MedPath

KIOS Mobile App Evaluation

Not Applicable
Recruiting
Conditions
Opioid Use Disorder
Interventions
Behavioral: KIOS App education
Device: KIOS App
Behavioral: Treatment as usual
Registration Number
NCT06212557
Lead Sponsor
The University of Texas Health Science Center at San Antonio
Brief Summary

Evaluation of a mobile medical app (KIOS) vs. treatment as usual for the treatment of opioid use disorder (OUD).

Detailed Description

The study is a parallel intervention examining the KIOS app, a digital health therapeutic intended to help individuals in recovery from opioid use disorder better self-manage their condition. KIOS will offer individualized, evidence-based behavioral intervention strategies responsive to the patients' current clinical status outside the setting of the doctor's office or treatment facility. KIOS makes it possible to process patient-entered data and provide responsive behavioral advice to patients specific to their condition in real time. KIOS gives patients 24/7 access to behavioral intervention strategies that can augment and improve response to routine clinic-based counseling interventions.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
210
Inclusion Criteria
  1. Male or female outpatients 18 years of age or older
  2. Patients must be able to communicate meaningfully with the investigator and must be legally competent to provide written informed consent.
  3. DSM-5 (Diagnostic and Statistical Manual of Mental Disorders fifth edition) criteria for opioid use disorder
  4. Ability to access KIOS via smartphone or tablet
  5. Recently (less than 6 months) enrolled in and currently participating in MOUD at a clinic in Texas
Exclusion Criteria
  1. Unwilling or unable to comply with study requirements
  2. Psychiatric or medical disorder interfering with ability to use the app
  3. Incarceration

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Treatment as Usual plus KIOS education AppKIOS App educationTreatment as usual in clinics with the use of the KIOs education App (Sham)
Active Treatment as Usual plus KIOS AppKIOS AppTreatment as usual in clinics with the use of the KIOS App
Treatment as Usual plus KIOS education AppTreatment as usualTreatment as usual in clinics with the use of the KIOs education App (Sham)
Active Treatment as Usual plus KIOS AppTreatment as usualTreatment as usual in clinics with the use of the KIOS App
Primary Outcome Measures
NameTimeMethod
Retention in treatmentBaseline to 13 weeks

Measured by the number of days from the start of the 13-week intervention until the participant either leaves the trial, or completes the trial

Secondary Outcome Measures
NameTimeMethod
Measure of opioid use reduction60 days to 13 weeks

Defined as abstaining from opioids during the last week and for at least 2 of the previous 3 weeks of the third month of MOUD treatment

Percentage of Opioid Abstinent DaysBaseline to 13 weeks

Total abstinence, measured by urinalysis confirmed self-report of opioid use during the 13-week intervention

Completion of treatmentBaseline to 13 weeks

Number of subjects that completed their participation in the study

Patient Health Questionnaire-9 (PHQ-9)Baseline and 13 weeks

A 9 item questionnaire scored from 0 (Not at all) to 4 (Nearly every day) with a potential score of 0-36 with a lower score indicating better health and emotional well-being.

Treatment Effectiveness Assessment TEA)Baseline and 13 weeks

The TEA asks the participant to express the extent of changes for the better from your involvement in the program to this point (or how things are if it's your first TEA or baseline) in four areas: substance use, health, lifestyle, and community. For each area, think about how things have become better and circle the results on the scale below: the more you have improved, the higher the number -from 1 (not better at all) to 10 (very much better). Possible scores are between 1 and 40 with a lower score indicating a worse outcome.

Trial Locations

Locations (1)

University of Texas Health Science Center - Department of Psychiatry

🇺🇸

San Antonio, Texas, United States

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