Predictors of Treatment Outcome and Engagement in Self-Guided Internet-Delivered Dialectical Behavior Therapy for Substance Use Disorders.
Background: Substance use disorders (SUD) are debilitating conditions that frequently co-occur with other mental disorders. Internet-delivered dialectical behavior therapy (iDBT) skills training may be promising for SUD; however, little research has examined predictors of engagement and treatment ou...
| Publicado en: | Substance Use & Misuse Vol. 60; no. 12; pp. 1829 - 1839 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=187749372&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187749372 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10826084 2VI jtl: Substance Use & Misuse issn: 10826084 maglogo: Y pubinfo: dt: 2025 vid: 60 iid: 12 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 187749372 185984702 187749372 187749372 10.1080/10826084.2025.2519407 187749372 ppf: 1829 ppct: 10 formats: tig: atl: Predictors of Treatment Outcome and Engagement in Self-Guided Internet-Delivered Dialectical Behavior Therapy for Substance Use Disorders. aug: au: Daros, Alexander R. Paramasivam, Thusheharan Sadek, Malak Wilks, Chelsey R. Quilty, Lena C. affil: Centre for Addiction and Mental Health, Campbell Family Mental Health Research Institute, Toronto, Ontario, Canada sug: subj: Substance Use Disorders Therapy Dialectical Behavior Therapy Internet-Based Intervention Treatment Outcomes Prediction Models Human Funding Source Female Male Adolescence Adult Middle Age Secondary Analysis Exploratory Research Regression Interviews Self Report Substance Use Disorders Diagnosis Depression Anxiety Digital Health Sexual and Gender Minorities Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Female Male ab: Background: Substance use disorders (SUD) are debilitating conditions that frequently co-occur with other mental disorders. Internet-delivered dialectical behavior therapy (iDBT) skills training may be promising for SUD; however, little research has examined predictors of engagement and treatment outcome. Methods: This is a secondary, exploratory analysis of a randomized, waitlist-controlled trial of self-guided iDBT for SUD. Participants (N = 72) were allocated to an immediate or delayed arm, with the latter receiving access after 4 weeks. All participants were followed for 12 weeks total. The primary treatment outcome was SUD severity, and secondary outcomes included SUD diagnosis and functional disability. Engagement was assessed as the number of hours and unique days spent on iDBT, as well as inactivity after 4 weeks. Multilevel modeling and standard regression approaches were used to explore associations between predictors and treatment outcome or engagement. Results: Immediate arm membership, greater pretreatment SUD severity, and fewer SUD diagnoses were associated with greater reductions SUD severity. Greater expectancy of change and greater pretreatment disability were associated with greater reductions in functional disability. Spending at least 1 hour on iDBT was associated with being older, while greater days of use was related to immediate arm membership, identifying as non-Hispanic White or a sexual minority, and having fewer pretreatment depression/anxiety symptoms. Finally, inactivity at 4 weeks was predicted by pretreatment depression/anxiety symptoms. Conclusions: These exploratory analyses highlight several demographic and clinical variables of individuals who may require more support to achieve greater therapeutic benefits in self-guided iDBT interventions. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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