title: A randomized trial of Web-based videoconferencing for substance abuse counseling.
abstract: Web-based videoconferencing can improve access to substance abuse treatment by allowing patients to receive counseling services in their homes. This randomized clinical trial evaluates the feasibility and acceptability of Web-based videoconferencing in community opioid treatment program (OTP) participants. Participants that reported computer and Internet access (n=85) were randomly assigned to receive 12weeks of weekly individual counseling in-person or via eGetgoing, a Web-based videoconferencing platform. Fifty-nine of these participants completed the study (eGetgoing=24; in-person=35), with most study withdrawal occurring among eGetgoing participants. Participants exposed to the study conditions had similar rates of counseling attendance and drug-positive urinalysis results, and reported similar and strong ratings of treatment satisfaction and therapeutic alliance. These results support the feasibility and acceptability of Web-based counseling as a good method to extend access to individual substance abuse counseling when compared to in-person counseling for patients that are able to maintain a computer and Internet connection for reliable communication.
authors.affiliation: The Johns Hopkins School of Medicine, Addiction Treatment Services at Johns Hopkins Bayview Medical Center, Baltimore, MD 21224, USA. Electronic address: KINGVL@JHMI.EDU.
authors.forename: Van L
authors.initials: VL
authors.lastname: King
authors.forename: Robert K
authors.initials: RK
authors.lastname: Brooner
authors.forename: Jessica M
authors.initials: JM
authors.lastname: Peirce
authors.forename: Ken
authors.initials: K
authors.lastname: Kolodner
authors.forename: Michael S
authors.initials: MS
authors.lastname: Kidorf
mesh_terms: D000328:Adult; D003376:Counseling / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D020407:Internet; D008297:Male; D008875:Middle Aged; D009293:Opioid-Related Disorders / Q000534:rehabilitation*; D010342:Patient Acceptance of Health Care; D010349:Patient Compliance; D017060:Patient Satisfaction; D015813:Substance Abuse Detection; D016896:Treatment Outcome; D049269:Videoconferencing
keywords: Methadone maintenance; Substance abuse treatment; Therapeutic alliance; Treatment satisfaction; Web-based videoconferencing
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