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Artificial Intelligence-Enabled, Real-time Risk Monitoring for Substance Use Recovery in Veterans: An Initial
Sarah E Forster1, Judith A Callan1,2, Jin Cheng1
1VA Pittsburgh Healthcare System, VISN 4 Mental Illness Research, Education and Clinical Center (MIRECC), University Drive C, Pittsburgh, PA 15240, United States.
This study shows that a smartwatch-based system using artificial intelligence (AI) can help Veterans with substance use disorders (SUDs) manage their recovery. The technology shows promise for improving treatment adherence and outcomes in this population.
Area of Science:
- Digital health interventions
- Artificial intelligence in healthcare
- Substance use disorder treatment
Background:
- Substance use disorders (SUDs) are a significant issue for U.S. Military personnel and Veterans.
- Existing treatment methods may not fully address unique service-related risk factors.
- Behaivior's AI-powered platform integrates smartwatches for continuous monitoring and intervention.
Purpose of the Study:
- To evaluate the acceptability and effectiveness of a mobile health intervention for Veterans with SUDs.
- To assess the potential of AI and wearable technology in supporting SUD recovery.
- To explore the feasibility of real-time data analysis for proactive intervention.
Main Methods:
- User experience study with 10 Veterans with cocaine use disorder (surveys, interviews).
- Mobile health intervention study with 27 Veterans with opioid use disorder (4-week trial).
- Utilized IRB-approved protocols through the VA Pittsburgh Healthcare System, collecting self-report and wearable-monitored data.
Main Results:
- High participant preference for mobile health interventions (82.9% endorsement of wearable functions).
- Sufficient engagement and adherence with wearable data collection (over 8 hours/day monitoring).
- Preliminary efficacy signals showed a 29.6% return-to-opioid-use rate, with 3.3% positive opioid specimens.
Conclusions:
- Behaivior's technology shows potential for supporting SUD recovery in Veterans.
- The platform can synthesize real-time data to identify risk and inform providers.
- This approach may enhance health outcomes for Veterans and potentially active duty service members.
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