Transitioning Virtual-Only Group Therapy for Substance Use Disorder Patients to a Hybrid Model

Figures & data

Figure 1 Hybrid group therapy set-up.

Notes: (A) Large flatscreen television displaying patients attending the group virtually. (B) Video conferencing camera located on a short table in the center of the room which includes built-in microphones, speakers and 2 cameras with panoramic views of the room. (C) Chairs evenly spaced for the counselor and the participants who joined in-person.

Table 1 Mayo Clinic Health System Intensive Outpatient Program Participant^a

	2020	2021	2022
Age
18–30, %	26.5	30.3	26.7
31–40, %	40.2	34.2	35.2
41–50, %	15.6	19.7	21.3
51–60, %	11.5	11.1	12.7
61+, %	6.2	4.7	4.1
Gender
Female, %	32.6	28.0	29.0
Race^b
African American, %	0.1	0.7	0.7
Asian, %	1.3	0.3	0.9
Caucasian, %	88.7	85.8	87.7
HI/PI, %	2.6	0.3	0.4
NA/AN, %	0.1	0.7	0.7
Not available/Declined, %	2.0	0.9	0.9
Ethnicity
Hispanic or Latino, %	3.3	11.7	10.1
Not Hispanic or Latino, %	94.0	86.8	88.8
Unknown, %	2.7	1.5	1.1

Notes: ^aStudy sample is a subsample of this larger dataset. ^bParticipants could endorse more than one race.

Abbreviations: HI/PI, Hawaiian/Pacific Islander; NA/AA, Native American/Alaskan Native.

Table 2 Descriptive Measures

	Virtual-Only	Hybrid-Only	Dually-Exposed
Sample size (n)	234	161	463
Completed treatment (n)	64	106	152
Premature discharge (n)	170	55	311
Rate of completed treatment (%)	27.4%	65.8%	32.8%
Helmert 1^a Odds Ratio (95% CI)	Ref	1.88 (1.50–2.37)
Helmert 2^b Odds Ratio (95% CI)		Ref	1.99 (1.65–2.41)

Notes: Virtual-only groups occurred 6/1/2020-6/30/2021, while hybrid-only groups occurred 7/1/2021-7/31/2022. Participants who spent time in both treatment modalities were defined as Dually-Exposed. Participants were drawn from a total of 7 intensive outpatient (IOP) groups; treatment site was found to be non-significant via logistic regression. ^aHelmert Contrast 1 comparison. Odds ratio calculated from comparison of those exposed to any hybrid delivery (hybrid-only or dually-exposed) versus those in virtual-only groups. ^bHelmert Contrast 2 comparison. Odds ratio calculated from comparison of those dually-exposed versus those who only participated in Hybrid-only groups and were never in the Virtual-only treatment delivery.

Abbreviation: ref, reference group.