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NCT07178990NARecruiting

Mobile Platform for Optimizing Wellness and Engagement in Recovery

University of Michigan

Start Date

12/8/2025

Completion Date

7/31/2027

Summary

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.

Eligibility Criteria

Age Range: 19 years to 63 years

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.

Interventions

BEHAVIORAL

Digital Contingency Management Intervention Arm

BEHAVIORAL

Digital Wellness Arm

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Conditions

Opioid Agonist TreatmentAlcohol Use DisorderOpioid Use Disorder

Locations

University of Michigan

Ann Arbor, Michigan 48109

United States