TY - JOUR PY - 2024// TI - A smartphone app-based intervention combined with face-to-face sessions for alcohol dependence at internal medicine clinics: a randomized controlled trial JO - General hospital psychiatry A1 - Miyake, Nozomi A1 - So, Ryuhei A1 - Kariyama, Kazuya A1 - Itagaki, Yukie A1 - Yamagishi, Takahiro A1 - Wakuta, Akiko A1 - Nishimura, Mamoru A1 - Murakami, Shiho A1 - Ogawa, Michihiro A1 - Takebayashi, Yoshitake A1 - Sunami, Takashi A1 - Yumoto, Yosuke A1 - Ito, Mitsuru A1 - Maesato, Hitoshi A1 - Matsushita, Sachio A1 - Nouso, Kazuhiro SP - 68 EP - 75 VL - 90 IS - N2 - BACKGROUND: Addressing the limited access to treatments for alcohol dependence, we developed ALM-002, a therapeutic application to be "prescribed" for non-abstinence-oriented treatment in internal medicine settings. Our objective was to preliminarily assess the efficacy and safety of ALM-002.

METHODS: In a multicenter, open-label randomized controlled trial, participants aged ≥20 with alcohol dependence and daily alcohol consumption exceeding 60 g for men and 40 g for women, without severe complications, were randomly assigned to either the intervention group using ALM-002 or the treatment-as-usual control group. Participant in both groups received individual face-to-face sessions by physicians at weeks 0, 4, 8, and 12. The primary endpoint was the change in heavy drinking days (HDDs) from week 0 to week 12. A mixed model for repeated measures was employed.

RESULTS: We enrolled 43 participants: 22 in the intervention group and 21 in the control group. A significant reduction in HDDs every 4 weeks from week 0 to week 12 was observed, with a between-group difference of -6.99 days (95% CI: -12.4 to -1.6 days, standardized mean difference: -0.80).

CONCLUSIONS: These results indicate the potential of ALM-002 as a viable treatment for alcohol dependence. Further studies are needed to evaluate the clinical potential of ALM-002.

Language: en

LA - en SN - 0163-8343 UR - http://dx.doi.org/10.1016/j.genhosppsych.2024.07.003 ID - ref1 ER -