N/A
N=558
Mobile Health for Alcohol Use Disorders in Clinical Practice
Alcohol Drinking · Telemedicine
Bottom Line
View on ClinicalTrials.gov: NCT04011644 ↗Enrolled (actual)
558
Serious AEs
0.0%
Results posted
Jan 2025
Primary outcome: Primary: Percentage of Heavy Drinking Days, PHDD — 24.4; 21.4; 21.3 percentage of heavy drinking days — p=0.688
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- A-CHESS self-monitored (Behavioral); A-CHESS peer-supported (Behavioral); A-CHESS clinically-integrated (Behavioral)
- Age
- Adult, Older Adult · 21+ yrs
- Sex
- All
- Sponsor
- University of Wisconsin, Madison
- Primary completion
- Oct 2023
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Percentage of Heavy Drinking Days, PHDD |
24.4; 21.4; 21.3 | 0.688 |
| PRIMARY Quality of Life-Physical Health |
48.5806; 49.2869; 48.1010 | 0.261 |
| PRIMARY Quality of Life-Mental Health |
46.7439; 47.6715; 48.1160 | 0.014 sig |
| SECONDARY Number of Patients Who Are Willing to Share Data |
— | — |
| SECONDARY Number of Hospital Nights in the Past 6 Months |
0.0534; 0.0469; 0.2178 | 0.908 |
| SECONDARY Cost of Implementation of Each Intervention Arm in US Dollars |
0; 71750; 124250 | — |
| SECONDARY Score of Alcohol Use Disorders Identification Test (AUDIT) Screening Tool |
9.0303; 9.3386; 8.8283 | 0.206 |
| SECONDARY Score of the Diagnostic and Statistical Manual- 5 Alcohol Use Disorder (AUD) Severity |
2.5364; 2.5229; 2.9178 | 0.104 |
| SECONDARY Score of Relatedness as Assessed by the CHESS Bonding Scale |
2.3022; 2.7538; 2.668 | <0.001 sig |
| SECONDARY Score of Competence as Assessed by the Perceived Competence Scale (PCS) |
5.1377; 5.0788; 5.39 | 0.025 sig |
| SECONDARY Score of Autonomous Motivation as Assessed by Revised Treatment Self Regulation Questionnaire |
3.8913; 3.9244; 4.0283 | 0.555 |
| SECONDARY Time of Tula Used |
17142.98; 19851.64; 17000.83 | 0.131 |
| SECONDARY Number of Setback Status Triggered by A-CHESS |
— | — |
| SECONDARY Variables Used for Predictive Setback Status |
— | — |
| SECONDARY Number of Response Statuses Addressed |
— | — |
| SECONDARY Pages Viewed on A-CHESS |
753.12; 891.84; 773.1 | 0.02 sig |
| SECONDARY Number of Patient Protection Factors Assessed by a Revised Brief Alcohol Monitor |
21.96; 23.02; 23.48 | — |
Summary
This study evaluates the impact on risky drinking days and quality of life for patients with alcohol use disorder among patients who use a mobile health smart phone application. A third of the participants will receive access to the smart phone app without any monitoring; a third of the participants will receive access to the smart phone app monitored by and connected with a peer mentor; a third will receive access to the smart phone app monitored by and connected with a health coach who works within a healthcare system.
Eligibility Criteria
Inclusion Criteria
- are 21+ years old,
- interested in learning about ways to reduce drinking,
- willing to download and use A-CHESS,
- lives in within the geographical boundaries of the UW Health system
- be able to understand and sign an electronic consent form in English,
- own an Apple or android smart phone,
- meets the criteria for at risk drinking on the AUDIT screening,
- responds yes to at least one question on the Alcohol Use Disorder (AUD) Diagnostic and Statistical Manual-5 survey, and
- indicates in the past week they have had at least 7 drinks and 3 on a single day (women), or had at least 14 drinks and 4 on a single day (men).
Exclusion Criteria
- has a severe alcohol use disorder (yes to 6+ items on the Alcohol Use Disorder (AUD) Diagnostic and Statistical Manual-5)
- have a current psychotic disorder
- have an acute medical problem requiring immediate hospitalization
- have a known terminal illness
Data sourced from ClinicalTrials.gov (NCT04011644). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.