Abstract:
:Intervention efficacy can be increased when the treatment is maximally matched to the needs of the client. One means of achieving such matching is through use of an expert system, a computer-based decision-making system designed to utilize client information to produce unique, matched information and interventions. An expert system can combine the individual matching possible in a clinic-based intervention and the low cost associated with a public health approach. This paper begins by discussing several alternative implementations of the expert system approach within the general context of communication theory. Second, the theoretical model and related empirical evidence which form the basis of the expert system is described briefly. Third, the details of a computer-driven, expert system intervention specifically developed for smoking cessation is described. Finally, empirical results from a study comparing the expert system intervention to three alternative interventions for smoking cessation are presented. In general, the expert system approach can provide a cost effective, viable, and efficacious means of intervening in a specific problem behavior area. Implications and potential areas of development are discussed.
journal_name
Addict Behavjournal_title
Addictive behaviorsauthors
Velicer WF,Prochaska JO,Bellis JM,DiClemente CC,Rossi JS,Fava JL,Steiger JHdoi
10.1016/0306-4603(93)90029-9subject
Has Abstractpub_date
1993-05-01 00:00:00pages
269-90issue
3eissn
0306-4603issn
1873-6327pii
0306-4603(93)90029-9journal_volume
18pub_type
杂志文章abstract::We investigated social and situational characteristics associated with adolescents' drinking at party and non-party events and whether these associations vary by party location (homes versus other locations). Ecological momentary assessment data were obtained over two weekends from 149 adolescents in California (46% f...
journal_title:Addictive behaviors
pub_type: 杂志文章
doi:10.1016/j.addbeh.2017.12.001
更新日期:2018-08-01 00:00:00
abstract:INTRODUCTION:Research has shown that African Americans gain more than average weight after smoking cessation. However, African Americans have been underrepresented in post-cessation weight gain research. The current study examined 1) the pattern of weight gain and 2) the association between smoking status and weight ga...
journal_title:Addictive behaviors
pub_type: 杂志文章
doi:10.1016/j.addbeh.2018.02.002
更新日期:2018-06-01 00:00:00
abstract:BACKGROUND:US opioid overdose deaths continue to climb, with a 12.0% increase from 2016 to 2017. Fentanyl, a synthetic opioid, has been a major contributor to opioid-related overdose deaths. While fentanyl-related overdose is driven by illicit fentanyl, little is known about individuals who misuse prescription fentanyl...
journal_title:Addictive behaviors
pub_type: 杂志文章
doi:10.1016/j.addbeh.2019.04.022
更新日期:2019-09-01 00:00:00
abstract::The present study examined the role of action orientation in health behavior change. Eighty-six binge drinking college students completed measures of alcohol use, alcohol-related consequences (e.g., driving drunk), motivation to change drinking, and action orientation. Alcohol use and consequences were reassessed 1 mo...
journal_title:Addictive behaviors
pub_type: 杂志文章
doi:10.1016/s0306-4603(01)00186-1
更新日期:2002-03-01 00:00:00
abstract::A risk factor or intervention (an independent variable) may influence a substance abuse outcome (the dependent variable) indirectly, by affecting an intervening variable (a mediator) that in turn affects that outcome. Mediation analysis is a statistical method commonly used to examine the interrelations among independ...
journal_title:Addictive behaviors
pub_type: 杂志文章
doi:10.1016/j.addbeh.2018.12.018
更新日期:2019-07-01 00:00:00
abstract:INTRODUCTION:Problematic alcohol use is highly comorbid with posttraumatic stress disorder (PTSD), and prior work has demonstrated that individuals with PTSD may self-medicate with alcohol in an effort to reduce their symptoms. The combination of impulsivity and alcohol-related expectancies influences the development o...
journal_title:Addictive behaviors
pub_type: 杂志文章
doi:10.1016/j.addbeh.2014.09.022
更新日期:2015-02-01 00:00:00
abstract::To develop effective smoking prevention interventions, we need to identify modifiable variables, such as the "pros and cons" of smoking, that predict self-initiated smoking cessation. Our objective was to assess associations between the pros and cons of smoking and the stages of change, both cross-sectionally and long...
journal_title:Addictive behaviors
pub_type: 杂志文章
doi:10.1016/s0306-4603(98)00054-9
更新日期:1999-05-01 00:00:00
abstract:INTRODUCTION:Racial and ethnic minorities often suffer from poorer health than Whites given their exposure to more stressors and fewer resources that buffer the effects of stress. Given that alcohol is often consumed to alleviate the negative moods, the present study hypothesized that psychological distress may impact ...
journal_title:Addictive behaviors
pub_type: 杂志文章
doi:10.1016/j.addbeh.2016.09.004
更新日期:2017-02-01 00:00:00
abstract:BACKGROUND:The prevalence of electronic cigarette use has grown over the past decade, with some users reportedly initiating e-cigarette use primarily due to flavors. This study examined the role of flavors in initiation among adult e-cigarette users, as well as the association of flavors with satisfaction and perceived...
journal_title:Addictive behaviors
pub_type: 杂志文章
doi:10.1016/j.addbeh.2019.106077
更新日期:2019-12-01 00:00:00
abstract:INTRODUCTION AND AIMS:Despite a common perception that older adults drink less than younger adults, drinking frequency increases with age. The aim of this study was to examine the types of coping motives associated with problem drinkers in addition to the types of specific drinking problems most commonly endorsed by ol...
journal_title:Addictive behaviors
pub_type: 杂志文章
doi:10.1016/j.addbeh.2016.08.032
更新日期:2017-01-01 00:00:00
abstract:AIMS TO:Test the dimensionality and measurement properties of lifetime DSM-5 AUD criteria in a sample of adults from the metropolitan area of San Juan, Puerto Rico. DESIGN:Cross-sectional study with survey data collected in 2013-2014. SETTING:General population. PARTICIPANTS:Random household sample of the adult popu...
journal_title:Addictive behaviors
pub_type: 杂志文章
doi:10.1016/j.addbeh.2016.06.011
更新日期:2016-11-01 00:00:00
abstract::The present study sought to determine whether the high relapse rates observed among subjects in fixed length behavioral-based weight loss programs would be lowered if subjects were allowed to continue in treatment until they had reached their desired weights. Five hundred seventeen (517) clients at a commercial weight...
journal_title:Addictive behaviors
pub_type: 杂志文章
doi:10.1016/0306-4603(92)90007-i
更新日期:1992-09-01 00:00:00
abstract:INTRODUCTION:Some fear that distribution of naloxone to persons at risk of experiencing an opioid overdose may reduce the perceived negative consequences of drug use, leading to riskier patterns of use. This study assessed whether participation in naloxone/overdose training altered drug use frequency, quantity or sever...
journal_title:Addictive behaviors
pub_type: 杂志文章
doi:10.1016/j.addbeh.2017.03.008
更新日期:2017-08-01 00:00:00
abstract::Although the relationship between parental and adolescent smoking has been linked to health consequences of smoking, limited study has explored the specific association between exposure to smoking and adolescent smoking topography (the way a cigarette is smoked). As a first step in this line of enquiry, smoking topogr...
journal_title:Addictive behaviors
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.addbeh.2008.07.003
更新日期:2008-12-01 00:00:00
abstract::This paper presents results from a study which examined the occurrence and time course of smoking withdrawal symptoms in a group of 33 smokers followed over a 21 day period of abstinence. Smoking withdrawal symptoms examined included: irritability, feeling sleepy, sleeplessness, dizziness, coughing, tightness in the c...
journal_title:Addictive behaviors
pub_type: 杂志文章
doi:10.1016/0306-4603(85)90034-6
更新日期:1985-01-01 00:00:00
abstract::This paper investigates the impact of a training course for Employment Service staff which was designed to provide basic level training on the identification and appropriate management of clients with drug and alcohol problems. The 2-day course was specially designed to meet the needs of staff working with unemployed ...
journal_title:Addictive behaviors
pub_type: 杂志文章
doi:10.1016/0306-4603(94)90037-x
更新日期:1994-03-01 00:00:00
abstract::The role of the endocannabinoid system in nicotine addiction is being increasingly acknowledged. We conducted a pilot, randomised double blind placebo controlled study set out to assess the impact of the ad-hoc use of cannabidiol (CBD) in smokers who wished to stop smoking. 24 smokers were randomised to receive an inh...
journal_title:Addictive behaviors
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.addbeh.2013.03.011
更新日期:2013-09-01 00:00:00
abstract:INTRODCUTION:Recent epidemiological data has indicated an increasing trend in the non-medical use of prescription drugs (NMUPD) among college students. NMUPD has shown a strong relationship with heavy alcohol use and associated negative consequences. Despite the trends and association with other risky behavior, there r...
journal_title:Addictive behaviors
pub_type: 杂志文章
doi:10.1016/j.addbeh.2014.10.027
更新日期:2015-04-01 00:00:00
abstract:OBJECTIVE:Enhanced reactivity to substance related cues is a central characteristic of addiction and has been associated with increased activity in motivation, attention, and memory related brain circuits and with a higher probability of relapse. Modafinil was promising in the first clinical trials in cocaine dependenc...
journal_title:Addictive behaviors
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.addbeh.2012.04.006
更新日期:2013-02-01 00:00:00
abstract::Multiplayer Online Battle Arena (MOBA) has become one of the most popular genre of online video games played by gamers worldwide. Previous studies have exhibited that excessive engagement in games can lead to Internet Gaming Disorder (IGD). Internet Gaming Disorder has been associated with psychological disorders like...
journal_title:Addictive behaviors
pub_type: 杂志文章
doi:10.1016/j.addbeh.2019.106132
更新日期:2020-02-01 00:00:00
abstract:BACKGROUND:Research has demonstrated associations between hormonal fluctuations during the menstrual cycle and women's alcohol use. This association has been explained by mood changes that, for some women, accompany decreasing levels of progesterone during the menstrual cycle, particularly during the late luteal/premen...
journal_title:Addictive behaviors
pub_type: 杂志文章
doi:10.1016/j.addbeh.2019.106146
更新日期:2020-02-01 00:00:00
abstract::Intimate partner violence (IPV) is a public health problem associated with negative health consequences, including higher rates of tobacco smoking. Smoking expectancies are related to motivation to quit and relapse. IPV-exposed women endorse higher rates of PTSD symptoms, which are related to smoking and smoking expec...
journal_title:Addictive behaviors
pub_type: 杂志文章
doi:10.1016/j.addbeh.2011.07.022
更新日期:2011-12-01 00:00:00
abstract::One in five homeless people in the United States has a substance use and/or a mental health disorder. Substance use disorders substantially impact the ability to obtain and retain appropriate housing. Professionals who provide substance use treatment are typically required to provide housing assistance by prioritizing...
journal_title:Addictive behaviors
pub_type: 杂志文章
doi:10.1016/j.addbeh.2019.106160
更新日期:2020-03-01 00:00:00
abstract:OBJECTIVE:Social stress in the form of maladaptive relationship conflict is a common precipitant to alcohol misuse and problems. Research has also established a clear causal association between alcohol misuse and relationship conflict in the form of intimate partner violence (IPV). Despite the robust literature linking...
journal_title:Addictive behaviors
pub_type: 杂志文章
doi:10.1016/j.addbeh.2020.106474
更新日期:2020-10-01 00:00:00
abstract:OBJECTIVE:To assess whether perceived changes in postpartum support were associated with postpartum return to smoking. STUDY DESIGN:This is a prospective repeated measures, mixed methods observational study. Sixty-five women who smoked prior to pregnancy were recruited at delivery and surveyed at 2, 6, 12, and 24 week...
journal_title:Addictive behaviors
pub_type: 杂志文章
doi:10.1016/j.addbeh.2009.06.005
更新日期:2009-12-01 00:00:00
abstract::Results from a study using the balanced placebo design to assess alcohol's effects on anxiety raise serious doubts about the utility of the design even at moderate blood alcohol concentrations. Despite being informed that they were not drinking alcohol, 44% of the subjects who were administered alcohol reported consum...
journal_title:Addictive behaviors
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/0306-4603(94)90034-5
更新日期:1994-05-01 00:00:00
abstract::Few individuals with substance use disorders limit their intake to one substance of abuse; however, many studies focus on a single substance. Unfortunately, the optimal method to determine the principal substance is unclear. In particular, this issue is problematic in patients with co-occurring psychiatric illness, wh...
journal_title:Addictive behaviors
pub_type: 杂志文章
doi:10.1016/j.addbeh.2009.03.002
更新日期:2009-10-01 00:00:00
abstract::This study aimed to determine the prevalence and factors associated with hookah smoking and perceptions of harm among U.S. adults. Data were pooled from the Tobacco Products and Risk Perceptions Surveys conducted separately in the summers of 2014 and 2015, among a probability sample selected from an online research pa...
journal_title:Addictive behaviors
pub_type: 杂志文章
doi:10.1016/j.addbeh.2017.01.032
更新日期:2017-06-01 00:00:00
abstract::Treatment for drug use, like the process by which a person comes to use illicit drugs, may be seen to be at least in part a psychosocial process involving emotional, cognitive, and relationship domains. Treatment programs attempt to improve the psychosocial functioning of clients with the ultimate goal of effecting ch...
journal_title:Addictive behaviors
pub_type: 杂志文章
doi:10.1016/0306-4603(95)00098-4
更新日期:1996-09-01 00:00:00
abstract::The commodity model of social support and features of Nondirective Support may clarify varied results of support interventions for smoking cessation. A commodity model views social support as attractive in and of itself and as an alternative to high-risk choices such as smoking. If such support is easily accessible, a...
journal_title:Addictive behaviors
pub_type: 杂志文章
doi:10.1016/s0306-4603(97)00064-6
更新日期:1997-11-01 00:00:00