Digital interventions targeting excessive substance use and substance use disorders: a comprehensive and systematic scoping review and bibliometric analysis

Frontiers in Psychiatry, Год журнала: 2024, Номер 15

Опубликована: Фев. 5, 2024

Addictive substances are prevalent world-wide, and their use presents a substantial persistent public health problem. A wide range of digital interventions to decrease negative consequences thereof have been explored, differing in approach, theoretical grounding, specific technologies, more. The current study was designed comprehensively map the recent (2015-2022) extant literature systematic manner, identify neglected emerging knowledge gaps. Four major databases (Medline, Web Science Core Collection, PsychInfo) were searched using database-specific search strategies, combining terms related clinical presentation (alcohol, tobacco or other drug use), technology aim. After deduplication, remaining n=13,917 unique studies published manually screened two stages, leaving final n=3,056 studies, abstracts which subjected tailored coding scheme. Findings revealed an accelerating rate publications this field, with randomized trials being most common type. Several meta-analyses on topic now published, revealing promising robust effects. Digital offered numerous levels, from targeted prevention specialized clinics. Detailed at times made difficult by inconsistent terms, has important implications for future meta-analyses. Moreover, we several gaps – few economic assessments, unclear descriptions interventions, weak meta-analytic support some type limited research many target groups, settings new like video calls, chatbots artificial intelligence that argue address research.

Язык: Английский

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The 7-Year Effectiveness of School-Based Alcohol Use Prevention From Adolescence to Early Adulthood: A Randomized Controlled Trial of Universal, Selective, and Combined Interventions

Journal of the American Academy of Child & Adolescent Psychiatry, Год журнала: 2021, Номер 61(4), С. 520 - 532

Опубликована: Ноя. 22, 2021

Язык: Английский

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Addressing adolescent substance use with a public health prevention framework: the case for harm reduction

Annals of Medicine, Год журнала: 2022, Номер 54(1), С. 2123 - 2136

Опубликована: Июль 28, 2022

Adolescence is a developmental stage defined in part by risk-taking. Risk-taking critical to normal development and has important benefits including trying new activities exploring relationships. also associated with the initiation of substance use. Because use often begins adolescence, much focus been on primary prevention goal preventing initial Secondary or tertiary approaches, such as counselling eliminate offering treatment, are common approaches for adolescents problematic disorder. While this important, some adolescents, treatment cessation may not be desired. In these cases, Healthcare Practitioners (HCPs) can offer clear advice that incorporates harm reduction. Harm reduction, which applied adults who substances, reduces negative impacts drug without requiring abstinence. reduction crucial keeping safe healthy opportunities future engagement treatment. The objective review describe strategies integrating principles clinical settings developmentally appropriate. A patient-centered, approach validate perceived use, minimise harm, advise abstinence.KEY MESSAGES:Substance adolescence traditional rooted framework.Harm should incorporated disorder.This offers integration tailored towards adolescents.

Язык: Английский

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Trends and characteristics of cannabis-associated emergency department visits in the United States, 2006–2018

Drug and Alcohol Dependence, Год журнала: 2022, Номер 232, С. 109288 - 109288

Опубликована: Янв. 10, 2022

Язык: Английский

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Neuroscience-informed classification of prevention interventions in substance use disorders: An RDoC-based approach

Neuroscience & Biobehavioral Reviews, Год журнала: 2024, Номер 159, С. 105578 - 105578

Опубликована: Фев. 13, 2024

Язык: Английский

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A qualitative study exploring how young people perceive and experience substance use services in British Columbia, Canada

Substance Abuse Treatment Prevention and Policy, Год журнала: 2022, Номер 17(1)

Опубликована: Май 28, 2022

Abstract Background Substance use among youth (ages 12–24) is troublesome given the increasing risk of harms associated. Even more so, substance services are largely underutilized youth, most only accessing support when in crisis. Few studies have explored young people’s help-seeking behaviours to address concerns. To this gap, study how perceive and experience British Columbia (BC), Canada. Methods Participatory action research methods were used by partnering with BC (under age 30) from across province who lived and/or living co-design protocol materials. An initial focus group interviews held 30 use, including alcohol, cannabis, illicit substances. The discussions audio-recorded, transcribed verbatim, analyzed thematically using a data-driven approach. Results Three main themes identified separated phase service interaction, starting with: Prevention/Early intervention , where described feeling unworthy support; Service accessibility encountered many barriers finding relevant information; delivery highlighted importance meeting them they at, supporting those milder treatment needs do not meet diagnosis criteria disorder. Conclusions Our results suggest clear need prioritize prevention early interventions specifically targeting adults. Youth peers should be involved co-designing co-delivering such programs ensure their relevance credibility youth. current disease model care leaves population unmet, calling for integrated youth-centred approach multifarious concerns linked outcomes experiences.

Язык: Английский

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Racial and Ethnic Disparities in Alcohol-Attributed Deaths in the United States, 1999–2020

International Journal of Environmental Research and Public Health, Год журнала: 2023, Номер 20(8), С. 5587 - 5587

Опубликована: Апрель 20, 2023

The disparities in alcohol-attributed death rates among different racial and ethnic groups the United States (US) have received limited research attention. Our study aimed to examine burden trends mortality US by race ethnicity from 1999 2020. We used national data Centers for Disease Control Prevention’s Wide-ranging Online Data Epidemiologic Research (CDC WONDER) database employed ICD-10 coding system identify alcohol-related deaths. Disparity rate ratios were calculated using Taylor series, Joinpoint regression was analyze temporal calculate annual average percentage changes (APCs AAPCs, respectively) rates. Between 2020, 605,948 individuals died causes US. highest age-adjusted (AAMR) observed American Indian/Alaska Natives, who 3.6 times more likely die than Non-Hispanic Whites (95% CI: 3.57, 3.67). An examination of revealed that recent leveled Indians/Alaska Natives (APC = 17.9; 95% −0.3, 39.3) while increasing 14.3; 9.1, 19.9), Blacks 17.0; 7.3, 27.5), Asians/Pacific Islanders 9.5; 3.6, 15.6), Hispanics 12.6; 1.3, 25.1). However, when disaggregated age, sex, census region, cause, varying observed. This underscores deaths US, with experiencing burden. Although plateaued this group, they been all other subgroups. To address these promote equitable health outcomes populations, further is necessary gain a better understanding underlying factors develop culturally sensitive interventions.

Язык: Английский

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The Role of Teacher Social-Emotional Support in the Prevention of Adolescent ATOD Use During the COVID-19 Pandemic

Journal of Drug Education, Год журнала: 2025, Номер unknown

Опубликована: Янв. 9, 2025

We studied alcohol, tobacco, and other drug use (ATOD) among adolescents during the COVID-19 pandemic, hypothesizing that social-emotional support from teachers pandemic would lessen adolescent-reported of ATOD in last 30 days. A sample 3,086 high school youth (51% girls; 45% color) seven U.S. communities participated an anonymous online survey between March 2021 July 2021. Data were analyzed using logistic regressions structural equation modeling. Teacher predicted greater perceived risk (OR = 1.36–1.73), less 30-day .65–.84), cultural responsiveness, adolescent competencies, positive coping strategies. Social-emotional was significantly related to students perceiving reporting more competence, which turn contributed School policies practices strengthen student-teacher relationships can help mitigate use.

Язык: Английский

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Mental Health and Positive Development Prevention Interventions: Overview of Systematic Reviews

PEDIATRICS, Год журнала: 2022, Номер 149(Supplement 6)

Опубликована: Май 1, 2022

Previous reviews of mental health interventions have focused on adolescents (10-19 years), with a paucity comprehensive evidence syntheses preventive for school-aged children (5-10 years).To summarize and synthesize the available from systematic positive development aged 5-14.9 years in both high-income (HIC) low- middle-income countries (LMIC), focus promotive strategies.This overview includes all relevant OVID Medline, The Cochrane Library, Campbell Systematic Reviews through December 2020.We included that synthesized empirical studies using experimental or quasi-experimental designs to evaluate effectiveness years.Data extraction quality assessment were completed independently duplicate by two review authors. AMSTAR2 tool was used assess methodological quality.We 162 reviews. greatest found support school-based universal anti-bullying predominantly HIC. Moderate use substance abuse prevention, early learning mixed settings. In LMIC-only contexts, most promising youth programs.The primarily limited high-quality research due issues high heterogeneity.This highlights need further consolidate findings understand specific criteria involved creating outcomes various considered.

Язык: Английский

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Universal School-Based Substance Use Prevention Using Technology-Supported Cooperative Learning

Prevention Science, Год журнала: 2024, Номер 25(3), С. 488 - 497

Опубликована: Март 1, 2024

Язык: Английский

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