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โ† Trials
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Combining a Smartphone App With Medications to Manage Heavy Drinking

RecruitingNAAges 18 Years - 80 YearsAllVA Office of Research and Development
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In plain words

What the trial is, and whether it could suit you

One in 10 Veterans have an alcohol use disorder. However, few Veterans receive evidenced-based psychosocial interventions or medications to treat alcohol use disorder. Barriers to receiving these treatments include long wait times, stigma, and long distances from treatment facilities. Even fewer Veterans receive psychosocial and medication interventions together, despite clinical practice guidelines recommending both and evidence of better outcomes. Expanding access to these treatments in primary care is a VA priority but delivering psychosocial interventions is difficult in this setting, and medication is often the only option. Smartphone apps that deliver alcohol interventions may improve drinking outcomes and ensure Veterans can receive both treatments in primary care. This study will determine whether medications and an app for alcohol use problems offered to Veterans in primary care

Sign in to get the eligibility rules as simple questions to take to your doctor.

๐Ÿ“‹ Eligibility rules (as published)
Inclusion Criteria: To be eligible, Veterans must be: * 1\) diagnosed with an alcohol use disorder (AUD) and report 4 heavy drinking days (HDD) * (defined as 5 standard drinks per day for men and 4 standard drinks per day for women) in prior 30-days * 2\) enrolled in VA primary care * 3\) planning to initiate medications for alcohol use disorder (MAUD), as determined by a medication order * 4\) willing to be randomized * 5\) Android or iPhone smartphone owners Exclusion Criteria: * 1\) past 30-day participation in VA or non-VA substance use disorder (SUD) treatment * 2\) prior episode of medications for alcohol use disorder receipt in the last 30 days (initiation of a new episode of MAUD in the 7 days prior to screening allowed) * 3\) plans to be or are pregnant * 4\) severe psychiatric symptoms or psychosocial instability likely to prevent participation in the study protocol, as determined by the referring provider. Veterans aged \>80 were excluded because ownership and use of mHealth apps decreases with advancing age. Participants who enter substance use disorder specialty care following randomization will be allowed to continue in the study.
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What it tests

  • Stand Down mobile app
  • Standard Care
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Where

15 sites
Phoenix VA Health Care System, Phoenix, AZ
Phoenix, United States
Veterans Health Care System of the Ozarks, Fayetteville, AR
Fayetteville, United States
Washington DC VA Medical Center, Washington, DC
Washington D.C., United States
North Florida/South Georgia Veterans Health System, Gainesville, FL
Gainesville, United States
Atlanta VA Medical and Rehab Center, Decatur, GA
Decatur, United States
Carl Vinson VA Medical Center, Dublin, GA
Dublin, United States
Battle Creek VA Medical Center, Battle Creek, MI
Battle Creek, United States
Minneapolis VA Health Care System, Minneapolis, MN
Minneapolis, United States

โ€ฆand 7 more on ClinicalTrials.gov.

๐Ÿค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ€” always decide together with your own doctor.
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