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Web-based interventions for substance use disorders: a qualitative review.

Jan Copeland1, Greg Martin

  • 1National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia 2052. J.Copeland@unsw.edu.au

Journal of Substance Abuse Treatment
|March 31, 2004
PubMed
Summary

Web-based interventions show promise for substance use disorders, though research is limited. Further studies are needed to confirm their effectiveness compared to traditional therapy for less severe cases.

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Area of Science:

  • Psychiatry
  • Public Health
  • Digital Health

Background:

  • Substance use disorder (SUD) is a prevalent mental health issue with significant global health impact.
  • There is a high unmet need for effective SUD treatments.
  • Web-based interventions offer a potential avenue for accessible treatment.

Purpose of the Study:

  • To review the current use and effectiveness of web-based interventions for substance use disorders.
  • To identify gaps in the existing research on digital SUD treatments.

Main Methods:

  • A qualitative review of published literature from major databases (Medline, EMBASE, PsychINFO, Web of Science, GrayLIT).
  • A supplementary search of the worldwide web using search engines like Google.
  • Inclusion of descriptive studies and identification of the absence of large randomized controlled trials.

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Main Results:

  • Numerous computerized and internet-based interventions for SUDs were identified.
  • The existing literature is largely descriptive, lacking robust randomized controlled trials.
  • No large-scale randomized controlled trials of internet-delivered interventions for SUDs were reported.

Conclusions:

  • Despite sparse and flawed literature, web-based SUD interventions hold considerable potential.
  • A demand for these digital interventions likely exists.
  • They may be as effective as therapist-led interventions for less severely dependent individuals.
  • Further clinical outcome research, especially for brief interventions and other substances, is warranted.