的个体在治疗和恢复过程中通常会恢复使用酒精，在这种严重的事件发生后，保持禁欲动机是很重要的。我们的研究旨在探讨在住院治疗后参与电话指导的基于应用程序的干预的AUD个体在恢复饮酒后如何感知他们的禁欲动机，他们的应用程序使用行为是否受到影响，并找出有助于保持禁欲动机的因素。
方法：使用混合方法方法，来自随机对照试验SmartAssistEntz的干预组的10名参与者返回酒精使用并在应用程序Appstinence中记录了这一点，为AUD个人设计的带有电话教练的智能手机应用程序，采访了他们的经历。采访被记录下来，使用定性内容分析进行转录和编码。另外通过使用日志数据来检查应用使用行为。
结果：在十个受访者中，七人报告说，在重新饮酒后，他们的禁欲动机增加了。原因包括提醒人们饮酒的负面后果，渴望重新控制自己的情况以及应用程序提供的感知支持。应用程序数据显示，在恢复使用酒精后，应用程序使用保持稳定，平均使用时间为58.70天（SD=25.96，Mdn=58.50，范围=24-96，IQR=44.25）。
结论：该研究的结果初步表明，该应用程序可以在恢复饮酒后为个人提供支持，以维持和增加发病后的动机。未来的研究应（1）专注于加强对高风险情况的识别，并在此类关键事件中达到，（2）积极将回归酒精使用的经验整合到基于应用程序的干预措施中，以更好地支持个人实现其个人AUD行为改变目标，（3）调查退出研究和干预并完全停止使用应用程序的个人可能需要哪种类型的支持。
背景：主要评估研究已在德国临床试验注册（DRKS，注册号DRKS00017700），并获得弗里德里希-亚历山大大学埃尔兰根-纽伦堡（193_19B）道德委员会的批准。
方法：使用混合方法方法，来自随机对照试验SmartAssistEntz的干预组的10名参与者返回酒精使用并在应用程序Appstinence中记录了这一点，为AUD个人设计的带有电话教练的智能手机应用程序，采访了他们的经历。采访被记录下来，使用定性内容分析进行转录和编码。另外通过使用日志数据来检查应用使用行为。
结果：在十个受访者中，七人报告说，在重新饮酒后，他们的禁欲动机增加了。原因包括提醒人们饮酒的负面后果，渴望重新控制自己的情况以及应用程序提供的感知支持。应用程序数据显示，在恢复使用酒精后，应用程序使用保持稳定，平均使用时间为58.70天（SD=25.96，Mdn=58.50，范围=24-96，IQR=44.25）。
结论：该研究的结果初步表明，该应用程序可以在恢复饮酒后为个人提供支持，以维持和增加发病后的动机。未来的研究应（1）专注于加强对高风险情况的识别，并在此类关键事件中达到，（2）积极将回归酒精使用的经验整合到基于应用程序的干预措施中，以更好地支持个人实现其个人AUD行为改变目标，（3）调查退出研究和干预并完全停止使用应用程序的个人可能需要哪种类型的支持。
背景：主要评估研究已在德国临床试验注册（DRKS，注册号DRKS00017700），并获得弗里德里希-亚历山大大学埃尔兰根-纽伦堡（193_19B）道德委员会的批准。
