Contingency Management for Alcohol Use Disorder

DynamiCare Health

Status: Completed

Conditions: Alcohol Use Disorder

Treatments: Behavioral: DynamiCare Rewards

Study type: Interventional

Funder types: Other; Industry

Identifiers

NCT03701204

DCH001

Details and patient eligibility

About

Randomized pilot study of a device (smartphone app) that poses non-significant risk to participants and is exempt from Investigational Device Exemption regulations [21 Code of Federal Regulations 812.2(c)

Full description

To test the feasibility/acceptability and efficacy of a minimum viable product (MVP) of a smartphone app for patients with alcohol use disorder who are in active treatment and recovery to perform self-tracking of their recovery behavior (e.g., abstinence) and focus on their motivation to maintain their desired health behaviors (i.e., abstinence).

Enrollment: 61 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

Participants in the pilot study will be 60 new intakes to Gosnold's outpatient Substance Use Disorder (SUD) program who:

• are >18 years old;
• meet DSM-5 criteria for current (past year) alcohol use disorder, at least moderate severity;
• identify alcohol as the primary drug problem;
• Currently use alcohol (past 7 days) or have been in treatment 14 days or less and used alcohol within 7 days of treatment entry;
• have and use an Android or iOS smartphone with acceptable
• capability;
• are willing to participate in home testing and use of the smartphone,
• speak and read the English language adequately to understand smartphone commands and responses and
• are willing to be randomly assigned to receive treatment with or without the smartphone app as an added feature.

Exclusion criteria

• Participants must not currently be suicidal or actively psychotic, by clinician judgement.

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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61 participants in 2 patient groups

DynamiCare Rewards

Experimental group

Description:

The study will test the feasibility/acceptability and efficacy of DynamiCare Rewards™. DynamiCare Rewards is an iOS/Android app which automates Contingency Management (CM) to help the patient self-monitor and focus attention on his/her behavioral goals (i.e., abstinence) for alcohol or other substance use disorders.

Treatment:

Behavioral: DynamiCare Rewards

Control

No Intervention group

Description:

Treatment as usual