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Interactive voice response with feedback intervention in out-patient treatment of substance use problems in adolescents: a randomized controlled trial on substance use, stress and psychiatric symptoms.

Andersson, Claes LU ; Öjehagen, Agneta LU ; Olsson, Martin LU ; Brådvik, Louise LU and Håkansson, Anders C LU (2017) In International Journal of Behavioral Medicine 24(5). p.789-797
Abstract
Purpose: Substance use disorders and problematic substance use are common problems in adolescence and young adulthood. Brief personalized feedback has been suggested for treatment of alcohol and drug problems and poor mental health. This repeated measurement randomized controlled trial examines the effect of an interactive voice response (IVR) system for assessing stress, depression, anxiety and substance use. Methods: The IVR system was used twice weekly over 3 months after treatment initiation, with or without addition of a personalized feedback intervention on stress and mental health symptoms. Both IVR assessment only (control group) and IVR assessment including feedback (intervention group) were provided as an add-on to... (More)
Purpose: Substance use disorders and problematic substance use are common problems in adolescence and young adulthood. Brief personalized feedback has been suggested for treatment of alcohol and drug problems and poor mental health. This repeated measurement randomized controlled trial examines the effect of an interactive voice response (IVR) system for assessing stress, depression, anxiety and substance use. Methods: The IVR system was used twice weekly over 3 months after treatment initiation, with or without addition of a personalized feedback intervention on stress and mental health symptoms. Both IVR assessment only (control group) and IVR assessment including feedback (intervention group) were provided as an add-on to treatment-as-usual procedures (TAU) in outpatient treatment of substance use problems in adolescents and young adults (N = 73). Results: By using a mixed models approach, differences in change scores were analyzed over the three-month assessment period. Compared to the control group, the intervention group demonstrated significantly greater improvement in the Arnetz and Hasson stress score (AHSS, p = 0.019), the total Symptoms Checklist 8 score (SCL-8D, p = 0.037), the SCL-8D anxiety sub-score (p = 0.017), and on a summarized feedback score (p = 0.026), but not on the depression subscale. There were no differences in global substance use scores between the intervention group (feedback on mental health symptoms) and the control group. Conclusion: In conclusion, IVR may be useful for follow-up and repeated interventions as an add-on to regular treatment, and personalized feedback could potentially improve mental health in adolescents and young adults with problematic substance use. (Less)
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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
International Journal of Behavioral Medicine
volume
24
issue
5
pages
9 pages
publisher
Lawrence Erlbaum Associates
external identifiers
  • scopus:85007489250
  • pmid:28028732
  • wos:000411642000017
ISSN
1070-5503
DOI
10.1007/s12529-016-9625-0
language
English
LU publication?
yes
id
2d717741-3acf-4b9c-9fca-193aba3d9b8f
date added to LUP
2017-01-09 21:16:21
date last changed
2022-04-24 20:40:14
@article{2d717741-3acf-4b9c-9fca-193aba3d9b8f,
  abstract     = {{Purpose: Substance use disorders and problematic substance use are common problems in adolescence and young adulthood. Brief personalized feedback has been suggested for treatment of alcohol and drug problems and poor mental health. This repeated measurement randomized controlled trial examines the effect of an interactive voice response (IVR) system for assessing stress, depression, anxiety and substance use. Methods: The IVR system was used twice weekly over 3 months after treatment initiation, with or without addition of a personalized feedback intervention on stress and mental health symptoms. Both IVR assessment only (control group) and IVR assessment including feedback (intervention group) were provided as an add-on to treatment-as-usual procedures (TAU) in outpatient treatment of substance use problems in adolescents and young adults (N = 73). Results: By using a mixed models approach, differences in change scores were analyzed over the three-month assessment period. Compared to the control group, the intervention group demonstrated significantly greater improvement in the Arnetz and Hasson stress score (AHSS, p = 0.019), the total Symptoms Checklist 8 score (SCL-8D, p = 0.037), the SCL-8D anxiety sub-score (p = 0.017), and on a summarized feedback score (p = 0.026), but not on the depression subscale. There were no differences in global substance use scores between the intervention group (feedback on mental health symptoms) and the control group. Conclusion: In conclusion, IVR may be useful for follow-up and repeated interventions as an add-on to regular treatment, and personalized feedback could potentially improve mental health in adolescents and young adults with problematic substance use.}},
  author       = {{Andersson, Claes and Öjehagen, Agneta and Olsson, Martin and Brådvik, Louise and Håkansson, Anders C}},
  issn         = {{1070-5503}},
  language     = {{eng}},
  number       = {{5}},
  pages        = {{789--797}},
  publisher    = {{Lawrence Erlbaum Associates}},
  series       = {{International Journal of Behavioral Medicine}},
  title        = {{Interactive voice response with feedback intervention in out-patient treatment of substance use problems in adolescents: a randomized controlled trial on substance use, stress and psychiatric symptoms.}},
  url          = {{http://dx.doi.org/10.1007/s12529-016-9625-0}},
  doi          = {{10.1007/s12529-016-9625-0}},
  volume       = {{24}},
  year         = {{2017}},
}