Mobile apps can only increase access to alcohol treatment if patients actively engage with them. Peers may be able to facilitate such engagement by providing supportive accountability and instruction and encouragement for app use. We developed a protocol for peers to support engagement in the Stand Down app for unhealthy alcohol use in veterans and tested the acceptability and utility of the protocol. Thirty-one veteran primary care patients who screened positive for unhealthy alcohol use and were not currently in addiction treatment were given access to Stand Down for four weeks and concurrently received weekly phone support from a Department of Veterans Affairs peer specialist to facilitate engagement with the app. App usage was extracted daily, and pre/post treatment assessments measured changes in drinking patterns, via the Timeline Followback interview, and satisfaction with care, via quantitative and qualitative approaches. A priori benchmarks for acceptability were surpassed: time spent in the app (M = 93.89 min, SD = 92.1), days of app use (M = 14.05, SD = 8.0), and number of daily interviews completed for tracking progress toward a drinking goal (M = 12.64, SD = 9.7). Global satisfaction, per the Client Satisfaction Questionnaire, was high (M = 26.4 out of 32, SD = 4.5). Pre to post, total standard drinks in the prior 30 days (MPre = 142.7, MPost = 85.6), Drinks Per Drinking Day (MPre = 5.4, MPost = 4.0), and Percent Heavy Drinking Days (MPre = 35.3%, MPost = 20.1%) decreased significantly (ps < .05). Findings indicate that Peer-Supported Stand Down is highly acceptable to veteran primary care patients and may help reduce drinking in this population. A larger controlled trial of this intervention is warranted. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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使用同龄人来增加退伍军人对不健康饮酒的智能手机应用程序的参与：可接受性和实用性的试点研究。

移动应用程序只有在患者积极参与的情况下才能增加获得酒精治疗的机会。同行可以通过提供支持性问责制、指导和鼓励应用程序使用来促进这种参与。我们为同行制定了一项协议，以支持参与 Stand Down 应用程序以防止退伍军人使用不健康的酒精，并测试该协议的可接受性和实用性。31 名对不健康饮酒筛查呈阳性且目前未接受成瘾治疗的资深初级保健患者获得了为期 4 周的 Stand Down 访问权限，同时每周接受退伍军人事务部同行专家的电话支持，以促进与该应用程序的互动. 每天提取应用程序使用情况，治疗前/后评估测量饮酒模式的变化，通过 Timeline Followback 访谈，以及对护理的满意度，通过定量和定性方法。超过了可接受性的先验基准：在应用程序中花费的时间（M = 93.89 分钟，SD = 92.1），应用程序使用天数（M = 14.05，SD = 8.0），以及为跟踪饮酒进度而完成的每日访谈次数目标（M = 12.64，SD = 9.7）。根据客户满意度调查表，全球满意度很高（M = 26.4 / 32，SD = 4.5）。前后，前 30 天的总标准饮料（MPre = 142.7，MPost = 85.6），每天饮酒量（MPre = 5.4，MPost = 4.0）和大量饮酒天数百分比（MPre = 35.3%，MPost = 20.1 %) 显着下降 (ps < .05)。调查结果表明，同伴支持的停药对于资深初级保健患者来说是高度可接受的，并且可能有助于减少这一人群的饮酒。有必要对这种干预进行更大规模的对照试验。（PsycInfo 数据库记录 (c) 2020 APA，保留所有权利）。