Cited by 139Opioid Use Disorder TreatmentSubstance Abuse Treatment and OutcomesDigital Mental Health Interventions

Web-based behavioral treatment for substance use disorders as a partial replacement of standard methadone maintenance treatment

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Marsch, Lisa A., Guarino, Honoria, Acosta, Michelle, Aponte-Melendez, Yesenia, Cleland, Charles, Grabinski, Michael, Brady, Ronald, Edwards, Joyce·2014·Journal of Substance Abuse Treatment

Abstract

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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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)
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
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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