E-health Implementation (Iowa)
Testing of a Patient-centered E-health Implementation Model in Addiction Treatment
7 other identifiers
interventional
23,659
1 country
49
Brief Summary
This research will test a technology adoption framework to increase use of the A-CHESS smartphone app. The project, based in Iowa, will compare a control condition (using a typical product training approach to software implementation that includes user tutorials and instruction on administrative and clinical protocols, followed by access to on-line support) to the typical product training combined with NIATx-TI. Terms - A-CHESS: Addiction Comprehensive Health Enhancement Support System NIATx-TI: Network for the Improvement of Addiction Treatment-Technology Implementation
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Sep 2019
Longer than P75 for not_applicable
49 active sites
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
First Submitted
Initial submission to the registry
May 10, 2019
CompletedFirst Posted
Study publicly available on registry
May 17, 2019
CompletedStudy Start
First participant enrolled
September 3, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 30, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
June 30, 2023
CompletedResults Posted
Study results publicly available
February 7, 2025
CompletedFebruary 7, 2025
February 1, 2025
3.8 years
May 10, 2019
September 16, 2024
February 6, 2025
Conditions
Outcome Measures
Primary Outcomes (2)
Reach: As Assessed by the Mean Number of Clinics With Participants Who Download the A-CHESS App
The mean number of clinics with patients who download the A-CHESS app will be obtained monthly during the study via the A-CHESS server and Iowa Department of Public Health (IDPH) data.
45 months
Reach: As Assessed by the Number of Days That Participants Use the A-CHESS
The frequency of use of A-CHESS by each participant will be obtained monthly during the study via the A-CHESS server and Iowa Department of Public Health (IDPH) data.
45 months
Secondary Outcomes (7)
Effectiveness of A-CHESS as Assessed by the Retention Rate of Eligible Participants.
Collected monthly during months 13 - 45
Adoption: Number of Days Each Counselor Used the A-CHESS
45 months
Adoption - The Percentage of Counselors Using A-CHESS Will be Assessed Via the Organizational Survey and A-CHESS Logs
Collected twice during study; starting M22 - 31 and M35-44
A-CHESS/NIATx Implementation Fidelity (Survey)
Collected twice during study; approx. M14 - 25 and M32 - 43
Organizational Readiness of Participating Organizations as Assessed by Organizational Change Manager (Survey)
Collected twice during study; approx. M14 - 25 and M32 - 43
- +2 more secondary outcomes
Other Outcomes (2)
Supplement 1 - Understand Impact of ACHESS on pt Anxiety and Loneliness During COVID-19 Pandemic
M34-37
Supplement 2 - Understand How Treatment Organizations and Staff Used ACHESS During COVID Pandemic
M34-37
Study Arms (2)
TAU/Control
NO INTERVENTIONSites in the Treatment as Usual (TAU)/Control Arm will receive product training/online support. Sites in the TAU/Control Arm will participate in a one-day product implementation or training session.
NIATx-TI Framework
EXPERIMENTALSites in the NIATx-TI Arm will receive product training/online support, and training in the NIATx-TI framework. The NIATx-TI framework will include a pre-implementation (planning) phase, and post-implementation (problem-solving) phase, with training delivered by a NIATx-TI coach.
Interventions
NIATx-TI framework includes the product training as well as a preimplementation phase and a post-implementation phase. A NIATx-TI coach will provide the training for this arm. The coach will also assist the organizations with applying the NIATx-TI framework.
Eligibility Criteria
You may qualify if:
- Must be 18+ years old
- Understand English
- Have a SUD diagnosis
- Have access to a smartphone
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Wisconsin, Madisonlead
- University of Iowacollaborator
- Iowa Department of Public Healthcollaborator
- National Institute on Drug Abuse (NIDA)collaborator
Study Sites (49)
Zion Recovery Services
Adel, Iowa, 50003, United States
Prairie Ridge Integrated Behavioral Healthcare
Algona, Iowa, 50511, United States
Community and Family Resources
Ames, Iowa, 50010, United States
Area Substance Abuse Council
Anamosa, Iowa, 53305, United States
UCS Healthcare
Ankeny, Iowa, 50021, United States
Zion Recovery Services
Atlantic, Iowa, 50022, United States
Area Substance Abuse Council
Belle Plaine, Iowa, 52208, United States
Community and Family Resources
Boone, Iowa, 50036, United States
Alcohol and Drug Dependency Services (ADDS)
Burlington, Iowa, 52601, United States
Area Substance Abuse Council
Cedar Rapids, Iowa, 52404, United States
Prairie Ridge Integrated Behavioral Healthcare
Charles City, Iowa, 50616, United States
Jackson Recovery Centers
Cherokee, Iowa, 51012, United States
Prelude Behavioral Health Services
Clarence, Iowa, 52216, United States
Zion Recovery Services
Clarinda, Iowa, 51632, United States
Community and Family Resources
Clarion, Iowa, 50525, United States
Heartland Family Services
Council Bluffs, Iowa, 51503, United States
Area Substance Abuse Council
De Witt, Iowa, 52742, United States
Jackson Recovery Centers
Denison, Iowa, 51442, United States
UCS Healthcare
Des Moines, Iowa, 50310, United States
House of Mercy
Des Moines, Iowa, 50314, United States
Prelude Behavioral Health Services
Des Moines, Iowa, 50317, United States
Substance Abuse Services Center
Dubuque, Iowa, 52001, United States
Prairie Ridge Integrated Behavioral Healthcare
Forest City, Iowa, 50436, United States
Community and Family Resources
Fort Dodge, Iowa, 50501, United States
Heartland Family Services
Glenwood, Iowa, 51534, United States
Zion Recovery Services
Greenfield, Iowa, 50849, United States
Prairie Ridge Integrated Behavioral Healthcare
Hampton, Iowa, 50441, United States
Community and Family Resources
Humboldt, Iowa, 50548, United States
House of Mercy
Indianola, Iowa, 50125, United States
Prelude Behavioral Services
Iowa City, Iowa, 52240, United States
ADDS
Keokuk, Iowa, 52362, United States
UCS Healthcare
Knoxville, Iowa, 50138, United States
Jackson Recovery Centers
Le Mars, Iowa, 51031, United States
Heartland Family Services
Logan, Iowa, 51546, United States
Area Substance Abuse Council
Maquoketa, Iowa, 52060, United States
Prelude Behavioral Health Services
Marengo, Iowa, 52301, United States
Prairie Ridge Integrated Behavioral Healthcare
Mason City, Iowa, 50401, United States
ADDS
Mount Pleasant, Iowa, 52641, United States
House of Mercy
Newton, Iowa, 50208, United States
Zion Recovery Services
Perry, Iowa, 50220, United States
Community and Family Resources
Pocahontas, Iowa, 50574, United States
Zion Recovery Services
Red Oak, Iowa, 51566, United States
Community and Family Resources
Rockwell City, Iowa, 50579, United States
Zion Recovery Services
Shenandoah, Iowa, 51601, United States
Jackson Recovery Centers
Sioux City, Iowa, 51101, United States
Prelude Behavioral Services
Tipton, Iowa, 52772, United States
Area Substance ABuse Council
Vinton, Iowa, 52349, United States
ADDS
Wapello, Iowa, 52632, United States
Community and Family Resources
Webster City, Iowa, 50595, United States
Related Publications (4)
Fleddermann K, Molfenter T, Vjorn O, Horst J, Hulsey J, Kelly B, Zawislak K, Gustafson DH, Gicquelais RE. Patient Preferences for Mobile Health Applications to Support Recovery. J Addict Med. 2023 Jul-Aug 01;17(4):394-400. doi: 10.1097/ADM.0000000000001137. Epub 2023 Jan 18.
PMID: 37579096RESULTFleddermann K, Molfenter T, Jacobson N, Horst J, Roosa MR, Boss D, Ross JC, Preuss E, Gustafson DH. Clinician Perspectives on Barriers and Facilitators to Implementing e-Health Technology in Substance Use Disorder (SUD) Treatment Facilities. Subst Abuse. 2021 Oct 26;15:11782218211053360. doi: 10.1177/11782218211053360. eCollection 2021.
PMID: 34720585RESULTGustafson D Sr, Horst J, Boss D, Fleddermann K, Jacobson N, Roosa M, Ross JC, Gicquelais R, Vjorn O, Siegler T, Molfenter T. Implementation of Smartphone Systems to Improve Quality of Life for People With Substance Use Disorder: Interim Report on a Randomized Controlled Trial. JMIR Hum Factors. 2022 Jul 14;9(3):e35125. doi: 10.2196/35125.
PMID: 35834315DERIVEDWhite VM, Molfenter T, Gustafson DH, Horst J, Greller R, Gustafson DH Jr, Kim JS, Preuss E, Cody O, Pisitthakarm P, Toy A. NIATx-TI versus typical product training on e-health technology implementation: a clustered randomized controlled trial study protocol. Implement Sci. 2020 Oct 23;15(1):94. doi: 10.1186/s13012-020-01053-4.
PMID: 33097097DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Todd Molfenter, PhD
- Organization
- University of Wisconsin - Madison
Study Officials
- PRINCIPAL INVESTIGATOR
Todd Molfenter, Ph.D.
University of Wisconisn-Madison
- PRINCIPAL INVESTIGATOR
David Gustafson, Ph.D.
University of Wisconsin, Madison
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 10, 2019
First Posted
May 17, 2019
Study Start
September 3, 2019
Primary Completion
June 30, 2023
Study Completion
June 30, 2023
Last Updated
February 7, 2025
Results First Posted
February 7, 2025
Record last verified: 2025-02
Data Sharing
- IPD Sharing
- Will not share