Predicting relapse and providing timely interventions in patients with alcohol-associated liver disease - Vibrent
Addiction Use Disorder / Mental Health

Predicting relapse and providing timely interventions in patients with alcohol-associated liver disease

Collaborator: VCU, Addiction Psychology Research

Overview

“PROVITAL” combines the clinical assessment of patients using an addictions neuroclinical assessment (ANA) as an intake battery combining an electronic wearable and digital research monitoring about changes in behavior and drinking to guide treatments for those that are at high risk of relapse, and to deliver specific or additional interventions at the time that they are needed most.

The Study

The study is comprised of an eligibility screening activity, a baseline set of measurements, followed by a monthly collection of an electronic wearable and 3-times daily pseudo-randomized EMAs, and weekly follow-ups for 12 weeks.

Methodology

The study is a longitudinal detailed app-based assessments of impulsivity, craving, drinking, life stressors, in various social contexts. It includes:

  • A baseline visit where subjects complete the drinkers inventory of consequences (DrInC), the Barratt Impulsivity Scale (BIS), the UPPS-P (negative urgency, premeditation, perseverance, sensation seeking, positive urgency, impulsive behavior scale) and measures of reward and punishment sensitivity (the BIS/BAS, and the Jackson-5). The UPPS-P measures negative urgency as well as positive urgency. This battery can be completed in about 3-4 hours. Baseline drinking patterns will be assessed with the timeline follow-back (TLFB) method and the Alcohol Use Disorders Identification Test (AUDIT).
  • After the baseline, multiple times a day for a month, the subject will complete a time-varying mood, perceptions, and (momentary) impulsivity, where subjects will record the number of drinks consumed in the past two hour.
  • Following the month of EMA deliveries, the subject will complete on a weekly basis, a Diary of Substance Use Behaviors and Environments (general battery of assesments). Measures included in the survey include weekly measures of state impulsivity (via an abbreviated UPPS-P short scale and a software-based alcohol Stroop test app) and craving. Subjects will be instructed to complete the survey, including the environmental contexts and amounts of alcohol use, in reference to the previous week
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