Literature DB >> 23800443

Six-months outcomes of a randomised trial of supportive text messaging for depression and comorbid alcohol use disorder.

Vincent I O Agyapong1, Declan M McLoughlin, Conor K Farren.   

Abstract

BACKGROUND AND OBJECTIVES: We have previously reported that supportive text messages delivered twice daily for three months have the potential to provide personalised support for patients with depression and co-morbid Alcohol Use Disorder (AUD). In this study we report the six months outcomes.
METHODS: Participants (n=54) with a DSM IV diagnosis of unipolar depression and AUD who completed an in-patient dual diagnosis treatment programme were randomised to receive daily twice supportive text messages (n=26) or a fortnightly thank you text message (n=28) for three months. Primary outcome measures at six months were Beck's Depression Inventory (BDI-II) scores and Cumulative Abstinence Duration (CAD). TRIAL REGISTRATION: NCT0137868.
RESULTS: Unlike at three months, there was no statistically significant difference in six months BDI-II scores between the intervention (n=24) and control (n=24) groups; 13.28 (SD=8.7) vs. 15.08 (SD=11.37) respectively after adjusting for the baseline scores, F (1, 45)=0.192, p=0.66. There was also no significant difference in CAD between the text message group and the control group: 84.14 days (9.20) vs. 74.73 days (28.97), t=1.422, df=41, p=0.16. However, patients in the intervention group had significantly higher days to first drink compared to those in the control group: 119.9 (47.7) vs. 62.4 (44.9), t=2.99, df=22, p=0.01. LIMITATIONS: Limitations of the study include the small sample size and the potential for loss of rater blinding.
CONCLUSION: The effects of supportive text message intervention were not sustained beyond the period that the patients were receiving the intervention.
© 2013 Elsevier B.V. All rights reserved.

Entities:  

Keywords:  Alcohol Use Disorder; Depression; Randomised trial; Six months follow-up; Text messages

Mesh:

Year:  2013        PMID: 23800443     DOI: 10.1016/j.jad.2013.05.058

Source DB:  PubMed          Journal:  J Affect Disord        ISSN: 0165-0327            Impact factor:   4.839


  36 in total

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