Trial Outcomes & Findings for Automated Reinforcement Management System (ARMS) (NCT NCT04656925)

NCT ID: NCT04656925

Last Updated: 2025-02-05

Results Overview

Change in biochemically measured alcohol abstinence assessed through breath samples submitted three times daily.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

12 participants

Primary outcome timeframe

Daily during 8 weeks (2 weeks of first A phase, 4 weeks of B phase, and 2 second A phase)

Results posted on

2025-02-05

Participant Flow

Participant milestones

Participant milestones
Measure
Contingency Management A-B-A
All participants will be assigned a single arm where we will utilize an A-B-A, or return to baseline design where all participants will experience the intervention in between two baseline observation periods. Contingency management: Reinforcement, or incentives, in exchange for evidence of not drinking alcohol.
Overall Study
STARTED
12
Overall Study
COMPLETED
10
Overall Study
NOT COMPLETED
2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Automated Reinforcement Management System (ARMS)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Contingency Management A-B-A
n=12 Participants
All participants will be assigned a single arm where we will utilize an A-B-A, or return to baseline design where all participants will experience the intervention in between two baseline observation periods. Contingency management: Reinforcement, or incentives, in exchange for evidence of not drinking alcohol.
Age, Continuous
39.5 Years
STANDARD_DEVIATION 8.6 • n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
Sex: Female, Male
Male
9 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
12 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
12 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
12 participants
n=5 Participants
Employment
Employed
9 Participants
n=5 Participants
Employment
Unemployed
3 Participants
n=5 Participants
Baseline EtG Result
Positive
11 Participants
n=5 Participants
Baseline EtG Result
Negative
1 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Daily during 8 weeks (2 weeks of first A phase, 4 weeks of B phase, and 2 second A phase)

Population: This is a within subject design (each participant goes through all three phases, the two A phases are control phases and B is the experimental phase). The overall number of units is total BAC submission for all phases. The numbers analyzed below differ based on total number of samples submitted by phase.

Change in biochemically measured alcohol abstinence assessed through breath samples submitted three times daily.

Outcome measures

Outcome measures
Measure
Contingency Management A-B-A
n=2016 Total BAC samples submitted
All participants will be assigned a single arm where we will utilize an A-B-A, or return to baseline design where all participants will experience the intervention in between two baseline observation periods. Contingency management: Reinforcement, or incentives, in exchange for evidence of not drinking alcohol.
Biochemically Measured Change in Alcohol Abstinence.
First A Phase
347 Number of negative BAC samples by phase.
Biochemically Measured Change in Alcohol Abstinence.
B Phase
615 Number of negative BAC samples by phase.
Biochemically Measured Change in Alcohol Abstinence.
Second A Phase
209 Number of negative BAC samples by phase.

SECONDARY outcome

Timeframe: 8 weeks (2 weeks of first A phase, 4 weeks of B phase, and 2 second A phase)

Population: This is a within subject design (each participant goes through all three phases, the two A phases are control phases and B is the experimental phase). The overall number of units is total BAC submission for all phases. The numbers analyzed below differ based on total number of samples submitted by phase.

Percentage of actual BAC samples submitted by the total number of possible submissions.

Outcome measures

Outcome measures
Measure
Contingency Management A-B-A
n=2016 Total possible submissions of BAC sample
All participants will be assigned a single arm where we will utilize an A-B-A, or return to baseline design where all participants will experience the intervention in between two baseline observation periods. Contingency management: Reinforcement, or incentives, in exchange for evidence of not drinking alcohol.
Feasibility Indicator of App Usage
First A Phase
411 BAC samples actually submitted by phase
Feasibility Indicator of App Usage
B Phase
700 BAC samples actually submitted by phase
Feasibility Indicator of App Usage
Second A Phase
249 BAC samples actually submitted by phase

SECONDARY outcome

Timeframe: 8 Weeks

Duration in weeks of treatment retention

Outcome measures

Outcome measures
Measure
Contingency Management A-B-A
n=12 Participants
All participants will be assigned a single arm where we will utilize an A-B-A, or return to baseline design where all participants will experience the intervention in between two baseline observation periods. Contingency management: Reinforcement, or incentives, in exchange for evidence of not drinking alcohol.
Treatment Retention
7.5 Weeks
Standard Deviation 1.1

Adverse Events

First A Phase

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

B Phase

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Second A Phase

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
First A Phase
n=12 participants at risk
All participants will be assigned a single arm within subject design, where we will utilize an A-B-A, or return to baseline design where all participants will experience the intervention in between two baseline observation periods. Participants were asked weekly about adverse events over the course of 8 weeks. This arm reflects the 2 weeks in first A phase.
B Phase
n=12 participants at risk
All participants will be assigned a single arm within subject design, where we will utilize an A-B-A, or return to baseline design where all participants will experience the intervention in between two baseline observation periods. Participants were asked weekly about adverse events over the course of 8 weeks. This arm reflects the 4 weeks in the experimental B phase.
Second A Phase
n=12 participants at risk
All participants will be assigned a single arm within subject design, where we will utilize an A-B-A, or return to baseline design where all participants will experience the intervention in between two baseline observation periods. Participants were asked weekly about adverse events over the course of 8 weeks. This arm reflects the 2 weeks in the second A phase.
Renal and urinary disorders
Kidney Pain
8.3%
1/12 • Number of events 1 • 8 Weeks
Participants were asked once weekly at their visits about potential adverse events.
0.00%
0/12 • 8 Weeks
Participants were asked once weekly at their visits about potential adverse events.
0.00%
0/12 • 8 Weeks
Participants were asked once weekly at their visits about potential adverse events.
Nervous system disorders
Mild headache
8.3%
1/12 • Number of events 1 • 8 Weeks
Participants were asked once weekly at their visits about potential adverse events.
0.00%
0/12 • 8 Weeks
Participants were asked once weekly at their visits about potential adverse events.
0.00%
0/12 • 8 Weeks
Participants were asked once weekly at their visits about potential adverse events.
Respiratory, thoracic and mediastinal disorders
Sleep apnea
0.00%
0/12 • 8 Weeks
Participants were asked once weekly at their visits about potential adverse events.
8.3%
1/12 • Number of events 1 • 8 Weeks
Participants were asked once weekly at their visits about potential adverse events.
0.00%
0/12 • 8 Weeks
Participants were asked once weekly at their visits about potential adverse events.
Musculoskeletal and connective tissue disorders
Shoulder pain
0.00%
0/12 • 8 Weeks
Participants were asked once weekly at their visits about potential adverse events.
8.3%
1/12 • Number of events 1 • 8 Weeks
Participants were asked once weekly at their visits about potential adverse events.
0.00%
0/12 • 8 Weeks
Participants were asked once weekly at their visits about potential adverse events.

Additional Information

Abigail Bowen

Washington State University

Phone: (425) 736-1354

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place