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mHealth

Woebot chatbot for substance use

Prochaska JJ, Vogel EA, Chieng A, et al. · Journal of medical Internet research · 2021

Open access · cc by · source: Europe PMC

An 8-week fully automated Woebot SUD program showed pre–post drops in substance use, cravings, depression, and anxiety in a single-group study.

Study at a glance

Design
Human experiment — Single-group 8-week pre–post usability/feasibility evaluation (no control)
N
N=101 · 101 enrolled; 51 completed the post-treatment survey
Population
Adults initiating a therapeutic chatbot for problematic substance use
Outcome
Past-month use occasions, AUDIT-C/DAST-10, cravings, PHQ-8, GAD-7 over 8 weeks

Structured fields used in claim comparison tables when every cited study has a complete layer.

Key findings

Past-month use occasions, AUDIT-C, DAST-10, PHQ-8, and GAD-7 improved (all P<.05). In-app craving ratings fell roughly by half by weeks 8–9. Engagement averaged about 15.7 use days over 8 weeks. Authors call the approach feasible and acceptable but note the need for controlled efficacy trials.

Methodology

101 adults who started Woebot for substance use (W-SUDs) completed an 8-week single-group pre–post evaluation of use occasions, AUDIT-C/DAST-10, cravings, confidence, PHQ-8, GAD-7, and pain.

Limitations

Without a control group, pandemic-era substance-use shifts and regression to the mean can explain change. Few participants had diagnosed SUD, and posttreatment completers were a subset of enrollees.

How this study connects

Role on claims

Each row is a claim on a concept or method page where this paper supports, challenges, or qualifies the statement. Roles are hand-checked — not a model guess.

  • SupportsmHealthconcept

    Multiple studies in this library examine mhealth with empirical patient or population outcomes rather than opinion alone.

    Evidence for the claim as stated.

  • SupportsmHealthconcept

    Past-month use occasions, AUDIT-C, DAST-10, PHQ-8, and GAD-7 improved (all P<.05). In-app craving ratings fell roughly by half by weeks 8–9. Engagement averaged about 15.7 use days over 8 weeks. Authors call the approach feasible and acceptable but note the need for controlled efficacy trials.

    Evidence for the claim as stated.

  • SupportsmHealthconcept

    Effect sizes and settings differ across mhealth studies — digital vs clinic, trial vs observational — so results should not be pooled casually.

    Evidence for the claim as stated.

Open questions

Tensions this paper is part of

From concept pages' “where studies disagree.” Disagreement means the same question; scope means different assays, populations, or outcomes.

Related papers in this topic

Same topic cluster — not a recommendation engine.