Using Addiction Comprehensive Health Enhancement Support System (ACHESS) in an Alcoholic Liver Disease Population

New York Presbyterian Hospital

Status: Unknown

Conditions: Liver Diseases, Alcoholic

Treatments: Device: A-CHESS

Study type: Interventional

Funder types: Other

Identifiers

NCT03388320

1704018122

Details and patient eligibility

About

This is a pilot study examining whether an evidence-based recovery support smartphone application, the Addiction Comprehensive Health Enhancement Support System (A-CHESS), can decrease alcohol recidivism in a previously unstudied group of patients with alcoholic liver disease (ALD).

Full description

A-CHESS is a smartphone application developed by the University of Wisconsin-Madison based on self-determination theory, with a previous randomized clinical trial showing that use of the app resulted in significantly fewer risky drinking days in patients leaving treatment for alcohol-use disorders. The application is downloaded to the participant's smartphone, and provides ongoing access to peer support and educational materials, monitoring of the risk of relapse, and delivery of reminders and encouragements to the patient. The application also has a survey platform to assess and reassess the participants' most recent alcohol consumption, quality of life, and experience using the application. We anticipate that use of the A-CHESS app will result in decreased drinking and improved abstinence, identifying a potential intervention to offer patients with ALD to improve their mortality, liver disease, and likelihood of liver transplant candidacy status.

Enrollment: 30 estimated patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Alcoholic liver disease
• Followed or seen at New York Presbyterian Hospital / Weill Cornell Medical Center
• English speaking
• Access to a smartphone

Exclusion criteria

• Unable to consent
• Primary language other than English
• No access to a smartphone

Trial design

Primary purpose: Health Services Research

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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30 participants in 1 patient group

Participants receiving A-CHESS

Experimental group

Description:

Participants will be provided access to the smartphone application A-CHESS (intervention) that will be downloaded to their phone.

Treatment:

Device: A-CHESS