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Medications are typically administered to achieve therapeutic effects. Some drugs can modify an individual's mood and perception, frequently resulting in various enjoyable experiences. However, this can result in drug dependency, a condition marked by continuous drug use despite potential negative consequences. Drug dependency primarily falls into two categories: psychological and physical dependence. Psychological dependence occurs when the pleasurable feelings induced by the drug...
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Digital relapse prevention plan for substance use disorders: study protocol for a multicentre randomised controlled

Rafael Salom1,2, Álvaro Pico Rada3,4, Juan Jesús Muñoz García4

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This study tests a digital relapse prevention plan (DRPP) via a mobile app for substance use disorders (SUDs). The DRPP aims to detect early relapse risks and provide immediate support, improving treatment outcomes.

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Area of Science:

  • Digital Health
  • Clinical Psychology
  • Substance Use Disorder Treatment

Background:

  • Relapse is a significant challenge in treating substance use disorders (SUDs), especially during post-treatment follow-up.
  • Existing digital tools offer support but often lack real-time intervention capabilities.
  • There is a need for effective, immediate interventions to prevent relapse in SUD patients.

Purpose of the Study:

  • To evaluate the effectiveness of a digital relapse prevention plan (DRPP) integrated into a mobile application.
  • To assess the DRPP's ability to detect early risk signs and deliver personalized, real-time interventions.
  • To determine the clinical utility and feasibility of digital relapse prevention strategies.

Main Methods:

  • A multicentre randomized controlled trial involving adults with SUD.
  • Participants assigned to standard care plus a restricted app (control) or standard care plus a full app with DRPP (experimental).
  • The DRPP can be activated manually or automatically via smartphone sensors detecting risk patterns. Primary outcome: time to first clinical relapse.

Main Results:

  • The study is designed to provide robust evidence on the effectiveness of the DRPP.
  • Key outcomes include time to relapse, patient satisfaction, adherence, and self-regulation.
  • Findings will elucidate the feasibility and acceptability of this digital intervention.

Conclusions:

  • Digital relapse prevention plans show promise for enhancing SUD treatment.
  • Mobile applications integrated with DRPPs may offer effective, real-time support to reduce relapse.
  • This approach could significantly improve patient outcomes and adherence to treatment.