Using Addiction Comprehensive Health Enhancement Support System (ACHESS) in an Alcoholic Liver Disease Population

Not Applicable

• Conditions: Liver Diseases, Alcoholic
• Interventions: Device: A-CHESS

• Registration Number: NCT03388320
• Lead Sponsor: New York Presbyterian Hospital

Brief Summary

This is a pilot study examining whether an evidence-based recovery support smartphone application, the Addiction Comprehensive Health Enhancement Support System (A-CHESS), can decrease alcohol recidivism in a previously unstudied group of patients with alcoholic liver disease (ALD).

Detailed Description

A-CHESS is a smartphone application developed by the University of Wisconsin-Madison based on self-determination theory, with a previous randomized clinical trial showing that use of the app resulted in significantly fewer risky drinking days in patients leaving treatment for alcohol-use disorders. The application is downloaded to the participant's smartphone, and provides ongoing access to peer support and educational materials, monitoring of the risk of relapse, and delivery of reminders and encouragements to the patient. The application also has a survey platform to assess and reassess the participants' most recent alcohol consumption, quality of life, and experience using the application. We anticipate that use of the A-CHESS app will result in decreased drinking and improved abstinence, identifying a potential intervention to offer patients with ALD to improve their mortality, liver disease, and likelihood of liver transplant candidacy status.

Study Timeline

• Study First Submitted: 2017-12-22
• Study First Submitted QC: 2017-12-22
• Study First Posted: 2018-01-02
• Study Start: 2018-04-24
• Status Verified: 2019-03
• Last Update Submitted: 2019-03-11
• Last Update Posted: 2019-03-13
• Primary Completion: 2021-01-15
• Study Completion: 2021-12-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• Alcoholic liver disease
• Followed or seen at New York Presbyterian Hospital / Weill Cornell Medical Center
• English speaking
• Access to a smartphone

Exclusion Criteria

• Unable to consent
• Primary language other than English
• No access to a smartphone

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Participants receiving A-CHESS	A-CHESS	Participants will be provided access to the smartphone application A-CHESS (intervention) that will be downloaded to their phone.

Primary Outcome Measures

Name	Time	Method
Rates of recidivism	6 months	Rates of recidivism in this population using A-CHESS will be compared to historical control rates

Secondary Outcome Measures

Name	Time	Method
Use of A-CHESS	6 months	The association between the extent to which patients use the A-CHESS application and their recidivism; to compare use of the A-CHESS app among subjects who drink and remain abstinent.

Trial Locations

Locations (1)

New York Presbyterian Hospital - Weill Cornell Medicine and Columbia University Medical Center; 🇺🇸 New York, New York, United States