RAE (Realize, Analyze, Engage)
Study Details
Study Description
Brief Summary
The proposed study will evaluate the detection of digital biomarkers of stress, and drug craving in a population of individuals undergoing treatment for substance use disorder
Condition or Disease | Intervention/Treatment | Phase |
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Phase 2/Phase 3 |
Detailed Description
RAE integrates digital detection of high-risk stress and craving periods by utilizing a mobile phone application and integrated wearable sensor. These detections are paired with interventions (mindfulness based de-escalation tools), support, and monitoring (to identify trends and plan for future). The present study will deploy the technology in a multi-site randomized controlled trial to test the efficacy of the RAE system in on clinical and psychosocial outcomes. Subjects will be randomized to use the RAE system (mobile app and wearable sensor) plus usual care vs usual care plus a fitness tracker only to measure differences retention in treatment, return to substance use, and overall psychosocial functioning. The ultimate goal is to develop a cost-effective, paradigm changing recovery tool that will improve substance use disorder treatment, and prevent related complications and deaths.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Interventional (RAE + Usual Care) Subjects will receive usual care through an outpatient substance use disorder treatment facility, will be provided with a wearable sensor and the RAE mobile application. Participants will be instructed to use the RAE app for a minimum of 30 days. |
Device: RAE
Subjects in the interventional group will have access to the RAE Health mobile app which receives continuous physiologic data from a wearable device. Algorithms embedded in the RAE app detect stress and craving events, and trigger mobile phone notifications when detected. Notifications are paired to real-time mindfulness based interventions.
Other Names:
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No Intervention: Control (Usual care) Subjects will receive usual care through an outpatient substance use disorder treatment facility and will be provided with a wearable sensor (fitness tracker). They will not be given access to the RAE mobile app. |
Outcome Measures
Primary Outcome Measures
- Number of participants with return to drug use [3 months]
Relapse to use of substance use defined as 1) self-reported use, 2) positive urine drug screen (from treatment program) or 3) provider report of confirmed relapse (Only applies to substances for which subject is receiving treatment)
Secondary Outcome Measures
- Number of participants retained in treatment [3 months]
Participants status as engaged in recovery treatment (index treatment program or other)
- Number of hospitalizations and emergency department visits per participant [3 months]
Includes absolute number of Emergency Department visits (SUD and non-SUD related), number of unplanned hospital admissions (SUD and non-SUD related), number of days hospitalized (SUD and non-SUD related admissions) and overdose related visits
Eligibility Criteria
Criteria
Inclusion Criteria:
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18 years or older
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Enrolled in an outpatient SUD treatment program
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Enrolled in treatment for < 90 days
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Fluent in English
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Have access to a smartphone with iOS or Android Capabilities
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Capable of providing informed consent
Exclusion Criteria:
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Pregnancy
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Prisoner Status
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Significant limitation of range of motion of non-dominant arm (amputation or fracture)
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | University of Massachusetts Chan Medical School | Worcester | Massachusetts | United States | 01655 |
Sponsors and Collaborators
- ContinueYou, LLC
- University of Massachusetts, Worcester
- University of Texas at Tyler
Investigators
- Principal Investigator: Megan Reinhardt, ContinueYou, LLC
Study Documents (Full-Text)
None provided.More Information
Publications
- Carreiro S, Chintha KK, Shrestha S, Chapman B, Smelson D, Indic P. Wearable sensor-based detection of stress and craving in patients during treatment for substance use disorder: A mixed methods pilot study. Drug Alcohol Depend. 2020 Apr 1;209:107929. doi: 10.1016/j.drugalcdep.2020.107929. Epub 2020 Mar 3.
- Carreiro S, Taylor M, Shrestha S, Reinhardt M, Gilbertson N, Indic P. Realize, Analyze, Engage (RAE): A Digital Tool to Support Recovery from Substance Use Disorder. J Psychiatr Brain Sci. 2021;6. pii: e210002. doi: 10.20900/jpbs.20210002. Epub 2021 Feb 24.
- RAEPHASEII