Mobile Platform for Optimizing Wellness and Engagement in Recovery

NCT ID: NCT07178990

Last Updated: 2025-12-12

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-12-08

Study Completion Date

2027-07-31

Brief Summary

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This pilot study addresses the urgent public health crisis of co-occurring opioid and alcohol use disorders (OUD-AUD), leading causes of mortality in the United States, by testing a scalable digital contingency management (CM) treatment among Medicaid beneficiaries. The study aims to evaluate the feasibility and acceptability of digital CM for OUD-AUD recovery, while also planning for broader implementation.

Detailed Description

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Conditions

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Opioid Agonist Treatment Alcohol Use Disorder Opioid Use Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Digital Contingency Management (CM) Intervention Arm

After participants meet eligibility and complete the DynamiCare assessment period, participants randomized to this group will receive a comprehensive digital CM platform designed to enhance OAT retention and promote abstinence from alcohol and opioids. This will include the DynamiCare Motivation Support Program.

Group Type EXPERIMENTAL

Digital Contingency Management Intervention Arm

Intervention Type BEHAVIORAL

Participants will use a version of the app for 6-months. Participants in this group may earn rewards for completing recovery-related activities and for abstinence from drugs and alcohol. During the 6 months this will include: random saliva drug tests, breathalyzer tests, and video selfies, completing surveys and questionnaires through the app, and receiving rewards on a debit card for abstinent tests, surveys, and activities. Additionally, participants will complete follow-up at approximately 9 months after randomization.

Wellness Condition

After participants meet eligibility and complete the DynamiCare assessment period, those randomized to this group will receive a wellness digital platform that includes surveys, testing, and tech support.

Group Type ACTIVE_COMPARATOR

Digital Wellness Arm

Intervention Type BEHAVIORAL

Participants will use a version of the app for 6-months focussed on wellness. During the 6 months this will include: random requests to do saliva drug tests, breathalyzer tests, and video selfies, complete surveys and questionnaires through the app, and receive rewards on a debit card for completing tests, surveys, and activities. Participants in this group may also earn rewards for completing study activities like tests and surveys. Additionally, participants will complete follow-up at approximately 9 months after randomization.

Interventions

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Digital Contingency Management Intervention Arm

Participants will use a version of the app for 6-months. Participants in this group may earn rewards for completing recovery-related activities and for abstinence from drugs and alcohol. During the 6 months this will include: random saliva drug tests, breathalyzer tests, and video selfies, completing surveys and questionnaires through the app, and receiving rewards on a debit card for abstinent tests, surveys, and activities. Additionally, participants will complete follow-up at approximately 9 months after randomization.

Intervention Type BEHAVIORAL

Digital Wellness Arm

Participants will use a version of the app for 6-months focussed on wellness. During the 6 months this will include: random requests to do saliva drug tests, breathalyzer tests, and video selfies, complete surveys and questionnaires through the app, and receive rewards on a debit card for completing tests, surveys, and activities. Participants in this group may also earn rewards for completing study activities like tests and surveys. Additionally, participants will complete follow-up at approximately 9 months after randomization.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Participants must be enrolled in the Michigan Medicaid program
* Opioid agonist treatment (OAT): Participants must have initiated OAT with buprenorphine or methadone
* Participants must have an OAT prescription and Alcohol use disorder (AUD) based on self-report measure during screening
* Participants must have regular access to a working smartphone and internet connection.
* Participants must have a reliable mailing address to receive study supplies (e.g., salivary drug tests).

Exclusion Criteria

* Primary Medicare Coverage: Individuals that are dual-eligible for Medicaid and Medicare and aged 65 or older, due to limited availability of Medicaid claims data for this group
* Individuals that cannot voluntarily provide informed consent themselves for any reason, including legal incompetency
* Individuals with substantial cognitive impairment that would interfere with study participation
* Individuals unable to read or understand English
* Individuals experiencing active suicidality or psychosis.
* Individuals with a planned admission to residential treatment or incarceration during the study period.
Minimum Eligible Age

19 Years

Maximum Eligible Age

63 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Michigan

OTHER

Sponsor Role lead

National Institute on Alcohol Abuse and Alcoholism (NIAAA)

NIH

Sponsor Role collaborator

DynamiCare Health

INDUSTRY

Sponsor Role collaborator

Responsible Party

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Anne Fernandez

Associate Professor of Psychiatry

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Anne Fernandez, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Michigan

Locations

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University of Michigan

Ann Arbor, Michigan, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Haley Stevens

Role: CONTACT

734-764-9910

Facility Contacts

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Haley Stevens

Role: primary

734-764-9910

Other Identifiers

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1R34AA031870-01

Identifier Type: NIH

Identifier Source: secondary_id

View Link

HUM00266546

Identifier Type: -

Identifier Source: org_study_id

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