title: Computerized recovery support for substance use disorders: predictors of posttreatment usage.
abstract: OBJECTIVE
  The primary goal of this study was to examine which characteristics differentiated patients who highly engaged with a computerized recovery support program after alcohol/drug treatment from those who did not engage with the program.
  
  
  METHODS
  The program delivered individually tailored clinical content in a multimedia format over 18 months following residential treatment. A key component of the program was access to a recovery coach, a licensed drug and alcohol counselor. Posttreatment logins to the program, the amount of clinical content accessed, and the number of recovery coach contacts were measured.
  
  
  RESULTS
  Several factors were found to predict program engagement, including several demographic variables, the number of recovery coach contacts, motivation to be in recovery, and attendance at 12-step groups.
  
  
  CONCLUSIONS
  These findings, combined with others in the literature, suggest that low engagement with computerized health programs is a widespread problem. Because many of these programs show therapeutic promise, future studies should continue to increase understanding of factors associated with high engagement so that efforts to increase engagement may be applied more effectively.
authors.affiliation: Butler Center for Research, Hazelden Foundation, Center City , Minnesota.
authors.forename: Audrey A
authors.initials: AA
authors.lastname: Klein
mesh_terms: D000328:Adult; D015331:Cohort Studies; D003266:Continuity of Patient Care / Q000458:organization & administration*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D008910:Minnesota; D010351:Patient Discharge; D011237:Predictive Value of Tests; D016730:Program Development; D015397:Program Evaluation; D012114:Residential Treatment / Q000379:methods; D018570:Risk Assessment; D012944:Social Support; D016320:Substance Abuse Treatment Centers; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000534:rehabilitation*; D013813:Therapy, Computer-Assisted / Q000458:organization & administration*; D016896:Treatment Outcome