Assessing the effectiveness of an Internet-based videoconferencing platform for delivering intensified substance abuse counseling
Abstract
Enhanced schedules of counseling can improve response to routine opioid-agonist treatment, although it is associated with increased time demands that enhance patient resistance and nonadherence. Internet-based counseling can reduce these concerns by allowing patients to participate from home. This study assesses treatment satisfaction and response to Internet-based (CRC Health Group's e-Getgoing) group counseling for partial responders to methadone maintenance treatment. Patients testing positive for an illicit substance (n = 37) were randomly assigned to e-Getgoing or onsite group counseling and followed for 6 weeks. Patients in both conditions responded favorably to intensified treatment by achieving at least 2 consecutive weeks of abstinence and 100% attendance to return to less-intensive care (e-Getgoing: 70% vs. routine: 71%, ns). Treatment satisfaction was good and comparable across conditions. E-Getgoing patients expressed a preference for the Internet-based service, reporting convenience and increased confidentiality as major reasons. Integrating Internet-based group counseling with on-site treatment services could help expand the continuum of care in methadone maintenance clinics.
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King and colleagues found high client acceptability and clinical effectiveness for clients with substance addictions (N = 37).
“King and colleagues [32] found high client acceptability and clinical effectiveness for clients with substance addictions (N = 37).”
In King 2009, risk of detection bias for subjective outcomes was unclear because of insufficient information.
“Blinding of outcome assessor (detection bias) subjective outcomes Unclear risk Insufficient information to permit judgment of low or high risk”
From Psychosocial interventions for benzodiazepine harmful use, abuse or dependence (2015) · cites this paper as King 2009
In King 2009, risk of attrition bias was low because there were no missing outcome data.
“Incomplete outcome data (attrition bias) All outcomes Low risk No missing outcome data.”
From Psychosocial interventions for benzodiazepine harmful use, abuse or dependence (2015) · cites this paper as King 2009
In King 2009, risk of reporting bias was low because the published reports included all expected outcomes pre-specified in the methods section, although the protocol was unavailable.
“Selective reporting (reporting bias) Low risk The study protocol is not available but the published reports include all expected outcomes, including those that were prespecified in the method section”
From Psychosocial interventions for benzodiazepine harmful use, abuse or dependence (2015) · cites this paper as King 2009
In King 2009, risk of selection bias from allocation concealment was unclear because the method was not reported.
“Allocation concealment (selection bias) Unclear risk Method of allocation concealment not reported.”
From Psychosocial interventions for benzodiazepine harmful use, abuse or dependence (2015) · cites this paper as King 2009
In King 2009, risk of selection bias from random sequence generation was unclear because the method of randomisation was not reported.
“Random sequence generation (selection bias) Unclear risk Method of randomisation not reported.”
From Psychosocial interventions for benzodiazepine harmful use, abuse or dependence (2015) · cites this paper as King 2009
In King 2009, risk of performance bias was high because there was no or incomplete blinding and the outcome was likely influenced by lack of blinding.
“Blinding of participants and personnel (performance bias) All outcomes High risk No blinding or incomplete blinding, and the outcome is likely to be influenced by lack of blinding”
From Psychosocial interventions for benzodiazepine harmful use, abuse or dependence (2015) · cites this paper as King 2009
In King 2009, risk of detection bias for all outcomes was low due to urine toxicology.
“Blinding of outcome assessment (detection bias) All outcomes Low risk Urine toxicology.”
From Psychosocial interventions for benzodiazepine harmful use, abuse or dependence (2015) · cites this paper as King 2009
In King 2009, risk of performance and detection bias for all outcomes was unclear due to urine toxicology.
“Blinding (performance bias and detection bias) All outcomes Unclear risk Urine toxicology.”
From Psychosocial interventions for benzodiazepine harmful use, abuse or dependence (2015) · cites this paper as King 2009
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- Authors
- King, V. L., Stoller, K. B., Kidorf, M., Kindbom, K., Hursh, S., Brady, T., & Brooner, R. K.
- Affiliations
- Johns Hopkins University (US)
- Institutes for Behavior Resources (US)
- CRC Health Group (US)
- Corresponding author
- King, Van L.
- Venue
- Journal of Substance Abuse Treatment
- Publisher
- Elsevier BV
- Published
- 2009-04
- Volume
- 36
- Issue
- 3
- Pages
- 331-338
- ISSN
- 0740-5472 (ISSN-L)
- OpenAlex
- W2064607749
- Cited by
- 135
- References
- 38
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 5 · 2023: 15 · 2022: 10 · 2021: 15 · 2020: 9 · 2019: 6 · 2018: 7 · 2017: 9 · 2016: 6 · 2015: 16 · 2014: 4 · 2013: 7 · 2012: 10
- FWCI
- 3.63
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Substance Abuse Treatment (publishedVersion)
- PubMed (publishedVersion)
- Funders
- CRC Health Group
- Johns Hopkins University
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- online counseling, videoconferencing, methadone maintenance treatment, opioid substitution therapy, group counseling, treatment satisfaction, abstinence, medication adherence, continuum of care, illicit drug use
- MeSH terms
- Adult, Counseling, Female, Humans, Male, Middle Aged, Patient Compliance, Treatment Outcome, Patient Satisfaction, Substance-Related Disorders, Internet, Videoconferencing
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