- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03701204
Contingency Management for Alcohol Use Disorder
August 10, 2020 updated by: Eric Gastfriend, DynamiCare Health
Integrating Contingency Management Into Routine Care for Alcohol Use Disorder
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)
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed 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).
Study Type
Interventional
Enrollment (Actual)
61
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Massachusetts
-
Centerville, Massachusetts, United States, 02632
- Gosnold on Cape Cod
-
Falmouth, Massachusetts, United States, 02540
- Gosnold
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
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.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: DynamiCare Rewards
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.
|
Participants assigned to the DynamiCare Rewards group will receive the following:
|
No Intervention: Control
Treatment as usual
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Percent of participants abstinent from alcohol at each monthly assessment time point (negative urine test and self-report of no use in past 30 days)
Time Frame: 12-week intervention period
|
The pilot efficacy study will utilize alcohol abstinence at each assessment time point as the primary outcome.
This is defined as a negative ethyl glucuronide urine test (witnessed) at the monthly assessment time points and self-report of no alcohol use in the past 30 days.
|
12-week intervention period
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Percent of participants abstinent from all drugs at each monthly assessment time point (negative urine test and self-report of no use in past 30 days)
Time Frame: 12-week intervention period
|
Groups will be compared using Generalized Estimating Equation (GEE) analysis on the percent of participants abstinent over time at each time point.
|
12-week intervention period
|
Longest continuous period of abstinence from alcohol and from drugs and alcohol
Time Frame: 12-week intervention period
|
Groups will be compared using GEE analysis on the percent of participants abstinent over time at each time point.
|
12-week intervention period
|
Retention in treatment
Time Frame: 12-week intervention period
|
Groups will be compared on the number of days retained in treatment according to the site's Electronic Health Record data, and also on the graduation rate from treatment vs. leaving against medical advice.
|
12-week intervention period
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Eric Gastfriend, MBA, DynamiCare Health
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
October 8, 2018
Primary Completion (Actual)
August 21, 2019
Study Completion (Actual)
August 21, 2019
Study Registration Dates
First Submitted
October 7, 2018
First Submitted That Met QC Criteria
October 7, 2018
First Posted (Actual)
October 9, 2018
Study Record Updates
Last Update Posted (Actual)
August 11, 2020
Last Update Submitted That Met QC Criteria
August 10, 2020
Last Verified
August 1, 2020
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- DCH001
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Undecided
IPD Plan Description
We intend to make participant data available by request as long as it is unidentifiable.
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Alcohol Use Disorder
-
Washington State UniversityRecruitingNicotine Use Disorder | Alcohol Use Disorder (AUD)United States
-
University of North Carolina, Chapel HillCompletedAlcohol Use Disorder, Mild | Alcohol Use Disorder, ModerateUnited States
-
Université du Québec à Trois-RivièresCompletedAlcohol Use, Unspecified | Alcohol Use Disorder, MildCanada
-
Woebot HealthStanford UniversityCompletedSubstance Use Disorders | Alcohol Use Disorder (AUD)United States
-
Kaiser PermanenteNORC at the University of Chicago; Agency for Healthcare Research and Quality... and other collaboratorsCompleted
-
Medical University of South CarolinaNational Institute on Alcohol Abuse and Alcoholism (NIAAA); National Institutes...RecruitingAlcohol Drinking | Substance Use | Alcohol Use Disorder | Drinking, Alcohol | Alcohol Use Disorder (AUD)United States
-
Centre Hospitalier Universitaire de NīmesRecruiting
-
Central Institute of Mental Health, MannheimNot yet recruitingAlcohol Use Disorder (AUD)Germany
-
Massachusetts General HospitalMbarara University of Science and TechnologyCompletedAlcohol Use Disorder (AUD)Uganda
-
ITAB - Institute for Advanced Biomedical TechnologiesNot yet recruitingNeurobiological Effects of Transcranial Direct Current Stimulation Treatment in Alcohol Use DisorderAlcohol Dependence | Alcohol-Related Disorders | Substance Use Disorders | Drug Abuse | Mental Disorder | Alcohol Abuse | Alcohol Use Disorder (AUD)
Clinical Trials on DynamiCare Rewards
-
BrightView LLCDynamiCare Health; Interact for HealthUnknownTobacco Use Disorder | Substance Use DisordersUnited States
-
VA Office of Research and DevelopmentCompleted
-
University of Alabama at BirminghamRecruitingDisability Physical | Chronic Conditions, Multiple | Chronic ConditionUnited States
-
University of PennsylvaniaDiscovery VitalityWithdrawnPhysical ActivityUnited States
-
University of PennsylvaniaNational Cancer Institute (NCI); National Institutes of Health (NIH)CompletedTobacco Use DisorderUnited States
-
University of MichiganRecruitingPhysical ActivityUnited States
-
Aurora Health CareUniversity of Chicago; University of California, Santa CruzRecruitingOpioid Use Disorder | Cocaine Use Disorder | Methamphetamine AbuseUnited States
-
Albert Einstein Healthcare NetworkRobert Wood Johnson FoundationCompletedFocus of the Study is on the Use of Incentives to Promote | Healthier Eating in Low-income CommunitiesUnited States
-
Duke-NUS Graduate Medical SchoolSingapore General Hospital; Changi General Hospital; National Medical Research... and other collaboratorsCompleted
-
University of South CarolinaNational Heart, Lung, and Blood Institute (NHLBI)Completed