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Treatment of Substance Use Disorders With a Mobile Phone App Within Rural Collaborative Care Management (Senyo

Tyler S Oesterle1, Nicholas L Bormann1, Margaret M Paul2

  • 1Department of Psychiatry, Mayo Clinic, Rochester, MN, United States.

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Summary

This study introduces Senyo Health, a mobile app and platform to improve substance use disorder (SUD) treatment via telehealth in rural primary care. The approach aims to enhance access and outcomes for underserved populations.

Keywords:
SUDaddiction treatmentbehavioral health programcare managementclinical trialcommunity-based caremobile appsprimary caresubstance use disordersubstance-related disorderstelemedicinetelepsychiatry

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Area of Science:

  • Digital Health
  • Telemedicine
  • Substance Use Disorder Treatment

Background:

  • The COVID-19 pandemic exacerbated existing challenges in substance use disorder (SUD) treatment, particularly in rural areas with limited access to specialized care.
  • Telehealth adoption, accelerated by the pandemic, offers a promising solution to bridge this gap, enabling primary care providers to manage SUD.
  • The Screening, Brief Intervention, and Referral to Treatment (SBIRT) strategy, integrated with telehealth, can enhance SUD treatment delivery within primary care settings.

Purpose of the Study:

  • To describe a novel approach using the SBIRT pathway and the Senyo Health platform to deliver SUD treatment to rural patients.
  • To complement existing collaborative care management (CoCM) integration within primary care for SUD treatment.
  • To hypothesize that this integrated digital approach will improve SUD-related outcomes in rural primary care clinics.

Main Methods:

  • Senyo Health is a digital platform comprising a clinician web portal and a patient-facing mobile app with learning modules, data collection, and direct counselor communication.
  • Beta-testing is ongoing to refine the platform before a randomized controlled trial.
  • The evaluation will employ Consolidated Framework for Implementation Research (CFIER) methods for implementation assessment and a waitlist control trial (30 participants per group) to assess effectiveness.

Main Results:

  • The Senyo Health app was launched in May 2023, with the latest update in August 2024. Funding began in September 2023 and concludes in July 2027.
  • The study protocol outlines a novel implementation strategy using a digital platform for CoCM to address SUD in a specific patient population.
  • The randomized controlled trial is scheduled to commence in June 2025.

Conclusions:

  • A theory of change and study design are presented to evaluate the impact of a patient-centered mobile app supporting the SBIRT approach for SUD treatment in primary care.
  • This innovative digital strategy aims to improve access and outcomes for rural individuals with SUD.