Adolescent substance use is a growing problem that causes a myriad of negative outcomes. Using substances during adolescence can lead to decreased executive functioning and is correlated with the top three causes of deaths for adolescents. Treatment options vary and the impact on outcomes are mixed, with engagement being of the most important indicators. Gaming is a popular activity among adolescents, and yet smartphone applications are relatively unexplored within substance use disorder treatment programs. This paper explores the feasibility and acceptability of implementing a mobile application as a supplement to existing adolescent substance use disorder treatment in a behavioral health agency in eastern Missouri. Feedback was received from staff and clients to assess feasibility and acceptability of implementation with barriers discussed. Results indicate there is promise with incorporation of smartphone-based applications into existing interventions and act as recommendations for other providers.
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Brogglia, E., Millings, A., & Barkham, M. (2019). Counseling with guided use of a mobile well-being app for students experiencing anxiety or depression: Clinical outcomes of a feasibility trial embedded in a student counseling service. JMIR MHealth UHealth,7(8), 1–18. https://doi.org/10.2196/14318.
Cacciola, J., Meyers, K., Ward, S., Rosenwasser, B., Arria, A., & McLellan, A. (2015). Assessing adolescent substance abuse programs with updated quality indicators: The development of a consumer guide for adolescent treatment. Journal of Child & Adolescent Substance Abuse,24(3), 142–154. https://doi.org/10.1080/1067828X.2013.777378.
Carroll, K. M., & Onken, L. S. (2005). Behavioral therapies for drug abuse. The American Journal of Psychiatry,162(8), 1452–1460. https://doi.org/10.1176/appi.ajp.162.8.1452.
Chan, Y., Dennis, M., & Funk, R. (2008). Prevalence and comorbidity of major internalizing and externalizing problems among adolescents and adults presenting to substance abuse treatment. Journal of Substance Abuse Treatment,34, 14–24.
Chung, T., & Martin, C. (2010). Prevalence and clinical course of adolescent substance use and substance use disorders. In Y. Kaminer & K. Winters (Eds.), Clinical manual of adolescent substance abuse treatment. Washington, DC: American Psychiatric Association.
Cornelius, J., Maisto, S., & Pollock, N. (2003). Rapid relapse generally follows treatment for substance use disorders among adolescents. Addictive Behavior,28, 381–386.
Crews, F. T., & Boettiger, C. A. (2009). Impulsivity, frontal lobes and risk for addiction. Pharmacology, Biochemistry and Behavior,93(3), 237–247. https://doi.org/10.1016/j.pbb.2009.04.018.
Dennis, M., & Stevens, S. (2003). Maltreatment issues and outcomes of adolescents enrolled in substance abuse treatment. Child Maltreatment,8, 3–6.
Eaton, D. K., Kann, L., Kinchen, S., Shanklin, S., Flint, K. H., Hawkins, J., et al. (2012). Youth risk behavior surveillance—United States, 2011. MMWR Surveillance Summaries,61, 1–162.
Granic, I., Lobel, A., & Engels, R. (2014). The benefits of video games. American Psychologist,69(1), 66–78.
Greenberg, B. S., Sherry, J., Lachlan, K., Lucas, K., & Holmstrom, A. (2010). Orientations to video games among gender and age groups. Simulation & Gaming,41(2), 238–259. https://doi.org/10.1177/1046878108319930.
Jensen, C., Cushing, C., Aylward, B., Craig, J., Sorell, D., & Steele, R. (2001). Effectiveness of motivational interviewing interventions for adolescent substance use behavior change: a meta-analytic review. Journal of Consulting and Clinical Psychology,79, 433–440.
Johnston, L. D., O'Malley, P. M., Miech, R. A., Bachman, J. G., & Schulenberg, J. E. (2014). Monitoring the future national results on drug use: 1975–2013: Overview, key findings on adolescent drug use. Ann Arbor: Institute for Social Research, The University of Michigan.
Johnston, L., O’Malley, P., Bachman, J., & Schulenberg, J. (2013). Monitoring the future: National results on adolescent drug use. Bethesda, MD: National Institute on Drug Abuse.
Karbach, J., & Unger, K. (2014). Executive control training from middle childhood to adolescence. Frontiers in Psychology,5, 390.
Lipschitz, J., Miller, C. J., Hogan, T. P., Burdick, K. E., Lippin-Foster, R., Simon, S. R., et al. (2019). Adoption of mobile apps for depression and anxiety: Cross-sectional survey study on patient interest and barriers to engagement. JMIR Mental Health,6(1), e11334. https://doi.org/10.2196/11334.
Lord, S., Moore, S., Ramsey, A., Dinauer, S., & Johnson, J. (2016). Implementation of a substance use recovery support mobile phone app in community settings: Qualitative study of clinician and staff perspectives of facilitators and barriers. JMIR Mental Health,3(2), e24. https://doi.org/10.2196/mental.4927.
Meier, M. H., Caspi, A., Ambler, A., Harrington, H., Houts, R., Keefe, R. S., et al. (2012). Persistent ***cannabis users show neuropsychological decline from childhood to midlife. Proceedings of the National Academy of Sciences,109(40), E2657–E2664.
Mermelstein, L. C., & Garske, J. P. (2015). A brief mindfulness intervention for college student binge drinkers: A pilot study. Psychology of Addictive Behaviors,29(2), 259–269. https://doi.org/10.1037/adb0000040.
Morral, A., McCaffrey, D., Ridgeway, G., Mukherji, A., & Beighley, C. (2006). The relative effectiveness of 10 adolescent substance abuse treatment programs in the United States. Santa Monica, CA: Rand Drug Policy Research Center.
NIDA. (2010). National Institute on Drug Abuse. Drugs, Brains, and Behavior: The Science of Addiction. NIH Pub No 10–5605. Bethesda, MD, USA: National Institutes of Health.
Pew Research Center. (2015). The smartphone difference. Retrieved from https://www.pewinternet.org/2015/04/01/us-smartphone-use-in-2015/
Pullmann, M., Ague, S., Johnson, T., Lane, S., Beaver, K., Jetton, E., et al. (2013). Defining engagement in adolescent substance abuse treatment. American Journal of Community Psychology,52, 346–358.
Foundation, R. W. J. (2003). Treating teens: A guide to adolescent drug programs. Washington, D.C.: Drug Strategies.
SAMHSA. (n.d.) Report to congress, addictions treatment workforce development. Retrieved from https://www.samhsa.gov/sites/default/files/partnersforrecovery/docs/Report_to_Congress.pdf.
SAMHSA (2013). Substance abuse and mental health services administration. Results from the 2012 National Survey on drug use and health: Summary of National Findings. Rockville, MD, USA: Substance Abuse and Mental Health Services Administration.
Sanchez, R. P., & Bartel, C. M. (2015). The feasibility and acceptability of 'Arise': An online substance abuse relapse prevention program. Games for Health,4(2), 136–144. https://doi.org/10.1089/g4h.2014.0015.
Sartor, C., Bucholz, K., Nelson, E., Madden, P., Lynskey, M., & Heath, A. (2011). Reporting bias in the association between age at first alcohol use and heavy episodic drinking. Alcoholism-Clinical and Experimental Research,35(8), 1418–1425. https://doi.org/10.1111/j.1530-0277.2011.01477.x.
Spence, E. (2014). Smartphone app revenue dominated by a handful of games and developers. Retrieved from https://www.forbes.com/sites/ewanspence/2014/07/08/smartphone-app-revenue-dominated-by-a-handful-of-games-and-developers/
Stiles-Shields, C., Montague, E., Lattie, E. G., Kwasny, M. J., & Mohr, D. C. (2017). What might get in the way: Barriers to the use of apps for depression. Digital Health,3, 1–11. https://doi.org/10.1177/2055207617713827.
Svensson, Å., Magnusson, M., & Larsson, C. (2016). Overcoming barriers: Adolescents’ experiences using a mobile phone dietary assessment app. JMIR Mhealth Uhealth,4(3), 1–11. https://doi.org/10.2196/mhealth.5700.
Wiers, R. W., Gladwin, T. E., Hofmann, W., Salemink, E., & Ridderinkhof, K. R. (2013). Cognitive bias modification and cognitive control training in addiction and related psychopathology: Mechanisms, clinical perspectives, and ways forward. Clinical Psychological Science,1(2), 192–212. https://doi.org/10.1177/2167702612466547.
Winters, K. C., Tanner-Smith, E. E., Bresani, E., & Meyers, K. (2014). Current advances in the treatment of adolescent drug use. Adolescent Health, Medicine and Therapeutics,5, 199–210. https://doi.org/10.2147/AHMT.S48053.
Witkiewitz, K., Desai, S. A., Bowen, S., Leigh, B. C., Kirouac, M., & Larimer, M. E. (2014). Development and evaluation of a mobile intervention for heavy drinking and smoking among college students. Psychology of Addictive Behaviors,28(3), 639–650. https://doi.org/10.1037/a0034747.
Yang, Q., & Van Stee, S. K. (2019). The comparative effectiveness of mobile phone interventions in improving health outcomes: Meta-analytic review. Journal of Medical Internet Research,21(4), 1–14. https://doi.org/10.2196/11244.
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Patterson Silver Wolf, D.A., Ramsey, A.T., Epstein, J. et al. Bridges to Sobriety: Testing the Feasibility and Acceptability of a Mobile App Designed to Supplement an Adolescent Substance Use Disorder Treatment Program. Clin Soc Work J (2020). https://doi.org/10.1007/s10615-020-00765-w
- Adolescent substance use
- Mobile app development
- Supplemental treatment
- Program evaluation