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Web-Based Cognitive Behavioral Relapse Prevention Program With Tailored Feedback for People With Methamphetamine and
Ayumi Takano1, Yuki Miyamoto, Norito Kawakami
1Graduate School of Medicine, Department of Psychiatric Nursing, The University of Tokyo, Tokyo, Japan. ayumi-takano@umin.ac.jp.
A new web-based relapse prevention program showed good usability and acceptance among drug users. This digital tool offers a feasible alternative for individuals not receiving traditional behavioral therapy.
Area of Science:
- Digital Health
- Psychiatry
- Public Health
Background:
- Drug abuse presents significant public health challenges in Japan, compounded by treatment accessibility issues, stigma, and cost concerns.
- Internet and computer-based therapeutic interventions offer potential solutions to improve treatment feasibility and acceptance for drug users.
Purpose of the Study:
- To develop and pilot a web-based cognitive behavioral relapse prevention program with tailored feedback.
- To assess the acceptance and usability of this novel digital intervention among individuals with drug problems.
Main Methods:
- A pilot web-based program was created using an open-source platform, incorporating relapse prevention sessions, videos, exercises, and self-monitoring tools.
- Personalized feedback was provided by researchers using motivational interviewing skills in response to user-submitted work.
- Participants diagnosed with drug dependence were recruited from psychiatric outpatient wards and rehabilitation facilities for usability evaluation.
Main Results:
- Ten participants completed the study; 60% finished all sessions, with an average completion time of approximately 60 minutes per session over two days.
- The program demonstrated good overall usability, with participants finding the sessions easy to use and helpful, though video length was noted as a drawback.
- Researcher feedback positively impacted participant motivation and insight; no serious adverse effects were observed, and suggestions for improvement were noted.
Conclusions:
- The developed web-based relapse prevention program is user-friendly and acceptable for drug users, serving as a valuable resource for those without access to traditional behavioral therapy.
- Further large-scale research is recommended to evaluate the program's efficacy, particularly among recently active drug users, after revisions based on pilot study feedback.
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