Continuous Alcohol Monitoring for Pancreatitis
Maneno muhimu
Kikemikali
Maelezo
Alcohol is the leading cause of recurrent acute and chronic pancreatitis, which greatly elevates the risk of pancreatic cancer. Reducing alcohol intake in patients with a history of alcoholic pancreatitis prevents progression of pancreatitis. Provider-based education on alcohol reduction has not translated to sustainable behaviors change, and more effective and scalable interventions are needed. Wearable alcohol sensors can empower patient-directed behavior change through real-time feedback on alcohol levels in the blood. BACtrack Skyn, the winner of NIAAA's Wearable Alcohol Biosensor Challenge, is a validated transdermal alcohol sensor that estimates blood alcohol concentration. In this pilot study, the investigators aim to (a) determine the feasibility and acceptability of using BACtrack Skyn to monitor changes in blood alcohol concentration among patients at risk for pancreatitis, (b) assess correlations between alcohol levels measured with BACtrack Skyn, breathalyzer, patient-reported alcohol consumption, and urine alcohol metabolite levels, (c) explore whether the use of a wearable alcohol sensor results in a decrease in alcohol consumption over a two-week period. Sixteen participants with known history of alcoholic pancreatitis will be assigned to wearing BACtrack Skyn for 2 weeks with the goal of not exceeding a blood alcohol concentration of 0.08%. Patient-reported drinking history, urine will be collected to correlate reported drinking levels and alcohol metabolic levels with the blood alcohol concentration readings in BACtrack Skyn. Findings from this study will be used as preliminary data to support and optimize subsequent grant applications and inform larger, randomized trials. The proposed study aligns closely with the mission of Cedars-Sinai and contributes to the growing body of research focusing on novel technologies for cancer prevention and control, as well as translational studies on alcoholic gastrointestinal diseases.
Tarehe
| Imethibitishwa Mwisho: | 03/31/2020 |
| Iliyowasilishwa Kwanza: | 04/14/2020 |
| Uandikishaji uliokadiriwa Uliwasilishwa: | 04/15/2020 |
| Iliyotumwa Kwanza: | 04/16/2020 |
| Sasisho la Mwisho Liliwasilishwa: | 04/27/2020 |
| Sasisho la Mwisho Lilichapishwa: | 04/28/2020 |
| Tarehe halisi ya kuanza kwa masomo: | 05/31/2020 |
| Tarehe ya Kukamilisha Msingi iliyokadiriwa: | 05/31/2021 |
| Tarehe ya Kukamilisha Utafiti: | 05/31/2021 |
Hali au ugonjwa
Uingiliaji / matibabu
Other: Continuous alcohol monitoring
Awamu
Vikundi vya Arm
| Mkono | Uingiliaji / matibabu |
|---|---|
| Continuous alcohol monitoring Wearable BACtrack Skyn device | Other: Continuous alcohol monitoring BACtrack Skyn, is a novel transdermal blood alcohol sensor developed by BACtrack, a company established for police-grade breathalyzers, and winner of the Wearable Alcohol Biosensor Challenge sponsored National Institute on Alcohol Abuse and Alcoholism. |
Vigezo vya Kustahiki
| Zama zinazostahiki Kujifunza | 18 Years Kwa 18 Years |
| Jinsia Inastahiki Kujifunza | All |
| Njia ya sampuli | Non-Probability Sample |
| Hupokea Wajitolea wa Afya | Ndio |
| Vigezo | Inclusion Criteria: - Aged 18-75 years at the time of eligibility assessment - History of at least one AP per Revised Atlanta Classification (20) within past 3 years from screening, which requires two of the following evidence of pancreatitis: - Abdominal pain consistent with AP (acute onset of a persistent, severe, epigastric pain often radiating to the back) - Serum lipase activity (or amylase activity) at least three times greater than the upper limit of normal - Characteristic findings of AP on contrast-enhanced computed tomography (CECT), magnetic resonance imaging (MRI) or transabdominal ultrasonography - Access to a mobile or portable device that has the capability to sync to the BACtrack sensor and internet connection for syncing purposes. Exclusion Criteria: - Pancreatitis presumed to be related to: gallstones, medication, trauma, autoimmune pancreatitis, post-ERCP pancreatitis, pancreatic ductal adenocarcinoma, suspected cystic neoplasm, neuroendocrine tumors, and other uncommon tumors. - Episode of acute pancreatitis requiring hospitalization in the past 4 weeks. - Current medical or psychiatric illnesses that in the investigator's opinion would compromise their ability to tolerate study procedures. - Currently incarcerated. - Known pregnancy. |
Matokeo
Hatua za Matokeo ya Msingi
1. Proportion of enrolled patients who wore the BACTrack sensor for at least 7 days within the 14-day period [up to 14 days]
Hatua za Matokeo ya Sekondari
1. Acceptability of the BACtrack Skyn using the System Usability Scale (SUS) [14 days]
2. Blood alcohol concentration (BACtrack breathalyzer) [up to 14 days]
3. Patient-reported alcohol consumption [up to 14 days]
4. Urine alcohol consumption [14 days]
5. Patient-reported pain [up to 14 days]
