NCT01003119

Brief Summary

The purpose of this grant is to develop and test a proven computer based quality improvement/behavior change e-Health system (CHESS--Comprehensive Health Enhancement Support System) to help prevent relapse in alcohol dependent patients being discharged from residential treatment. The investigators' primary hypothesis is that ACHESS (Addiction CHESS) will improve competence, relatedness and autonomy, which will reduce the days of risky drinking over a 12-month period.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
350

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Feb 2009

Longer than P75 for not_applicable

Geographic Reach
1 country

2 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

February 1, 2009

Completed
9 months until next milestone

First Submitted

Initial submission to the registry

October 26, 2009

Completed
2 days until next milestone

First Posted

Study publicly available on registry

October 28, 2009

Completed
2.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2012

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

October 1, 2012

Completed
Last Updated

February 4, 2016

Status Verified

February 1, 2016

Enrollment Period

3.7 years

First QC Date

October 26, 2009

Last Update Submit

February 3, 2016

Conditions

Alcohol Dependence

Keywords

Alcohol addictionAlcohol treatmentAlcohol recoveryPost residential treatment DSM-IV diagnosis of alcohol dependence

Outcome Measures

Primary Outcomes (1)

  • ACHESS + standard care will reduce days of risky drinking over the 12-month follow-up period as measured by three interviews. The time-line follow-back techniques will be used'.

    12 months

Secondary Outcomes (1)

  • ACHESS will reduce proximal outcomes of cravings and negative affect, and produce distal outcomes of increased complete abstinence from alcohol, days of abstinence and reduced negative consequences of substance use.

    12 mos.

Study Arms (2)

A CHESS

EXPERIMENTAL

Those in the ACHESS arm will also be given a smart-phone with access to the ACHESS system (the intervention) for a full 12 months. The ACHESS intervention includes: 1) the Core CHESS system that has been tested in several diseases, 2) a proactive computer-based relapse prevention system, 3) data transfer from the phone to a computer accessible by the patient's counselor/care manager, and 4) systems for the patient to maintain contact with his/her Care Manager

Behavioral: Addiction CHESS

Usual Care

NO INTERVENTION

Those randomized into the Usual Care group will receive usual medical care.

Interventions

Addiction CHESSBEHAVIORAL

Smartphone with ACHESS application loaded onto the phone.

A CHESS

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • All subjects must be at least 18 years of age
  • All subjects must be willing to participate in the study
  • All subjects must be willing to identify two people who could provide contact information about their location for the next year
  • If randomized into ACHESS, all subjects must agree to allow monitoring of their ACHESS usage, including internet browsing
  • All subjects must pass a literacy test

You may not qualify if:

  • Homelessness
  • Psychiatric or medical condition that precludes participation in the study including: subjects with a history of suicidality, significant developmental/cognitive impairments that limit their ability to understand the material or have vision problems will not be included in this study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (2)

Fayette Companies

Peoria, Illinois, 61654, United States

Location

CAB Health and Recovery Services

Boston, Massachusetts, 01960, United States

Location

Related Publications (3)

  • Gustafson DH, Shaw BR, Isham A, Baker T, Boyle MG, Levy M. Explicating an evidence-based, theoretically informed, mobile technology-based system to improve outcomes for people in recovery for alcohol dependence. Subst Use Misuse. 2011;46(1):96-111. doi: 10.3109/10826084.2011.521413.

    PMID: 21190410BACKGROUND

  • McTavish FM, Chih MY, Shah D, Gustafson DH. How Patients Recovering From Alcoholism Use a Smartphone Intervention. J Dual Diagn. 2012;8(4):294-304. doi: 10.1080/15504263.2012.723312. Epub 2012 Nov 8.

    PMID: 23316127RESULT

  • Gustafson DH, McTavish FM, Chih MY, Atwood AK, Johnson RA, Boyle MG, Levy MS, Driscoll H, Chisholm SM, Dillenburg L, Isham A, Shah D. A smartphone application to support recovery from alcoholism: a randomized clinical trial. JAMA Psychiatry. 2014 May;71(5):566-72. doi: 10.1001/jamapsychiatry.2013.4642.

    PMID: 24671165RESULT

Related Links

MeSH Terms

Conditions

Alcoholism

Condition Hierarchy (Ancestors)

Alcohol-Related DisordersSubstance-Related DisordersChemically-Induced DisordersMental Disorders

Study Officials

  • David H Gustafson, PhD

    University of Wisconsin, Madison

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 26, 2009

First Posted

October 28, 2009

Study Start

February 1, 2009

Primary Completion

October 1, 2012

Study Completion

October 1, 2012

Last Updated

February 4, 2016

Record last verified: 2016-02

Locations

US(2)