Telehealth for Substance Use Disorders: A Rapid Review for the 2021 U.S. Department of Veterans Affairs and U.S. Department of Defense Guidelines for Management of Substance Use Disorders
Approximately 20.4 million Americans met criteria for a substance use disorder (SUD) in 2019; however, only about 12.2% of persons with an SUD receive specialty care. Telehealth offers alternatives to traditional forms of substance use treatment. To synthesize recent findings on the efficacy of tele...
Uložené v:
| Vydané v: | Annals of internal medicine Ročník 175; číslo 5; s. 691 |
|---|---|
| Hlavní autori: | , , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
| Vydavateľské údaje: |
United States
01.05.2022
|
| Predmet: | |
| ISSN: | 1539-3704, 1539-3704 |
| On-line prístup: | Zistit podrobnosti o prístupe |
| Tagy: |
Pridať tag
Žiadne tagy, Buďte prvý, kto otaguje tento záznam!
|
| Abstract | Approximately 20.4 million Americans met criteria for a substance use disorder (SUD) in 2019; however, only about 12.2% of persons with an SUD receive specialty care. Telehealth offers alternatives to traditional forms of substance use treatment.
To synthesize recent findings on the efficacy of telehealth for SUDs.
MEDLINE, Embase, PubMed, and the Cochrane Library from January 2015 through August 2021 (English language only).
Randomized controlled trials (RCTs) of adults with a diagnosis of SUD based on the
or International Classification of Diseases.
One investigator abstracted data and assessed study quality, and a second checked for accuracy.
This rapid review synthesized evidence from 17 RCTs. Evidence is very uncertain that telehealth provided as videoconference therapy (1 RCT) or web-based cognitive behavioral therapy (CBT) (3 RCTs) has similar effects to in-person therapy for improving abstinence from alcohol or cannabis. Low-strength evidence suggests that web-based CBT has similar effects for improving abstinence in multiple SUDs (2 RCTs). Low-strength evidence suggests that adding supportive text messaging to follow-up care improves abstinence and amount of alcohol per day (2 RCTs) but does not improve emergency department visits or frequency of consumption (2 RCTs). Enhanced telephone monitoring likely reduces readmissions for SUD detoxification compared with usual follow-up alone (1 RCT) but does not reduce days of substance use (low-strength evidence).
Narrative synthesis, heterogeneity of telehealth interventions, no assessment of publication bias, and study methodology.
Evidence is very uncertain that telehealth is similar to in-person care for SUD outcomes. Limited evidence suggests some benefit of adding telehealth to usual SUD care.
U.S. Department of Veterans Affairs Veterans Health Administration. |
|---|---|
| AbstractList | Approximately 20.4 million Americans met criteria for a substance use disorder (SUD) in 2019; however, only about 12.2% of persons with an SUD receive specialty care. Telehealth offers alternatives to traditional forms of substance use treatment.
To synthesize recent findings on the efficacy of telehealth for SUDs.
MEDLINE, Embase, PubMed, and the Cochrane Library from January 2015 through August 2021 (English language only).
Randomized controlled trials (RCTs) of adults with a diagnosis of SUD based on the
or International Classification of Diseases.
One investigator abstracted data and assessed study quality, and a second checked for accuracy.
This rapid review synthesized evidence from 17 RCTs. Evidence is very uncertain that telehealth provided as videoconference therapy (1 RCT) or web-based cognitive behavioral therapy (CBT) (3 RCTs) has similar effects to in-person therapy for improving abstinence from alcohol or cannabis. Low-strength evidence suggests that web-based CBT has similar effects for improving abstinence in multiple SUDs (2 RCTs). Low-strength evidence suggests that adding supportive text messaging to follow-up care improves abstinence and amount of alcohol per day (2 RCTs) but does not improve emergency department visits or frequency of consumption (2 RCTs). Enhanced telephone monitoring likely reduces readmissions for SUD detoxification compared with usual follow-up alone (1 RCT) but does not reduce days of substance use (low-strength evidence).
Narrative synthesis, heterogeneity of telehealth interventions, no assessment of publication bias, and study methodology.
Evidence is very uncertain that telehealth is similar to in-person care for SUD outcomes. Limited evidence suggests some benefit of adding telehealth to usual SUD care.
U.S. Department of Veterans Affairs Veterans Health Administration. Approximately 20.4 million Americans met criteria for a substance use disorder (SUD) in 2019; however, only about 12.2% of persons with an SUD receive specialty care. Telehealth offers alternatives to traditional forms of substance use treatment.BACKGROUNDApproximately 20.4 million Americans met criteria for a substance use disorder (SUD) in 2019; however, only about 12.2% of persons with an SUD receive specialty care. Telehealth offers alternatives to traditional forms of substance use treatment.To synthesize recent findings on the efficacy of telehealth for SUDs.PURPOSETo synthesize recent findings on the efficacy of telehealth for SUDs.MEDLINE, Embase, PubMed, and the Cochrane Library from January 2015 through August 2021 (English language only).DATA SOURCESMEDLINE, Embase, PubMed, and the Cochrane Library from January 2015 through August 2021 (English language only).Randomized controlled trials (RCTs) of adults with a diagnosis of SUD based on the Diagnostic and Statistical Manual of Mental Disorders or International Classification of Diseases.STUDY SELECTIONRandomized controlled trials (RCTs) of adults with a diagnosis of SUD based on the Diagnostic and Statistical Manual of Mental Disorders or International Classification of Diseases.One investigator abstracted data and assessed study quality, and a second checked for accuracy.DATA EXTRACTIONOne investigator abstracted data and assessed study quality, and a second checked for accuracy.This rapid review synthesized evidence from 17 RCTs. Evidence is very uncertain that telehealth provided as videoconference therapy (1 RCT) or web-based cognitive behavioral therapy (CBT) (3 RCTs) has similar effects to in-person therapy for improving abstinence from alcohol or cannabis. Low-strength evidence suggests that web-based CBT has similar effects for improving abstinence in multiple SUDs (2 RCTs). Low-strength evidence suggests that adding supportive text messaging to follow-up care improves abstinence and amount of alcohol per day (2 RCTs) but does not improve emergency department visits or frequency of consumption (2 RCTs). Enhanced telephone monitoring likely reduces readmissions for SUD detoxification compared with usual follow-up alone (1 RCT) but does not reduce days of substance use (low-strength evidence).DATA SYNTHESISThis rapid review synthesized evidence from 17 RCTs. Evidence is very uncertain that telehealth provided as videoconference therapy (1 RCT) or web-based cognitive behavioral therapy (CBT) (3 RCTs) has similar effects to in-person therapy for improving abstinence from alcohol or cannabis. Low-strength evidence suggests that web-based CBT has similar effects for improving abstinence in multiple SUDs (2 RCTs). Low-strength evidence suggests that adding supportive text messaging to follow-up care improves abstinence and amount of alcohol per day (2 RCTs) but does not improve emergency department visits or frequency of consumption (2 RCTs). Enhanced telephone monitoring likely reduces readmissions for SUD detoxification compared with usual follow-up alone (1 RCT) but does not reduce days of substance use (low-strength evidence).Narrative synthesis, heterogeneity of telehealth interventions, no assessment of publication bias, and study methodology.LIMITATIONNarrative synthesis, heterogeneity of telehealth interventions, no assessment of publication bias, and study methodology.Evidence is very uncertain that telehealth is similar to in-person care for SUD outcomes. Limited evidence suggests some benefit of adding telehealth to usual SUD care.CONCLUSIONEvidence is very uncertain that telehealth is similar to in-person care for SUD outcomes. Limited evidence suggests some benefit of adding telehealth to usual SUD care.U.S. Department of Veterans Affairs Veterans Health Administration.PRIMARY FUNDING SOURCEU.S. Department of Veterans Affairs Veterans Health Administration. |
| Author | Moran, Amber McKay, James R Uhl, Stacey Nunemaker, Megan S D'Anci, Kristen E McShea, Kristina Bloschichak, Aaron |
| Author_xml | – sequence: 1 givenname: Stacey surname: Uhl fullname: Uhl, Stacey organization: Center for Clinical Excellence, ECRI, Plymouth Meeting, Pennsylvania (S.U., A.B., A.M., K.M., M.S.N., K.E.D.) – sequence: 2 givenname: Aaron orcidid: 0000-0002-9356-1274 surname: Bloschichak fullname: Bloschichak, Aaron organization: Center for Clinical Excellence, ECRI, Plymouth Meeting, Pennsylvania (S.U., A.B., A.M., K.M., M.S.N., K.E.D.) – sequence: 3 givenname: Amber surname: Moran fullname: Moran, Amber organization: Center for Clinical Excellence, ECRI, Plymouth Meeting, Pennsylvania (S.U., A.B., A.M., K.M., M.S.N., K.E.D.) – sequence: 4 givenname: Kristina orcidid: 0000-0002-5276-0517 surname: McShea fullname: McShea, Kristina organization: Center for Clinical Excellence, ECRI, Plymouth Meeting, Pennsylvania (S.U., A.B., A.M., K.M., M.S.N., K.E.D.) – sequence: 5 givenname: Megan S orcidid: 0000-0001-9347-4085 surname: Nunemaker fullname: Nunemaker, Megan S organization: Center for Clinical Excellence, ECRI, Plymouth Meeting, Pennsylvania (S.U., A.B., A.M., K.M., M.S.N., K.E.D.) – sequence: 6 givenname: James R surname: McKay fullname: McKay, James R organization: University of Pennsylvania, Philadelphia, Pennsylvania (J.R.M.) – sequence: 7 givenname: Kristen E surname: D'Anci fullname: D'Anci, Kristen E organization: Center for Clinical Excellence, ECRI, Plymouth Meeting, Pennsylvania (S.U., A.B., A.M., K.M., M.S.N., K.E.D.) |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/35313116$$D View this record in MEDLINE/PubMed |
| BookMark | eNp1kMtOwzAURC1URB8g8QXISzYpfsRJw65qoSC1QuqDbeQk19QodYLtgPg2fo6otBILWN1ZHM3MnT7qmMoAQpeUDGPOopsFowFPOD1BPSp4EvCYhJ1fuov6zr0SQviIjc5QlwtOOaVRD32toYQtyNJvsaosXjWZ89LkgDcO8FS7yhZg3S0e46WsdYGX8K7hY8_6LWBGGMWb4WqIp1BL63dgPK4UfgYPVhqHx0pJbR2WpviLm4IC0ybNGl1AqQ24vfVCGvkCR-ifUufoVMnSwcXhDtDm_m49eQjmT7PHyXge5O2PPlAJlwKyApQCmsWhyEMWZpBEIFnCOIWMcSFFRigQmnEF7aRchEWS01gmjLIBuv7xrW311oDz6U67HMpSGqgal7IopCMRxYS16NUBbbIdFGlt9U7az_Q4OPsG2jSDLQ |
| CitedBy_id | crossref_primary_10_1080_10826084_2023_2167496 crossref_primary_10_1177_29768357241255437 crossref_primary_10_3389_fpsyt_2022_1035345 crossref_primary_10_1016_j_josat_2023_209067 crossref_primary_10_1097_HTR_0000000000000881 crossref_primary_10_1186_s13722_023_00382_1 crossref_primary_10_1007_s15202_023_5631_7 crossref_primary_10_1136_bmjebm_2023_112617 |
| ContentType | Journal Article |
| DBID | CGR CUY CVF ECM EIF NPM 7X8 |
| DOI | 10.7326/M21-3931 |
| DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic |
| DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE MEDLINE - Academic |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: 7X8 name: MEDLINE - Academic url: https://search.proquest.com/medline sourceTypes: Aggregation Database |
| DeliveryMethod | no_fulltext_linktorsrc |
| Discipline | Medicine |
| EISSN | 1539-3704 |
| ExternalDocumentID | 35313116 |
| Genre | Research Support, U.S. Gov't, Non-P.H.S Journal Article Review |
| GroupedDBID | --- ..I .55 .GJ .XZ 08G 1CY 23M 2WC 354 36B 39C 3O- 3V. 4.4 53G 5GY 5RE 5RS 6J9 7RV 7X7 88E 8C1 8F7 8FI 8FJ 8G5 8R4 8R5 AAKAS AAQOH AAQQT AARDX AAWTL AAYOK ABBLC ABCQX ABDPE ABJNI ABOCM ABPMR ABUWG ACBNA ACGFO ACGFS ADBBV ADZCM AEGXH AENEX AERZD AFCHL AFFNX AFKRA AHJKT AHMBA AI. AIAGR ALIPV ALMA_UNASSIGNED_HOLDINGS AQUVI ASPBG AVWKF AZFZN AZQEC BCR BCU BEC BENPR BKEYQ BKNYI BLC BPHCQ BTJBQ BVXVI BZLQD C1A C45 CCPQU CGR CUY CVF DWQXO E3Z EBS ECM EIF EJD EMB EMOBN EX3 F5P FEDTE FYUFA GNUQQ GUQSH H13 HMCUK HVGLF H~9 IH2 J5H K-O K9- L7B LPU M0R M0T M1P M2O M5~ MV1 MVM N4W NAPCQ NPM OBH OCB OFXIZ OGEVE OHH OHT OVD OVIDX P2P PCD PQQKQ PROAC PSQYO Q2X RWL RXW S0X SJFOW SJN SV3 TAE TEORI TPH TR2 TWZ UKHRP UKR VH1 VVN VXZ WH7 WOQ WOW X6Y X7M XOL YFH YOC YQJ YYP ZGI ZXP ZY1 ~H1 7X8 |
| ID | FETCH-LOGICAL-c311t-f93a5ebdeffe1b745c424be96ea29231eb235a5b01e01b3fe732354d9c17a9212 |
| IEDL.DBID | 7X8 |
| ISICitedReferencesCount | 9 |
| ISICitedReferencesURI | http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=000805220000009&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| ISSN | 1539-3704 |
| IngestDate | Fri Sep 05 10:28:54 EDT 2025 Wed Feb 19 02:25:52 EST 2025 |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 5 |
| Language | English |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c311t-f93a5ebdeffe1b745c424be96ea29231eb235a5b01e01b3fe732354d9c17a9212 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 ObjectType-Review-3 content type line 23 |
| ORCID | 0000-0002-9356-1274 0000-0001-9347-4085 0000-0002-5276-0517 |
| PMID | 35313116 |
| PQID | 2641856702 |
| PQPubID | 23479 |
| ParticipantIDs | proquest_miscellaneous_2641856702 pubmed_primary_35313116 |
| PublicationCentury | 2000 |
| PublicationDate | 2022-05-00 20220501 |
| PublicationDateYYYYMMDD | 2022-05-01 |
| PublicationDate_xml | – month: 05 year: 2022 text: 2022-05-00 |
| PublicationDecade | 2020 |
| PublicationPlace | United States |
| PublicationPlace_xml | – name: United States |
| PublicationTitle | Annals of internal medicine |
| PublicationTitleAlternate | Ann Intern Med |
| PublicationYear | 2022 |
| SSID | ssj0003828 |
| Score | 2.441171 |
| SecondaryResourceType | review_article |
| Snippet | Approximately 20.4 million Americans met criteria for a substance use disorder (SUD) in 2019; however, only about 12.2% of persons with an SUD receive... |
| SourceID | proquest pubmed |
| SourceType | Aggregation Database Index Database |
| StartPage | 691 |
| SubjectTerms | Adult Cognitive Behavioral Therapy Humans Substance-Related Disorders - therapy Telemedicine Veterans |
| Title | Telehealth for Substance Use Disorders: A Rapid Review for the 2021 U.S. Department of Veterans Affairs and U.S. Department of Defense Guidelines for Management of Substance Use Disorders |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/35313116 https://www.proquest.com/docview/2641856702 |
| Volume | 175 |
| WOSCitedRecordID | wos000805220000009&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| hasFullText | |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV1LT8JAEN6oGOPF9wNfGROvxba7pawXQ0T0IIQoEG5ku4-ES4sU_HP-OWe3JVwwMfHS07bZdHbn-2bn2xlC7ngkuOQx9eoGQxTmK-M1qFVO0UQxDJuFdon24Vvc7TZGI94rD9zyUla59InOUatM2jPyewRuhJZ67IeP00_Pdo2y2dWyhcYmqVCkMnZVx6NVtXDacL1VcVNz3Eg-K4rPxshY7jth4FFetpZbSywdwLT3_zu1A7JXUktoFmvhkGzo9IjsdMrk-TH57iPEFPceAakqWJ8xt0aHQa5hWYYzf4AmvIvpREGRN3BjkSZCiEANg9pHDVqIYTMnT4fMwNAqahDxoMwOgUjVunEtbTBm1vCysKW1rNzefXolwLGDfpnUCRm0n_tPr17Zu8GTaOq5ZzgVkU6UVaUEScwiyUKWaF7XIrScEgN6Goko8QPtBwk1Gq1CI6a4DGLBEU9PyVaapfqcgBQJ_l5fsNA3TEiKnJApGiiJkRGPElMlt0uzjHFv2ISHSHW2yMcrw1TJWWHb8bQo4jGm6HxwpvWLP7x9SXZDe-vB6RyvSMWgZ9DXZFt-zSf57MYtOnx2e50ftw_hwQ |
| linkProvider | ProQuest |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Telehealth+for+Substance+Use+Disorders%3A+A+Rapid+Review+for+the+2021+U.S.+Department+of+Veterans+Affairs+and+U.S.+Department+of+Defense+Guidelines+for+Management+of+Substance+Use+Disorders&rft.jtitle=Annals+of+internal+medicine&rft.au=Uhl%2C+Stacey&rft.au=Bloschichak%2C+Aaron&rft.au=Moran%2C+Amber&rft.au=McShea%2C+Kristina&rft.date=2022-05-01&rft.eissn=1539-3704&rft.volume=175&rft.issue=5&rft.spage=691&rft_id=info:doi/10.7326%2FM21-3931&rft_id=info%3Apmid%2F35313116&rft_id=info%3Apmid%2F35313116&rft.externalDocID=35313116 |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1539-3704&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1539-3704&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1539-3704&client=summon |