Conversational AI + Digital Reinforcements for Alcoholism

(MICA-ED Trial)

This trial tests a new digital approach to reduce risky drinking habits. It combines a conversational AI called MICA, which offers motivational counseling, with weekly text message reminders to support personal goals and self-monitoring. Participants may be suitable if they frequently visit the emergency room, drink excessively, own a mobile phone, and read English. The trial compares this new method to standard care to determine its effectiveness. As an unphased trial, it provides a unique opportunity to explore innovative solutions for personal health improvement.

The trial information does not specify whether you need to stop taking your current medications.

Research on the safety of digital tools like MICA is still developing. MICA, a type of artificial intelligence, offers personalized counseling sessions. Although specific data on side effects or safety issues with MICA is not available, tools like this are generally considered safe.

The trial also includes weekly text message reminders, a common and safe method to help people change behaviors. No known safety risks are associated with receiving text messages for counseling support.

Researchers are excited about the new approaches to treating alcoholism with MICA and MICA+SMS because they offer innovative, tech-driven solutions. Unlike traditional methods like counseling or medication, MICA uses a generative AI-powered counseling agent to provide brief, personalized Motivational Interviewing sessions. This technology focuses on engaging the user and encouraging them to talk about change, promoting personal autonomy. The MICA+SMS option adds to this by providing ongoing support through weekly SMS messages, helping participants with self-monitoring and goal-setting based on their alcohol use. This combination of real-time AI interaction and continuous digital reinforcement is a novel way to support individuals in reducing alcohol consumption.

This trial will compare different approaches to support behavior change in individuals with alcoholism. Studies have shown that conversational AI, such as MICA, can be as effective as in-person therapy for facilitating behavior change. MICA employs a method called Motivational Interviewing, which helps individuals discover their own reasons for making changes. This method has succeeded in other areas, such as reducing anxiety and depression. In this trial, some participants will receive the MICA treatment alone, while others will receive the MICA+SMS treatment, which includes weekly text messages to maintain motivation. Research indicates that this combination can aid long-term behavior change by keeping individuals engaged and encouraging healthier choices.⁶⁷⁸⁹¹⁰