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Testing a Digital Health App for Patients With Alcohol-Associated Liver Disease: Mixed Methods Usability Study.

Linda S Park1, Rachel Kornfield2, Mihret Yezihalem3

  • 1Department of Family Medicine and Community Health, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, United States.

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Mobile health (mHealth) apps show promise for supporting alcohol cessation in patients with alcohol-associated liver disease (ALD). Tailoring these tools with ALD-specific information and peer support can enhance their effectiveness for recovery.

Keywords:
ALDAUDalcohol cessationalcohol use disorderalcohol-associated liver diseasedigital toolsmHealthmobile healthmobile phoneusability test

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Area of Science:

  • Hepatology
  • Addiction Medicine
  • Digital Health

Background:

  • Alcohol-associated liver disease (ALD) is a growing public health concern with significant morbidity and mortality.
  • Effective alcohol cessation support is crucial for managing ALD, yet it is often not integrated into routine care.
  • Mobile health (mHealth) offers a scalable solution for delivering cessation support, but interventions need to be tailored for ALD patients.

Purpose of the Study:

  • To explore how individuals with ALD perceive and utilize mHealth tools for alcohol cessation.
  • To identify necessary refinements for mHealth interventions to better meet the needs of the ALD population.

Main Methods:

  • A mixed-methods approach was used, combining qualitative interviews and quantitative app usage data.
  • 11 individuals with ALD were interviewed pre- and post- a 1-month trial of an mHealth cessation app.
  • Qualitative analysis of interview transcripts and descriptive analysis of app engagement were performed.

Main Results:

  • ALD diagnosis motivates cessation, but patients struggle with information overload and finding resources.
  • The mHealth app was perceived as usable and beneficial, particularly its self-tracking and motivational features.
  • Patients desire ALD-specific content (medical implications, liver care) and peer support integration within the app.

Conclusions:

  • There is a clear need for accessible alcohol cessation resources following an ALD diagnosis.
  • mHealth interventions hold significant potential for integrating recovery support into ALD care.
  • App modifications should focus on addressing ALD-specific concerns and fostering community support.