Computer-Based Alcohol Use Disorder Recovery System
| Status: | Completed |
|---|---|
| Conditions: | Psychiatric |
| Therapuetic Areas: | Psychiatry / Psychology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/21/2016 |
| Start Date: | February 2009 |
| End Date: | October 2012 |
Developing and Testing a Computer-Based Alcohol Use Disorder Recovery System
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.
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.
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.
(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.
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.
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