Background: Digital health resources are being increasingly used to support women with substance use concerns. Although empirical research has demonstrated that these resources have promise, the available evidence for their benefit in women requires further investigation. Evidence supports the capacity of interventions that are sex-, gender-, and trauma-informed to improve treatment access and outcomes and to reduce health system challenges and disparities. Indeed, both sex- and gender-specific approaches are critical to improve health and gender equity. Violence and trauma are frequent among those with substance use concerns, but they disproportionately affect those who identify as female or women, further underscoring the need for trauma-informed care as well. Objective: The objective of this investigation was to evaluate the evidence supporting the efficacy or effectiveness of online or mobile interventions for risky or harmful substance use in adults who identify as female or women, or who report a history of trauma. Methods: This scoping review is based on an academic search in MEDLINE, APA PsycINFO, Embase, Cochrane Central, and CINAHL, as well as a grey literature search in US and Canadian government and funding agency websites. Of the 7807 records identified, 465 remained following title and abstract screening. Of these, 159 met all eligibility criteria and were reviewed and synthesized. Results: The 159 records reflected 141 distinct studies and 125 distinct interventions. Investigations and the interventions evaluated predominantly focused on alcohol use or general substance use. Evaluated digital health resources included multisession and brief-session interventions, with a wide range of therapeutic elements. Multisession online and mobile interventions exhibited beneficial effects in 86.1% (105/122) of studies. Single-session interventions similarly demonstrated beneficial effects in 64.2% (43/67) of study conditions. Most investigations did not assess gender identity or conduct sex- or gender-based analyses. Only 13 investigations that included trauma were identified. Conclusions: Despite the overall promise of digital health interventions for substance use concerns, direct or quantitative evidence on the efficacy or effectiveness of interventions in females or women specifically is weak.

中文翻译：

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数字健康资源对女性药物使用问题的益处：范围审查

背景：越来越多地使用数字卫生资源来支持有药物滥用问题的妇女。尽管实证研究表明这些资源具有前景，但其对女性有益的现有证据需要进一步调查。证据支持基于性、性别和创伤的干预措施能够改善治疗机会和结果，并减少卫生系统的挑战和差异。事实上，针对性别和针对特定性别的方法对于改善健康和性别平等至关重要。暴力和创伤在有物质使用问题的人中很常见，但它们对那些被认定为女性的人产生了不成比例的影响，进一步强调了对创伤知情护理的需求。客观的：本次调查的目的是评估支持在线或移动干预对识别为女性或女性或报告有创伤史的成年人使用危险或有害物质的有效性或有效性的证据。方法：本范围审查基于对 MEDLINE、APA PsycINFO、Embase、Cochrane Central 和 CINAHL 的学术搜索，以及对美国和加拿大政府和资助机构网站的灰色文献搜索。在确定的 7807 条记录中，465 条在标题和摘要筛选后仍然存在。其中，159 个符合所有资格标准，并进行了审查和综合。结果：159 条记录反映了 141 项不同的研究和 125 项不同的干预措施。调查和评估的干预措施主要集中在酒精使用或一般物质使用上。评估的数字卫生资源包括多会话和简短会话干预，具有广泛的治疗元素。多会话在线和移动干预在 86.1% (105/122) 的研究中显示出有益效果。单次干预同样在 64.2% (43/67) 的研究条件下显示出有益效果。大多数调查没有评估性别认同或进行基于性别或性别的分析。仅确定了 13 项包括创伤的调查。结论： 尽管针对物质使用问题的数字健康干预总体上具有前景，但关于干预措施在女性或女性中的有效性或有效性的直接或定量证据很弱。