Background and Aims: Alcohol use disorder (AUD) is a substantial problem, causing early death and great economic burden. Research has highlighted the potential positive impact of technological interventions, such as smartphone applications (app) in treatment of AUD. The aim of this study was to explore the effectiveness of a smartphone app, incorporating computerized cognitive behavioural therapy and text messaging support, on alcohol outcomes over 6 months in a post-rehabilitation setting. Methods: A total of 111 participants with AUD were recruited into this randomized controlled trial, following completion of a 30-day rehabilitation programme. The intervention group (n = 54) used the smartphone app “UControlDrink” (UCD) over 6 months with treatment as usual (TAU), and the control group (n = 57) received TAU. All subjects suffered from AUD as the primary disorder, with other major psychiatric disorders excluded. All intervention subjects used the UCD smartphone app in the treatment trial, and all subjects underwent TAU consisting of outpatient weekly support groups. Drinking history in the previous 90 days was measured at baseline and at 3- and 6-month follow-ups. Additional measurements were made to assess mood, anxiety, craving, and motivation. Results were analysed using intention-to-treat analyses. Results: Retention in the study was 72% at 3 months and 52% at 6 months. There was a significant reduction in heavy drinking days in the intervention group relative to TAU over the 6 months, p #x3c; 0.02. Conclusions: The UCD smartphone app demonstrates a significant benefit to reducing heavy drinking days over a 6-month post-rehabilitation period in AUD.
Eur Addict Res

中文翻译：

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一项为期 6 个月的智能手机应用程序 UControlDrink 随机试验，用于帮助酒精使用障碍的康复

背景和目的：酒精使用障碍（AUD）是一个严重的问题，会导致早逝和巨大的经济负担。研究强调了技术干预的潜在积极影响，例如智能手机应用程序 (app) 对 AUD 的治疗。本研究的目的是探索智能手机应用程序的有效性，该应用程序结合了计算机化认知行为疗法和短信支持，在康复后 6 个月内对酒精结果的影响。方法：在完成为期 30 天的康复计划后，共有 111 名 AUD 参与者被招募到这项随机对照试验中。干预组（ n= 54) 使用智能手机应用程序“UControlDrink” (UCD) 超过 6 个月并照常治疗 (TAU)，对照组 ( n = 57) 接受 TAU。所有受试者都以 AUD 为主要疾病，其他主要精神疾病除外。所有干预受试者在治疗试验中使用 UCD 智能手机应用程序，所有受试者都接受了由门诊每周支持小组组成的 TAU。在基线和 3 个月和 6 个月的随访中测量了前 90 天的饮酒史。进行了额外的测量以评估情绪、焦虑、渴望和动机。使用意向治疗分析对结果进行分析。结果：研究中的保留在 3 个月时为 72%，在 6 个月时为 52%。与 TAU 相比，干预组在 6 个月内大量饮酒天数显着减少，p #x3c；0.02。结论： UCD 智能手机应用程序展示了在澳大利亚康复后 6 个月期间减少大量饮酒天数的显着益处。
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