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Computer-Based Alcohol Use Disorder Recovery System

This study has been completed.
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Information provided by (Responsible Party):
University of Wisconsin, Madison Identifier:
First received: October 26, 2009
Last updated: February 3, 2016
Last verified: February 2016
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.

Condition Intervention
Alcohol Dependence Behavioral: Addiction CHESS

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Developing and Testing a Computer-Based Alcohol Use Disorder Recovery System

Resource links provided by NLM:

Further study details as provided by University of Wisconsin, Madison:

Primary Outcome Measures:
  • 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`. [ Time Frame: 12 months ]

Secondary Outcome Measures:
  • 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. [ Time Frame: 12 mos. ]

Enrollment: 350
Study Start Date: February 2009
Study Completion Date: October 2012
Primary Completion Date: October 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: A CHESS
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
Smartphone with ACHESS application loaded onto the phone.
No Intervention: Usual Care
Those randomized into the Usual Care group will receive usual medical care.

Detailed Description:
The system to be tested (ACHESS - Addiction CHESS) will be delivered through a new modality (smart-phone rather than PC) to make access more widespread, focus on new patients (alcohol dependent patients leaving residential care), offer optional audio delivery to improve access for those who have literacy challenges and be enhanced with services tailored to relapse prevention. ACHESS will offer: 1) communication with peer support groups and addiction experts; 2) timely monitoring to assess risk of relapse, 3) reminders and alerts to encourage adherence to therapeutic goals; 4) addiction-related educational material and tools tailored to the needs of the particular patient, 5) access to selected Internet based resources and 6) communication with a care manager. Patients randomly assigned to ACHESS will learn to use it prior to discharge from residential care.

Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • 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

Exclusion Criteria:

  • 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.
  Contacts and Locations
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Please refer to this study by its identifier: NCT01003119

United States, Illinois
Fayette Companies
Peoria, Illinois, United States, 61654
United States, Massachusetts
CAB Health and Recovery Services
Boston, Massachusetts, United States, 01960
Sponsors and Collaborators
University of Wisconsin, Madison
National Institute on Alcohol Abuse and Alcoholism (NIAAA)
Principal Investigator: David H Gustafson, PhD University of Wisconsin, Madison
  More Information

Additional Information:
Responsible Party: University of Wisconsin, Madison Identifier: NCT01003119     History of Changes
Other Study ID Numbers: SE-2009-0484
R01AA017192 ( U.S. NIH Grant/Contract )
Study First Received: October 26, 2009
Last Updated: February 3, 2016

Keywords provided by University of Wisconsin, Madison:
Alcohol addiction
Alcohol treatment
Alcohol recovery
Post residential treatment DSM-IV diagnosis of alcohol dependence

Additional relevant MeSH terms:
Alcohol-Related Disorders
Substance-Related Disorders
Chemically-Induced Disorders
Mental Disorders
Anti-Infective Agents, Local
Anti-Infective Agents
Central Nervous System Depressants
Physiological Effects of Drugs processed this record on August 23, 2017