MORE is an interactive online continuing care program for patients with substance dependence.
The MORE program is designed to support patients after discharge from residential treatment. The program contains seven modules providing recovery-related videos, activities, peer support groups, and resources for patients. Modules focus on identifying relapse triggers, learning coping strategies, having healthy relationships with others, and developing a sober identity. Content is tailored to patient needs. Patients also have access to a recovery coach by phone and email.
Link to commercial site here.
12-Step Facilitation (TSF)
Motivational Interviewing (MI)
Cognitive Behavioral Therapy (CBT)
Young Adults (18-30)
Computerized continuing care support for alcohol and drug dependence: A preliminary analysis of usage and outcomes.
Klein AA, Slaymaker VJ, Dugosh KL, McKay JR. Journal of Substance Abuse Treatment. 2012. 42: 25-34. PMID: 21862275.
Summary: This study examined the effects of My Ongoing Recovery Experience (MORE) for 1,124 patients leaving residential treatment for a substance dependence disorder. All patients had access to the web-based MORE program for 18 months after discharge. Patients were assessed at baseline (treatment admission) and 1, 6, and 12 months post-discharge. At 12 months, 84% of patients had completed one module of MORE, while 5% of patients had completed all seven modules. More adherent patients were more likely to report continuous abstinence at 12 months than patients who were not adherent to MORE (78% vs. 49%). Controlling for treatment motivation, self-efficacy, and pretreatment substance use severity, likelihood of abstinence increased as patients completed a greater number of MORE modules.
Take Away: For individuals with drug or alcohol dependence, use of MORE contributed to abstinence one-year after discharge from residential treatment. Extent of program use (dosage) was associated with behavioral outcomes.
Follow-Up of Previous Study:
Computer-based recovery support for patients receiving residential treatment for alcohol/drug dependence: Relationship between program use and outcomes.
Klein AA, Anker JJ. Telemedicine and e-Health. 2013. 19(2): 104-109. PMID: 23215735.
Summary: More detailed information on MORE usage and patient outcomes from the parent study was examined. Before leaving residential treatment for substance dependence patients (n=1,682) were enrolled in the MORE program and were assessed at 1 and 6 months post-discharge. Overall, utilization of MORE was greatest in the first month. Over 6 months, patients logged into MORE an average of 10.59 times and accessed an average of 15.41 module pages. Results showed that the number of logins and the number of pages accessed predicted the number of drinking days at 6 months post-discharge. Therefore, increased program usage was associated with a decreased number of drinking days.
Take Away: Greater utilization of the web-based program MORE is associated with better drinking outcomes after release from residential treatment.
Computerized recovery support for substance use disorders: Predictors of posttreatment usage.
Klein, AA. Telemedicine and e-Health. 2014. 20(5): 454-459. PMID: 24617994.
Summary: This study examined potential preditors of engagement in the MORE program after discharge from substance use treatment. Participants were 3,340 adults with a substance dependence diagnosis that were being discharged from residential treatment. At 6 months post-discharge, participants logged into MORE an average of 11.04 times and had viewed an average of 16.50 module pages. Participants were categorized into groups by their engagement level. Only 16% were considered high engagers, defined as having logged into MORE a minimum of 15 times and viewed a minimum of 20 module pages. Increased recovery coach contacts, motivation, age, continuing care compliance, and 12-step meeting attendance increased the odds of being a high engager. Therefore, patients engaged and motivated in other recovery activities were more likely to engage with the MORE program.
Take Away: Involvement in recovery activities and motivation for treatment are predictors for engagement in the MORE program.