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Development of Automated Reinforcement Management System (ARMS): Protocol for a Phase I Feasibility and Usability

Andre Miguel¹, Crystal Smith¹, Nicole Perea²

¹Elson S Floyd College of Medicine, Washington State University, Spokane, WA, United States.

JMIR Formative Research

|July 19, 2021

Summary

This study introduces the Automated Reinforcement Management System (ARMS), a mobile app and breathalyzer tool for remote alcohol use disorder treatment. ARMS aims to improve treatment accessibility and effectiveness, especially for those in remote areas.

Keywords:

alcohol use disorder contingency management ecological momentary assessment treatment

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Area of Science:

Digital Health
Behavioral Science
Addiction Medicine

Background:

Alcohol use disorder (AUD) causes millions of deaths globally, necessitating effective and accessible treatments.
Contingency management (CM) is a proven, cost-effective intervention for substance use disorders.
Remote monitoring technologies, like mobile apps and electronic breathalyzers, offer new avenues for AUD treatment delivery.

Purpose of the Study:

To describe the Automated Reinforcement Management System (ARMS), an integrated platform for remote CM delivery.
To outline a protocol for evaluating the feasibility and usability of ARMS for AUD treatment.

Main Methods:

Clinician focus groups to refine ARMS for user-friendliness and clinical relevance.
An A-B-A within-subject design with 20 AUD patients to assess feasibility and usability.
Daily remote breathalyzer samples via the ARMS app, with CM contingent on alcohol-negative results during the intervention phase.

Main Results:

System Usability Scale (SUS) will be used to evaluate clinician and patient acceptability.
Feasibility will be determined by the system's ability to increase alcohol abstinence rates.
Study recruitment initiated in January 2021, with completion expected by December 2021.

Conclusions:

ARMS establishes a foundation for remotely monitored CM platforms.
Successful implementation of ARMS could expand effective AUD treatment to underserved populations, including those in remote rural areas.