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
Conditions
Opioid Agonist TreatmentAlcohol Use DisorderOpioid Use Disorder
Locations
University of Michigan
Ann Arbor, Michigan 48109
United States