A-CHESS peer-supported for Alcohol Drinking

Phase-Based Progress Estimates
1
Effectiveness
1
Safety
UW Health at the American Center, Madison, WI
Alcohol Drinking+2 More
A-CHESS peer-supported - Behavioral
Eligibility
18+
All Sexes
Eligible conditions
Select

Study Summary

This study is evaluating whether a mobile health app can help reduce risky drinking days and improve quality of life for patients with alcohol use disorder.

See full description

Eligible Conditions

  • Alcohol Drinking
  • Telemedicine

Treatment Effectiveness

Effectiveness Estimate

1 of 3

Study Objectives

This trial is evaluating whether A-CHESS peer-supported will improve 1 primary outcome and 17 secondary outcomes in patients with Alcohol Drinking. Measurement will happen over the course of 12 months.

12 months
Number of healthcare services used in the past 6 months
Number of patient protection factors assessed by a revised Brief Alcohol Monitor
Number of patient risk factors assessed by a revised Brief Alcohol Monitor
Number of patients who are willing to share data
Number of risky drinking days
Number of setback status triggered by A-CHESS
Score of Alcohol Use Disorders Identification Test (AUDIT) screening tool
Score of autonomous motivation as assessed by revised Treatment Self Regulation Questionnaire
Score of competence as assessed by the Perceived competence scale (PCS)
Score of overall quality of life as assessed by Patient Reported Outcomes Measurement Information System (PROMIS) Global-10
Score of relatedness as assessed by the CHESS Bonding Scale
Score of the Diagnostic and Statistical Manual- 5 Alcohol use disorder (AUD) severity
36 months
Number of days health coach/other clinician used the A-CHESS dashboard
up to 3 years
Cost of implementation of each intervention arm in US dollars
Number of response statuses addressed
Pages viewed on A-CHESS
Time of A-CHESS used
Variables used for predictive setback status

Trial Safety

Trial Design

3 Treatment Groups

Self monitored
1 of 3
Peer supported
1 of 3
Clinically integrated
1 of 3
Active Control
Experimental Treatment

This trial requires 566 total participants across 3 different treatment groups

This trial involves 3 different treatments. A-CHESS Peer-supported is the primary treatment being studied. Participants will be divided into 2 treatment groups. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Peer supported
Behavioral
Patients will be asked to take the same surveys and have the access to the same information as the self-monitoring group. Patient subjects in this group will have access to discussion boards where they can talk to one another and have the ability to share and see stories of other patients. The only involvement of someone other than patients themselves in the peer-supported group will be by a sponsor (i.e., a dedicated user from the area with a sustained history of successful alcohol reduction). The sponsor will participate in discussion groups and encourage use of the system. Patient-reported feedback will be presented directly to the patient.
Clinically integrated
Behavioral
Patients in the clinically integrated group will receive the same intervention as the peer-supported group aside from three differences: 1) patients have the option to share selected elements of their app data with the University of Wisconsin (UW) Health health coach, 2) the health coach will replace the role of the sponsor in the peer-support group, and 3) patients will have the option to attend an initial 60- to 90-minute and two 30-minute follow-up consultations with the health coach in-person, via phone, or via video chat.
Self monitored
Behavioral
Patients of this group will continue receiving regular care from their physician with no interference from the two experimental groups. Patient subjects will download the app on their Android or Apple smart phone that will direct them to external information hosted on the internet that may help reduce their drinking (e.g., NIAAA resources). For the first 12 weeks, once a week patients can set a weekly goal related to their alcohol use or other health related behaviors (e.g., "I will only drink on Friday this week."). At the end of the week subjects will be prompted to take a weekly survey, which will include questions such as a variation of the brief alcohol monitor (BAM) and timeline followback. Patients will then receive feedback on the amount of drinks they had compared to their goal. Then the patient will set a new goal for the following week. Patients will complete quarterly surveys on the A-CHESS app to assess study outcomes.

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: up to 3 years
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly up to 3 years for reporting.

Closest Location

UW Health at the American Center - Madison, WI

Eligibility Criteria

This trial is for patients born any sex aged 18 and older. There are 9 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
be able to understand and sign an electronic consent form in English
responds yes to at least one question on the Alcohol Use Disorder (AUD) Diagnostic and Statistical Manual-5 survey,
are 21+ years old
interested in learning about ways to reduce drinking
willing to download and use A-CHESS
lives in within the geographical boundaries of the UW Health system
own an Apple or android smart phone
meets the criteria for at risk drinking on the AUDIT screening
indicates in the past week they have had at least 7 drinks and 3 on a single day (women), or had at least 14 drinks and 4 on a single day (men).

Patient Q&A Section

What are the signs of alcohol drinking?

"A wide range of drinking patterns can be observed. Alcohol abstainers and infrequent or binge drinkers are most likely to experience the signs and symptoms associated with excessive alcohol use. The presence of liver disease, smoking, prior psychiatric treatment and prior alcohol or illicit drug problems are other factors that could add to the signs and symptoms of alcohol drinking." - Anonymous Online Contributor

Unverified Answer

What are common treatments for alcohol drinking?

"For alcoholics, the treatments often involve counseling or abstinence. There are, however, treatments that are effective to treat alcohol dependence. These include drugs such as disulfiram and naltrexone. Some medications, such as lithium, are effective both for alcoholics and nondrinks. There are some effective and safe procedures for treating alcoholism. For example, alcoholics who are contemplating alcohol, drug, or sex and for whom abstinence is not an option should consider treatment planning and rehabilitation." - Anonymous Online Contributor

Unverified Answer

How many people get alcohol drinking a year in the United States?

"These data from the 1999-2002 National Alcohol Survey suggest that men are drinking more alcohol than women (21.3% of women but 33.2% of men). More importantly, the average age of first alcohol dependence is younger in men than women. Alcohol dependence and binge drinking are increasing among both men and women in the United States." - Anonymous Online Contributor

Unverified Answer

What is alcohol drinking?

"There are a wide range of reasons for a person to drink alcohol, but most people drink to help relieve anxiety and depression, to loosen up and enjoy conversation with friends, to forget their daily routine, for the sense of self-worth, and to reduce negative feelings (especially loneliness). In the short term, alcohol is also a powerful coping skill for managing pain and improving energy levels. People may drink to forget physical problems. Over time, excessive drinking can lead to alcohol use disorders: alcohol intoxication, dependence and withdrawal. It can cause harm to the liver, heart, brain, immune system and central nervous system. If left unchecked, excessive drinking can also cause mental, emotional, and physical problems." - Anonymous Online Contributor

Unverified Answer

What causes alcohol drinking?

"Alcohol consumption is heavily affected by factors beyond drinking for its own sake, such as interpersonal factors, negative emotions, and social consequences. Drinking for companionship is more or less determined by environmental factors. The development of alcohol-induced negative consequences must be considered to explain why some individuals drink excessively while others avoid it altogether." - Anonymous Online Contributor

Unverified Answer

Can alcohol drinking be cured?

"Although alcohol consumption can provide an array of positive health outcomes, drinking alcohol and alcoholics tend to be stigmatized. If public health interventions targeted at alcohol expectancies are employed, it will be difficult to overcome the public health stigmas and the social stigma against drinking and drinkers." - Anonymous Online Contributor

Unverified Answer

What is the primary cause of alcohol drinking?

"A very small percentage of alcoholics drink to relieve alcoholism; however, when an alcohol-dependent alcoholic starts drinking, then it usually takes a lot of drinking (a lot) for the alcoholic to get drunk; only later does he start drinking to hide this problem (the “drinking in the service of drinking” type of drinking). With alcohol, most drinkers don’t start their drinking to avoid some other problem (such as alcoholism); instead, most decide to start drinking for pleasure or to make up for something (such as depression or boredom).[Power] Alcoholic drinkers are also more likely to smoke or use other drugs than non-drinkers, and these add to their odds of having other diseases too." - Anonymous Online Contributor

Unverified Answer

Have there been any new discoveries for treating alcohol drinking?

"There have been numerous innovations in approaches used to treat alcohol abuse and dependence, such as motivational interviewing and cognitive modeling, which appear to be successful in the short term, but which long-term efficacy remains unproven." - Anonymous Online Contributor

Unverified Answer

Does a-chess peer-supported improve quality of life for those with alcohol drinking?

"Results from a recent clinical trial has shown that a-chess improves quality of life for those with alcohol drinking problems in a community setting. Additional research is required to explore whether a-chess can be a useful adjunct treatment to existing community resources." - Anonymous Online Contributor

Unverified Answer

What is the latest research for alcohol drinking?

"The benefits of alcohol intake appear to diminish sharply with age, although a large percentage of the adult population continues to drink excessively every day. In the absence of other compelling reasons against alcohol intake, the burden of alcohol should be placed on heavy drinkers." - Anonymous Online Contributor

Unverified Answer

What are the common side effects of a-chess peer-supported?

"The following common a-chess problems are reported as side effects:-(i)fear of going to hospital for pain; (vii)fear of harming the chess-player(s);(viii)fear of having a stroke; (ix)feelings of anxiety; (xi)inability to concentrate; (x)feeling that one is doing poorly in the game; (xii)fear of the referee." - Anonymous Online Contributor

Unverified Answer

What is the average age someone gets alcohol drinking?

"The prevalence of alcoholic consumption has a large variance in the general population; the mean of the consumption age in the European Union is 21.5 years. The age of initiation of consumption of spirits are generally younger than 20 years. The age for wine and all alcoholic drinks are generally younger. Thus, wine consumption has a higher consumption rate in comparison to spirits." - Anonymous Online Contributor

Unverified Answer
Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
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