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Couple-Focused Smartphone Intervention to Reduce Problem Drinking: Pilot Randomized Control Trial.

David H Gustafson1,2, David H Gustafson1, Marie-Louise Mares3

  • 1Center for Health Enhancement Systems Studies, University of Wisconsin-Madison, Madison, WI, United States.

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|November 1, 2024
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Summary
This summary is machine-generated.

Smartphone apps for alcohol use disorder treatment show feasibility, with couple-focused interventions potentially reducing heavy drinking days. Both patient-only and couple-focused apps were perceived as helpful and maintained engagement over six months.

Keywords:
A-CHESSABCTAUDAlcohol Behavioral Couple TherapyComprehensive Health Enhancement Support Systemalcohol use disordercouple therapymHealthmobile healthmobile phonesmartphone

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Area of Science:

  • Digital health interventions
  • Behavioral health
  • Substance use disorder treatment

Background:

  • Alcohol use disorder (AUD) is a prevalent condition in the US, affecting 30% of the population.
  • Evidence-based behavioral interventions are recommended for AUD treatment.
  • Smartphone-based interventions offer advantages like portability and stigma avoidance.
  • Couple-involved interventions may yield better outcomes than patient-only approaches.

Purpose of the Study:

  • To assess the feasibility of comparing patient-only (A-CHESS) versus couple-focused (Partner-CHESS) eHealth apps for alcohol misuse.
  • To evaluate user perceptions and app utilization.
  • To examine preliminary clinical outcome differences between the two app groups.

Main Methods:

  • A pilot study randomized 33 couples to 6 months of either A-CHESS or Partner-CHESS app use.
  • Participants included patients with AUD and their romantic partners.
  • Primary outcomes measured were percentage of days with heavy drinking and any drinking, assessed via timeline follow-back.

Main Results:

  • App engagement was high, with 78% of Partner-CHESS and 73% of A-CHESS patients using the intervention at 6 months.
  • Both apps were rated as helpful by a majority of users (89% for Partner-CHESS, 87% for A-CHESS).
  • Partner-CHESS patients showed a trend towards reduced heavy drinking days compared to A-CHESS patients, though not statistically significant (P=.07).

Conclusions:

  • The study supports the feasibility of smartphone-based interventions for alcohol misuse, both patient-only and couple-focused.
  • Both intervention types demonstrated user helpfulness and sustained engagement.
  • A larger, powered trial is recommended to confirm the relative effectiveness of these digital health tools for AUD treatment.