Web-based behavioral treatment for substance use disorders as a partial replacement of standard methadone maintenance treatment
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This study is the first experimental trial to evaluate the effectiveness of a Web-based behavioral intervention when deployed in a model where it partially substituted for standard counseling in a community-based specialty addiction treatment program. New opioid-dependent intakes in methadone maintenance treatment (n=160) were randomly assigned for 12months to either: (1) standard treatment or (2) reduced standard treatment plus a Web-based psychosocial intervention, the Therapeutic Education System (TES). Results demonstrated that replacing a portion of standard treatment with TES resulted in significantly greater rates of objectively measured opioid abstinence (48% vs. 37% abstinence across all study weeks; F(1, 158)=5.90, p<.05 and 59% vs. 43% abstinence on weeks participants provided urine samples for testing; F(1, 158)=8.81, p<.01). This result was robust and was evident despite how opioid abstinence was operationally defined and evaluated. The potential implications for service delivery models within substance abuse treatment programs and other healthcare entities are discussed.
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Digital interventions for SUDs have demonstrated efficacy for screening and assessment, treatment and recovery, as stand-alone tools or as adjuncts to clinician-delivered interventions.
“Digital interventions for SUDs have demonstrated efficacy for screening and assessment 251- 253 , treatment 254,255 and recovery 250,256 , as stand- alone tools or as adjuncts to clinician- delivered in terventions.”
From Substance use disorders: a comprehensive update of classification, epidemiology, neurobiology, clinical aspects, treatment and prevention (2023) · cites this paper as [255]
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- Authors
- Marsch, L. A., Guarino, H., Acosta, M., Aponte-Melendez, Y., Cleland, C., Grabinski, M., Brady, R., & Edwards, J.
- Affiliations
- Dartmouth College (US)
- National Development and Research Institutes (US)
- New York University (US)
- Corresponding author
- Marsch, Lisa A.
- Venue
- Journal of Substance Abuse Treatment
- Publisher
- Elsevier BV
- Published
- 2014-01
- Volume
- 46
- Issue
- 1
- Pages
- 43-51
- ISSN
- 0740-5472 (ISSN-L)
- PMC
- PMC3839618
- OpenAlex
- W2063343624
- Cited by
- 139
- References
- 48
- Citations by year
- 2026: 6 · 2025: 3 · 2024: 9 · 2023: 16 · 2022: 8 · 2021: 16 · 2020: 14 · 2019: 7 · 2018: 11 · 2017: 7 · 2016: 14 · 2015: 18 · 2014: 9 · 2013: 1
- FWCI
- 14.28
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Substance Abuse Treatment (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- American Psychological Association
- National Institutes of Health
- National Institute on Drug Abuse (R01DA021818, P30DA029926)
- National Institute on Minority Health and Health Disparities
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
- Keywords
- methadone maintenance treatment, opioid use disorder, substance use disorders, opioid abstinence, service delivery models, urine drug testing
- MeSH terms
- Adult, Behavior Therapy, Community Health Services, Female, Follow-Up Studies, Humans, Male, Methadone, Middle Aged, Opioid-Related Disorders, Substance Abuse Detection, Internet, Opiate Substitution Treatment
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