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• W2117046315 abstract "<h3>Importance</h3> Patients leaving residential treatment for alcohol use disorders are not typically offered evidence-based continuing care, although research suggests that continuing care is associated with better outcomes. A smartphone-based application could provide effective continuing care. <h3>Objective</h3> To determine whether patients leaving residential treatment for alcohol use disorders with a smartphone application to support recovery have fewer risky drinking days than control patients. <h3>Design, Setting, and Participants</h3> An unmasked randomized clinical trial involving 3 residential programs operated by 1 nonprofit treatment organization in the Midwestern United States and 2 residential programs operated by 1 nonprofit organization in the Northeastern United States. In total, 349 patients who met the criteria for<i>DSM-IV</i>alcohol dependence when they entered residential treatment were randomized to treatment as usual (n = 179) or treatment as usual plus a smartphone (n = 170) with the Addiction–Comprehensive Health Enhancement Support System (A-CHESS), an application designed to improve continuing care for alcohol use disorders. <h3>Interventions</h3> Treatment as usual varied across programs; none offered patients coordinated continuing care after discharge. A-CHESS provides monitoring, information, communication, and support services to patients, including ways for patients and counselors to stay in contact. The intervention and follow-up period lasted 8 and 4 months, respectively. <h3>Main Outcomes and Measures</h3> Risky drinking days—the number of days during which a patient’s drinking in a 2-hour period exceeded 4 standard drinks for men and 3 standard drinks for women, with<i>standard drink</i>defined as one that contains roughly 14 g of pure alcohol (12 oz of regular beer, 5 oz of wine, or 1.5 oz of distilled spirits). Patients were asked to report their risky drinking days in the previous 30 days on surveys taken 4, 8, and 12 months after discharge from residential treatment. <h3>Results</h3> For the 8 months of the intervention and 4 months of follow-up, patients in the A-CHESS group reported significantly fewer risky drinking days than did patients in the control group, with a mean of 1.39 vs 2.75 days (mean difference, 1.37; 95% CI, 0.46-2.27;<i>P</i> = .003). <h3>Conclusions and Relevance</h3> The findings suggest that a multifeatured smartphone application may have significant benefit to patients in continuing care for alcohol use disorders. <h3>Trial Registration</h3> clinicaltrials.gov Identifier:NCT01003119" @default.
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• W2117046315 date "2014-05-01" @default.
• W2117046315 modified "2023-10-12" @default.
• W2117046315 title "A Smartphone Application to Support Recovery From Alcoholism" @default.
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• W2117046315 doi "https://doi.org/10.1001/jamapsychiatry.2013.4642" @default.
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