Cell phone-based ecological momentary assessment of substance use context for Latino youth in outpatient treatment: who, what, when and where
Open accessAbstract
Background Relationships between alcohol, marijuana and other drug (AOD) use and contextual factors have mostly been established through retrospective self-report. Given the embeddedness of cell phones in adolescents' daily activities, cell phone-based ecological momentary assessment (CEMA) provides an opportunity to better understand AOD use in youth and how cell phones can be used to self-monitor and deliver interventions. We use CEMA to examine AOD use in Latino youth who have been especially understudied.Methods Twenty-eight mostly Latino youth (ages 13-18) in outpatient substance abuse treatment recorded AOD use, contextual factors, cravings, and affect through once-daily CEMA over one month periods. Random-effects logistic regression was used to compare contextual factors between periods of AOD use and non-use.Results The most frequent contextual factors reported during AOD use were being with close friends and "hanging out" as the primary activity. During AOD use compared to non-use, youth were more likely to be with close friends (OR=4.76; p<0.01), around users (OR=17.69; p<0.01), and at a friend's house (OR=5.97; p<0.01). Alcohol use was more frequently reported at night (63% vs 34%) and on weekends relative to other substances (64% vs 49%). Strong cravings were more frequently reported on AOD-use days (OR=7.34; p<0.01). Types of positive and negative affect were reported with similar frequencies, regardless of AOD use.Conclusions Reporting on social context, location, day and time of day, and cravings all show promise in developing cell phone-based interventions triggered by contextual data.
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With app-based EMA, alcohol consumption occurs mainly on evenings and weekends compared to other drugs.
“With the help of an application-based EMA, these researchers were able to establish that, compared to other drugs, alcohol consumption occurs mainly on evenings and weekends.”
From Mobile intervention for individuals with psychosis, dual disorders, and their common comorbidities: A literature review (2019) · cites this paper as [80]
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- Authors
- Comulada, W. S., Swendeman, D., & Wu, N.
- Affiliations
- University of California, Los Angeles (US)
- Corresponding author
- Comulada, W. Scott
- Venue
- Drug and Alcohol Dependence
- Publisher
- Elsevier BV
- Published
- 2016-10
- Volume
- 167
- Pages
- 207-213
- ISSN
- 0376-8716 (ISSN-L)
- PMC
- PMC5037042
- OpenAlex
- W2511939607
- Cited by
- 23
- References
- 29
- Citations by year
- 2026: 1 · 2024: 3 · 2023: 2 · 2022: 3 · 2021: 4 · 2020: 3 · 2019: 3 · 2018: 2 · 2017: 2
- FWCI
- 2.19
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Drug and Alcohol Dependence (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institutes of Health
- National Institute of Mental Health (K01MH089270, P30MH058107)
- National Institute on Drug Abuse (R21DA024609)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Social Sciences › Sociology and Political Science › Impact of Technology on Adolescents
- Keywords
- Latino youth, adolescent alcohol use, cannabis use, outpatient substance abuse treatment, social context of drug use, peer influence, craving, positive and negative affect, self-monitoring
- MeSH terms
- Ecological Momentary Assessment, Adolescent, Affect, Alcohol Drinking, Ambulatory Care, Female, Hispanic or Latino, Humans, Male, Marijuana Smoking, Outpatients, Retrospective Studies, Social Environment, Substance-Related Disorders, Friends, Cell Phone, Self Report, Craving
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