Explicating an evidence-based, theoretically informed, mobile technology-based system to improve outcomes for people in recovery for alcohol dependence

Abstract

Post-treatment relapse to uncontrolled alcohol use is common. Currently available communication technology can use existing models for relapse prevention to cost-effectively improve long-term relapse prevention. This paper describes: (1) research-based elements of alcohol consumption-related relapse prevention and how they can be encompassed in self-determination theory (SDT) and Marlatt's cognitive behavioral relapse prevention model, (2) how technology could help address the needs of people seeking recovery, (3) a technology-based prototype, organized around sexual transmitted disease and Marlatt's model, and (4) how we are testing a system based on the ideas in this article and related ethical and operational considerations.

Figures

Figure 1

In this diagram, ACHESS services (Healthy Event Newsletter, Easting Distress,etc.) have been added according to which of the change methods that they provide or facilitate. Each of these examples of ACHESS service utilization addresses one or more of the three constructs of Self Determination Theory, as indicated by the rows Relatedness, Competence, and Autonomy. We have collapsed Rationalization and Denial into Urges and cravings, as they overlap in the context of ACHESS.