Journal article
Therapeutic Content of Mobile Phone Applications for Substance Use Disorders: An Umbrella Review
Mayo Clinic Proceedings. Digital health, Vol.2(2), pp.192-206
06/01/2024
DOI: 10.1016/j.mcpdig.2024.03.004
PMCID: PMC11232654
PMID: 38983444
Abstract
Mobile phone applications (MPAs) for substance use disorder (SUD) treatment are increasingly used by patients. Although pilot studies have shown promising results, multiple previous systematic reviews noted insufficient evidence for MPA use in SUD treatmentdmany of the previously published reviews evaluated different trials. Subsequently, we aimed to conduct an umbrella review of previously published reviews investigating the efficacy of MPAs for SUD treatment, excluding nicotine/tobacco because umbrella reviews have been done in this population and the nicotine/tobacco MPA approach often differs from SUD-focused MPAs. No previous reviews have included a statistical meta-analysis of clinical trials to quantify an estimated overall effect. Seven reviews met inclusion criteria, and 17 unique studies with available data were taken from those reviews for the meta-analysis. Overall, reviews reported a lack of evidence for recommending MPAs for SUD treatment. However, MPA-delivered recovery support services, cognitive behavioral therapy, and contingency management were identified across multiple reviews as having promising evidence for SUD treatment. Hedges g effect size for an MPA reduction in substance use-related outcomes relative to the control arm was insignificant (0.137; 95% CI,-0.056 to 0.330; P=.16). In subgroup analysis, contingency management (1.29; 95% CI, 1.088-1.482; s2=0; k=2) and cognitive behavioral therapy (0.02; 95% CI, 0.001-0.030; s2=0; k=2) were significant. Although contingency management's effect was large, both trials were small (samples of 40 and 30). This review includes an adapted framework for the American Psychiatric Association's MPA guidelines that clinicians can implement to review MPAs critically with patients. (c) 2024 THE AUTHORS. Published by Elsevier Inc on behalf of Mayo Foundation for Medical Education and Research. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)
Details
- Title: Subtitle
- Therapeutic Content of Mobile Phone Applications for Substance Use Disorders: An Umbrella Review
- Creators
- Tyler S. Oesterle - Mayo Clinic in ArizonaDaniel K. Hall-Flavin - Mayo Clinic in ArizonaNicholas L. Bormann - Mayo Clinic in ArizonaLarissa L. Loukianova - Mayo Clinic in ArizonaDavid C. Fipps - Mayo Clinic in ArizonaScott A. Breitinger - Mayo Clinic in ArizonaWesley P. Gilliam - Mayo Clinic in ArizonaTiffany Wu - Mayo Clinic in ArizonaSabrina Correa da Costa - Mayo Clinic in ArizonaStephan Arndt - University of IowaVictor M. Karpyak - Mayo Clinic in Arizona
- Resource Type
- Journal article
- Publication Details
- Mayo Clinic Proceedings. Digital health, Vol.2(2), pp.192-206
- DOI
- 10.1016/j.mcpdig.2024.03.004
- PMID
- 38983444
- PMCID
- PMC11232654
- NLM abbreviation
- Mayo Clin Proc Digit Health
- ISSN
- 2949-7612
- eISSN
- 2949-7612
- Publisher
- Elsevier
- Number of pages
- 15
- Grant note
- U01 AA27487; R18 HS029774-01 / National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA Mayo Clinic Kern Center for the Science of Health Care delivery Mayo Clinic SC Johnson Genomics of Addiction Program Terrance and Bette Noble Foundation
- Language
- English
- Date published
- 06/01/2024
- Academic Unit
- Psychiatry; Biostatistics; Nursing; Injury Prevention Research Center
- Record Identifier
- 9985132189902771
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