Clinical trial NCT04162132: Contingency Management Using Smartphone App in Patients With SUD
Official title: A Prospective Cohort Study of Contingency Management Using A Smartphone Application in Patients With Substance Use Disorder
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Substance Use Disorders
Keywords: contingency management
smartphone app
substance use disorder
outpatient addiction treatment
BrightView
DynamiCare
Lead sponsor: BrightView LLC
Sponsor class: INDUSTRY
Collaborators: name: DynamiCare Health
First posted: 2019-11-14
Enrollment: 108
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: The study focused on a population of 108 adult patients with a primary diagnosis of substance use disorder who were enrolled at a BrightView outpatient treatment center.

Brief summary: The purpose of this research study is to test the acceptance and efficacy of a smartphone app (DynamiCare Rewards) for patients with substance use disorder (SUD) who are in active treatment and recovery at BrightView.

Detailed description: The purpose of this research study was to test the acceptance and efficacy of a smartphone app (DynamiCare Rewards) for patients with substance use disorder (SUD) who are in active treatment and recovery at BrightView (www.brightviewhealth.com). Patients performed self-tracking of their recovery behavior (e.g., counseling attendance, abstinence from drugs and alcohol) addiction recovery behavior using the DynamiCare app, which follows Contingency Management (CM) model of incentivizing positive behavior.

CM is shown as a highly effective, evidence-based methodology for improving substance use disorder (SUD) outcomes. It does so by activating the brain's reward and inhibitory systems through both positive and negative reinforcement using immediate, concrete incentives in a progressive reinforcement schedule. CM involves setting frequent (\>1/week), objective goals (usually abstinence or participation in treatment), which patients can achieve to earn tangible rewards (such as cash or vouchers). The DynamiCare smart phone app (iOS/Android) uses CM to incentivize patients to attend scheduled appointments and to submit negative alcohol and drug tests as they are rewarded for these behaviors. The intentions of this project were to assess whether use of the smartphone app as an add-on to treatment as usual could increase treatment retention, increase the percentage of appointments that were kept, and if substance use could be reduced for patients using the app.

Patients were enrolled in the study on a rolling basis from Jan 25, 2019 to March 29, 2019 until the desired cohort group # was reached (n=108). The intervention period (period of time when patients actually used the DynamiCare app) lasted four months from the date of their enrollment.

Eligibility criteria: Inclusion Criteria:

* \>18 years old
* Substance use disorder (SUD) as a primary diagnosis
* Have and use an Android or iOS smartphone with acceptable capability
* Are willing to participate in home testing and use of the smartphone
* Speak and read the English language adequately to understand smartphone commands and responses
* Are willing to be randomly assigned to receive treatment with or without the smartphone app as an added feature.

Exclusion Criteria:

• N/A

Primary outcomes:
measure: Attendance
timeFrame: 4 months
measure: Substance Use
timeFrame: 4 months
measure: Retention
timeFrame: 4 months
Secondary outcomes:
Other outcomes:
Locations:
city: Cincinnati
country: United States
facility: BrightView
state: Ohio
Study officials:
affiliation: President & CMO
name: Shawn Ryan, MD, MBA
role: PRINCIPAL_INVESTIGATOR
affiliation: Director of Clinical Research
name: Samin Rezania, PhD
role: STUDY_DIRECTOR
References: