Digitally Assisted Recovery Coach

Study Overview
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Brief Summary
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The aims of this proof-of-concept study are to determine the feasibility of 1) using a smartphone app (Lifeguard) to facilitate engagement with a peer recovery coach, 2) monitoring post-detox using a modified Brief Addiction Monitor, and 3) assessing linkage to care post-detox.

Official Title
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Digitally Assisted Virtual Recovery Coach to Improve Inpatient Alcohol Withdrawal Management: A Proof-of-concept Pilot Study

Conditions
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Alcohol Use Disorder, Alcohol Withdrawal

Intervention / Treatment
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* Behavioral: Digitally assisted peer recovery coach


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Adults aged 18 to 65 Diagnosis of DSM-5 alcohol use disorder Admitted to Brigham and Women's Faulkner Hospital (BWF) inpatient Addiction Recovery Program to treat alcohol withdrawal Own either an iOS or Android smartphone device Have an active email address English speaking Exclusion Criteria: Inability to provide informed consent due to delirium or other cognitive impairments Current psychosis, suicidality or homicidality

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention<br>The intervention utilizes an existing care coordination smartphone app to allow participants to engage with a recovery coach during and after an inpatient admission to an inpatient withdrawal management facility (i.e. detox). | Behavioral: Digitally assisted peer recovery coach<br>* The certified peer recovery coach utilized an existing care coordination smartphone app to provide support to the patient during and after an inpatient detoxification treatment for alcohol use disorder. The coach utilized the telephone or text messages to send daily motivational messages, remind about upcoming appointments, and checked-in if responses were concerning. Follow-up by the coach continued for 30 days.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Feasibility of coach engagement | The proportion and the number of days of participants engaging with the coach during and after detoxification. | 30 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Feasibility of monitoring clinical status | The proportion and the number of days of participants responding to prompts during and after detoxification. | 30 days | 
| Linkage to care | The proportion of participants successfully linking to care after discharge. | 30 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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alcohol use disorder, peer recovery coach, smartphone app