A randomized trial of web-based videoconferencing for substance abuse counseling

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This article details the results of a randomized clinical trial evaluating web-based versus in-person substance use disorder counseling. While participants who completed the study reported similar levels of satisfaction with treatment, and similar rates of attendance and drug-positive urinalysis results, it should be noted that most study withdrawal occurred among participants assigned to the web-based intervention, with 26 participants withdrawing due to problems with computer or internet function. If this program were replicated in other settings, the digital divide could pose a barrier to equitable outcomes. The practice strategy this article is focused on is telemedicine for treatment of substance use disorder.

Resource Details

  • Population: People With Substance Use Disorders
  • Setting/Context of Implementation: Clinical
  • Topics of Practice: Outreach/ Education/ Communications|Policy Change/ Development
  • Level of Evidence: Emerging
  • Tools or Materials Included in Resource: No
  • Social Determinants of Health: Healthcare Access and Quality|Social and Community Context
  • Outside of US: No