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Master Thesis

Inventaire et analyse des essais contrôlés concernant les applications mobiles de prise en charge des troubles de l’usage : une revue systématique

Abstract : Background: less than 20% of people with addictive disorders have access to adequate treatment. Mobile health could help to improve access to care. No systematic review evaluates the effectiveness of mobile health applications. Objectives: to describe controlled trials evaluating the effectiveness of smartphone applications which target substance use disorders and addictive behaviors, to understand how the application produced changes in use or behavior and the management of craving. Method: a systematic review was conducted on MEDLINE, CENTRAL and PsycINFO. Results: the search strategy retrieved 22 articles published between 2014 and 2019 corresponding to 22 applications targeting tobacco, alcohol, illegal substance and binge eating disorder. The control group had access to usual treatments or a placebo-application or no treatment. Eight applications showed reduced use. Most of the applications informed about the risks of use and gave suggestions for monitoring use. Twelve applications managed craving. Discussion: the results of the studies are limited by some important biases, notably heterogeneity in the control groups. The duration of the studies was too short to be able to predict sustainable results. The positive impact on craving seems to be related to a reduction in use behavior. Conclusion: there is currently insufficient evidence to recommend the use of these smartphone applications in clinical practice. Craving should be considered more systematically, irrespective of the type of substance or behavior, to prevent relapse. Longer-termed assessments will be needed to be able to accurately indicate the sustainable change in behavior or use.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02500032
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Thursday, March 5, 2020 - 4:51:53 PM
Last modification on : Friday, March 20, 2020 - 1:19:21 AM
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Bibi-Rubaab Bahadoor. Inventaire et analyse des essais contrôlés concernant les applications mobiles de prise en charge des troubles de l’usage : une revue systématique. Médecine humaine et pathologie. 2019. ⟨dumas-02500032⟩

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