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Using Addiction Comprehensive Health Enhancement Support System (ACHESS) in an Alcoholic Liver Disease Population

Using Addiction Comprehensive Health Enhancement Support System (ACHESS) in an Alcoholic Liver Disease Population

Status
UNKNOWN
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03388320
Enrollment
30
Registered
2018-01-02
Start date
2018-04-24
Completion date
2021-12-01
Last updated
2019-03-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Liver Diseases, Alcoholic

Brief summary

This is a pilot study examining whether an evidence-based recovery support smartphone application, the Addiction Comprehensive Health Enhancement Support System (A-CHESS), can decrease alcohol recidivism in a previously unstudied group of patients with alcoholic liver disease (ALD).

Detailed description

A-CHESS is a smartphone application developed by the University of Wisconsin-Madison based on self-determination theory, with a previous randomized clinical trial showing that use of the app resulted in significantly fewer risky drinking days in patients leaving treatment for alcohol-use disorders. The application is downloaded to the participant's smartphone, and provides ongoing access to peer support and educational materials, monitoring of the risk of relapse, and delivery of reminders and encouragements to the patient. The application also has a survey platform to assess and reassess the participants' most recent alcohol consumption, quality of life, and experience using the application. We anticipate that use of the A-CHESS app will result in decreased drinking and improved abstinence, identifying a potential intervention to offer patients with ALD to improve their mortality, liver disease, and likelihood of liver transplant candidacy status.

Interventions

DEVICEA-CHESS

Use of smartphone application: Addiction Comprehensive Health Enhancement Support System (A-CHESS)

Sponsors

University of Wisconsin, Madison
CollaboratorOTHER
New York Presbyterian Hospital
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No

Inclusion criteria

* Alcoholic liver disease * Followed or seen at New York Presbyterian Hospital / Weill Cornell Medical Center * English speaking * Access to a smartphone

Exclusion criteria

* Unable to consent * Primary language other than English * No access to a smartphone

Design outcomes

Primary

MeasureTime frameDescription
Rates of recidivism6 monthsRates of recidivism in this population using A-CHESS will be compared to historical control rates

Secondary

MeasureTime frameDescription
Use of A-CHESS6 monthsThe association between the extent to which patients use the A-CHESS application and their recidivism; to compare use of the A-CHESS app among subjects who drink and remain abstinent.

Countries

United States

Contacts

Primary ContactNicole T Shen, MD
nts9004@nyp.org3146095911

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026