{"id":582,"date":"2024-10-30T14:35:33","date_gmt":"2024-10-30T14:35:33","guid":{"rendered":"https:\/\/quitoxil.fr\/?p=582"},"modified":"2024-11-04T15:23:49","modified_gmt":"2024-11-04T15:23:49","slug":"therapie-digitale-lespoir-dune-nouvelle-perspective-complementaire-pour-lutter-contre-les-pathologies-addictives","status":"publish","type":"post","link":"https:\/\/quitoxil.fr\/en\/blog\/therapie-digitale-lespoir-dune-nouvelle-perspective-complementaire-pour-lutter-contre-les-pathologies-addictives\/","title":{"rendered":"Digital therapy: the promise of a new complementary approach to tackling addictive disorders"},"content":{"rendered":"<p>Today in France,<strong>more than 99% of the population aged 15 and over<\/strong>has access to a phone, whether landline or mobile (source: INSEE). Today, the smartphone offers<strong>many features<\/strong>and has the ability to interact<strong>with real-time feedback<\/strong>via<strong>its many sensors.<\/strong>Moreover, smartphone applications can offer many advantages, providing<strong>new complementary approaches to care, among others<\/strong>to populations that are underserved in terms of healthcare access.&nbsp;<\/p>\n\n\n\n<p><strong>Digital therapy, or \u201cDTx,\u201d<\/strong>&nbsp;<\/p>\n\n\n\n<p>Very recently, a new emerging class has begun to complement so-called \u201ctraditional\u201d drug-based approaches :<strong>digital therapies<\/strong>or DTx, short for \u201cDigital Therapeutics.\u201d By definition, these digital therapies deliver evidence-based therapeutic interventions driven by high-quality software programs to prevent, manage, or treat disorders or diseases, alongside standard care.&nbsp;<\/p>\n\n\n\n<p>This recognition as a form of treatment by health authorities, on the same level as a conventional medication, allows these new care methods to be integrated into the healthcare system and to benefit from<strong>reimbursement by health insurance providers and social security.<\/strong>&nbsp;<\/p>\n\n\n\n<p><strong>The role of digital therapy in the treatment of addiction<\/strong>&nbsp;<\/p>\n\n\n\n<p>La prise en charge d\u2019un patient souffrant de trouble de la d\u00e9pendance s\u2019effectue \u00e0 partir de consultations chez un professionnel de sant\u00e9 \u00e0\u202f<strong>des intervalles de temps plus au moins constants.<\/strong>Cependant, les interactions entre le patient et le professionnel de sant\u00e9 restent\u202f<strong>intermittentes<\/strong>ce qui compromet la capacit\u00e9 \u00e0 fournir des r\u00e9ponses en temps r\u00e9el du mode de vie du patient (activit\u00e9 physique, sommeil), de ses interactions sociales ainsi que ses envies de \u00ab craving \u00bb, connues pour \u00eatre des\u202f<strong>facteurs pr\u00e9dictifs de rechutes<\/strong>.&nbsp;<\/p>\n\n\n\n<p>En outre, durant cet intervalle de temps, le patient peut rencontrer des\u202f<strong>difficult\u00e9s<\/strong>\u202f\u00e0 rester abstinent et reconsommer sa substance lorsque diff\u00e9rents \u00e9v\u00e8nements se pr\u00e9sentent (situation de stress, pression sociale, disponibilit\u00e9 de la substance, d\u00e9motivation, baisse de moral\u2026).&nbsp;<\/p>\n\n\n\n<p>Les th\u00e9rapies cognitivo-comportementales\u202f<strong>faisant parties avec d\u2019autres types de th\u00e9rapies ins\u00e9r\u00e9es au sein des applications num\u00e9riques,<\/strong>permettent de fournir au patient un apprentissage adapt\u00e9 \u00e0 son profil psychologique afin de remplacer le comportement inadapt\u00e9 par un comportement\u202f<strong>plus appropri\u00e9.<\/strong>Le terme \u00ab digital \u00bb intervient donc ici puisque la th\u00e9rapie est directement disponible sur l\u2019appareil connect\u00e9 de l\u2019utilisateur lui permettant ainsi d\u2019avoir\u202f<strong>une accessibilit\u00e9<\/strong>\u202f\u00e0 des exercices qui lui sont propos\u00e9s\u202f<strong>en compl\u00e9ment de sa prise en charge m\u00e9dicale habituelle.<\/strong>&nbsp;<\/p>\n\n\n\n<p>Le besoin m\u00e9dical est bien r\u00e9el : ainsi, l\u2019usage du num\u00e9rique en tant que\u202f<strong>compagnon digital<\/strong>\u202fest essentiel pour\u202f<strong>renforcer la motivation<\/strong>\u202fet d\u00e8s lors\u202f<strong>l\u2019abstinence<\/strong>\u202fdans cette\u202f<strong>d\u00e9marche d\u2019arr\u00eat de l\u2019addiction.<\/strong>.&nbsp;<\/p>\n\n\n\n<p><strong>\u00c9tat des lieux de la th\u00e9rapie digitale en addictologie<\/strong>&nbsp;<\/p>\n\n\n\n<p>Aux \u00c9tats-Unis, la\u202f<strong>crise des opiac\u00e9s<\/strong>\u202fa favoris\u00e9 l\u2019\u00e9mergence de\u202f<strong>nouvelles solutions th\u00e9rapeutiques et num\u00e9riques.<\/strong>Pour pallier ce probl\u00e8me majeur de sant\u00e9 publique, la soci\u00e9t\u00e9 am\u00e9ricaine Pear Therapeutics, a lanc\u00e9\u202f<strong>un premier traitement digital<\/strong>\u202fpour\u202f<strong>lutter contre l\u2019addiction aux opio\u00efdes<\/strong>\u202fgr\u00e2ce \u00e0 des\u202f<strong>approches cognitivo-comportementales<\/strong>\u202fet un\u202f<strong>syst\u00e8me de r\u00e9compense financier<\/strong>\u202fpour motiver le patient dans sa d\u00e9marche d\u2019arr\u00eat.&nbsp;<\/p>\n\n\n\n<p>Par la suite, d\u2019autres entreprises am\u00e9ricaines se sont consacr\u00e9es \u00e0 d\u00e9velopper des traitements num\u00e9riques pour combattre\u202f<strong>les addictions aux substances<\/strong>.\u202f<strong>La soci\u00e9t\u00e9 QuitGenius<\/strong>\u202fpropose un programme complet d&rsquo;assistance de mani\u00e8re 100 % virtuelle via des audios et exercices interactifs ainsi que\u202f<strong>Click Therapeutics <\/strong>qui a mis en place un\u202f<strong>programme de suivi pour le tabac<\/strong>\u202fpermettant d\u2019avoir acc\u00e8s \u00e0 un service de messagerie personnalis\u00e9e et de personnaliser les traitements\u202f<strong>gr\u00e2ce \u00e0 l\u2019intelligence artificielle.<\/strong>.&nbsp;<\/p>\n\n\n\n<p>En parall\u00e8le, le march\u00e9 \u00e9mergent des th\u00e9rapies digitales, en fort dynamisme, a vu de\u202f<strong>nombreux acteurs se d\u00e9velopper<\/strong>\u202fet amener\u202f<strong>des solutions innovantes en Europe : la soci\u00e9t\u00e9 Allemande GAIA propose Vorvida \u00ae, une th\u00e9rapie digitale de lutte contre l\u2019addiction \u00e0 l\u2019alcool<\/strong>\u202fet la\u202f<strong>soci\u00e9t\u00e9 su\u00e9doise Alex Therapeutics\u00ae<\/strong>\u202fa mis en place\u202f<strong>QuitSmoking\u00ae, <\/strong>un programme d\u2019accompagnement bas\u00e9e sur l\u2019IA pour lutter contre la d\u00e9pendance \u00e0 la nicotine.&nbsp;<\/p>\n\n\n\n<p><strong>Une th\u00e9rapie digitale bient\u00f4t disponible en France pour stopper l\u2019addiction au tabac !<\/strong>&nbsp;<\/p>\n\n\n\n<p>Depuis plusieurs mois, la jeune soci\u00e9t\u00e9 fran\u00e7aise KLAVA Innovation d\u00e9veloppe\u202f<strong>un dispositif m\u00e9dical de th\u00e9rapie digitale<\/strong>\u202fdestin\u00e9 aux personnes souffrant\u202f<strong>d\u2019addiction au tabac.<\/strong>\u202fEn combinaison avec l\u2019intelligence artificielle, l\u2019application logicielle d\u00e9livre un accompagnement et un soutien personnalis\u00e9 pour chaque patient\/utilisateur. Les deux objectifs de cette approche sont d\u2019aider au quotidien le patient et d\u2019apporter aux \u00e9quipes m\u00e9dico-soignantes des cl\u00e9s suppl\u00e9mentaires dans leur pratique clinique.&nbsp;<\/p>\n\n\n\n<p>Dans le cadre d\u2019une\u202f<strong>\u00e9tude d\u2019efficacit\u00e9, <\/strong>un des objectifs de KLAVA est d\u2019atteindre preuve d\u2019efficacit\u00e9 au long terme <strong>dans le service d\u2019addictologie de l\u2019AP-HP Paul Brousse.<\/strong>&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1\" height=\"1\" src=\"https:\/\/quitoxil.fr\/wp-content\/uploads\/2024\/10\/image.png\" alt=\"\" class=\"wp-image-583\"\/><\/figure>\n\n\n\n<p>Real-world evidence for a prescription digital therapeutic to treat opioid use disorder, Yuri A Maricich &amp; co, Curr Med Res Opin. 2021 Feb&nbsp;<\/p>\n\n\n\n<p>Long-Term Effectiveness of a Clinician-Assisted Digital Cognitive Behavioral Therapy Intervention for Smoking Cessation: Secondary Outcomes From a Randomized Controlled Trial, Jamie Webb &amp; co, Nicotine Tob Res. 2022 Oct&nbsp;<\/p>\n\n\n\n<p>The Effectiveness of an Internet Intervention Aimed at Reducing Alcohol Consumption in Adults, J\u00f6rdis M Zill and co, Dtsch Arztebl Int. 2019 Feb&nbsp;<\/p>\n\n\n\n<p>Clinical Trial of an Innovative Digital Therapeutic for Smoking Cessation With Biochemical Verification, clinicaltrials.gov, 2022&nbsp;<\/p>\n\n\n\n<p>Auteurs :&nbsp;<\/p>\n\n\n\n<p>Alexia ADDA, co-fondatrice de KLAVA Innovation&nbsp;<\/p>\n\n\n\n<p>Dr Ivan GASMAN (M\u00e9decin psychiatre)<\/p>","protected":false},"excerpt":{"rendered":"<p>Aujourd\u2019hui en France,\u202fplus de 99 % de la population \u00e2g\u00e9e de 15 ans\u202fou plus est \u00e9quip\u00e9e d\u2019un t\u00e9l\u00e9phone, fixe ou mobile (source Insee). Aujourd\u2019hui, le smartphone pr\u00e9sente\u202fde nombreuses fonctionnalit\u00e9s\u202fet poss\u00e8de la capacit\u00e9 d\u2019interagir\u202favec un retour d\u2019information en temps r\u00e9el\u202fvia\u202fses nombreux capteurs.En outre, les applications pour smartphone pourraient pr\u00e9senter de nombreux avantages, offrant\u202fde nouvelles compl\u00e9mentarit\u00e9s au [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":558,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_surecart_dashboard_logo_width":"180px","_surecart_dashboard_show_logo":true,"_surecart_dashboard_navigation_orders":true,"_surecart_dashboard_navigation_invoices":true,"_surecart_dashboard_navigation_subscriptions":true,"_surecart_dashboard_navigation_downloads":true,"_surecart_dashboard_navigation_billing":true,"_surecart_dashboard_navigation_account":true,"inline_featured_image":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-582","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/quitoxil.fr\/en\/wp-json\/wp\/v2\/posts\/582","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/quitoxil.fr\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/quitoxil.fr\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/quitoxil.fr\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/quitoxil.fr\/en\/wp-json\/wp\/v2\/comments?post=582"}],"version-history":[{"count":1,"href":"https:\/\/quitoxil.fr\/en\/wp-json\/wp\/v2\/posts\/582\/revisions"}],"predecessor-version":[{"id":584,"href":"https:\/\/quitoxil.fr\/en\/wp-json\/wp\/v2\/posts\/582\/revisions\/584"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/quitoxil.fr\/en\/wp-json\/wp\/v2\/media\/558"}],"wp:attachment":[{"href":"https:\/\/quitoxil.fr\/en\/wp-json\/wp\/v2\/media?parent=582"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/quitoxil.fr\/en\/wp-json\/wp\/v2\/categories?post=582"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/quitoxil.fr\/en\/wp-json\/wp\/v2\/tags?post=582"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}