A Electronic System to Improve Recovery Outcomes in Patients With Drug Use Disorder
Condition: Drug Use Disorders; Addiction, Drug
MeSH terms: Substance-Related Disorders; Behavior, Addictive
Study type: Interventional

Summary: 
      Background: Relapse is very common in patients with illicit drug use disorder and contributes
      to a series of bad consequences that substantially impact patients' physical and social
      functions. Due to the limited existence of effective addiction treatment, the majority of
      patients with drug use disorder could not access help when needing. Mobile health (mHealth)
      offers a potential solution to improving recovery outcome for patients in community.

      Objective: This paper is a protocol for a randomized controlled trial (RCT) of a smart phone
      application called community-based addiction rehabilitation electronic system (CAREs) . This
      interactive system consists of an APP for clients and a webpage for service providers, with
      the aim of teaching clients craving and emergency coping skills and helping service providers
      to improve work efficiency and effectiveness in community.

      Methods: A randomized controlled trial(RCT) will be conducted. Sixty drug illicit users who
      are newly ordered to undergo community rehabilitation will be recruited from the community in
      Shanghai. Participants will be 1:1 randomly assigned to receive integrated community
      rehabilitation by using CAREs or only receiving routine community rehabilitation for 6
      months. Corresponding anti-drug social workers will provide service and monitor participants'
      drug use behavior in accordance with the routine work-flow. Outcomes will be assessed at
      baseline and in the 6th month. The primary study outcome is the performance on illicit drug
      urine test which will be carried on regularly twice per week during the study period.
      Secondary study outcomes include days that participants interact with anti-drug social
      workers, and the decrease rate of addiction-related issues severity index.
    


Intervention name(s): Integrated rehabilitation group; Community-based rehabilitation group
Intervention type(s): Other; Other
Intervention description(s): Participant in integrated rehabilitation group needs to visit their corresponding social worker and accept illicit drug test every two months. Social worker will help their corresponding client to apply for social benefits accordingly, and provide counseling irregularly if necessary. The integrated rehabilitation group received the standardized community-based rehabilitation described above and simultaneously received a 6-month integrated rehabilitation based on CAREs (Community-based Addiction Rehabilitation Electronic System).CAREs was developed by the department of addiction research in Shanghai Mental Health Center(SMHC), with functions including education, support, psychological intervention and other functions.; Participant in community-based rehabilitation group needs to visit their corresponding social worker for six months and accept illicit drug test every two months. Social worker will help their corresponding client to apply for social benefits accordingly, and provide counseling irregularly if necessary.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Supportive Care
Keywords: Mobile Health; Illicit drug use; Rehabilitation; Community; China