Evidence map›Paper›PMID 31008713›Full record

SynthesisJMIR mHealth and uHealth2019

Smartphone Apps Targeting Alcohol and Illicit Substance Use: Systematic Search in in Commercial App Stores and Critical Content Analysis.

Babak Tofighi, Chemi Chemi, Jose Ruiz-Valcarcel, Paul Hein, Lu Hu

Registry-linked trialOpen access · goldAbstract readSystematic Review
In one paragraph

Synthesis in JMIR mHealth and uHealth, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04680741 (Application Based Addiction Treatment Adherence Trial), which is not on this map. Cited by 64 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 2 pooled it
18.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04680741 nacompletednot on this mapstarted 2021, after this paper: background citation

Application Based Addiction Treatment Adherence Trial: a Pilot Study

TypeinterventionalSponsorThe Cleveland ClinicRan2021 to 2023Enrolled21ConditionsOpiate Use DisorderArmsAddiction Pilot App behavior tracking
3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 2 syntheses or guidelines pooled it, 119 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Effect of smartphone breathalyzer feedback on willingness to drive in moderately intoxicated individuals: A randomized trial.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2025
    Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Article
  9. More Than Activity: The Effect of Sustained Engagement in Digital Alcohol Support Interventions for Regional and Remote Communities.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
    Observational
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Economic Impact of an Employer-Sponsored Integrated Digital Intervention Targeting Substance Use Disorders: Return on Investment Analysis.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2025
    Article
  19. Article
  20. Four dimensions of individualization in brain stimulation for psychiatric disorders: context, target, dose, and timing.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
    Review

4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Babak TofighiDepartment of Population Health, New York University School of Medicine, New York, NY, United States.ORCID 0000-0001-7393-7564
Chemi ChemiDepartment of Population Health, New York University School of Medicine, New York, NY, United States.ORCID 0000-0002-0503-4993
Jose Ruiz-ValcarcelUniversity of Puerto Rico School of Medicine, San Juan, Puerto Rico.ORCID 0000-0002-8188-8982
Paul HeinDepartment of Population Health, New York University School of Medicine, New York, NY, United States.ORCID 0000-0001-5016-5338
Lu HuDepartment of Population Health, New York University School of Medicine, New York, NY, United States.ORCID 0000-0002-2386-064X
New York University · USUniversity of Puerto Rico System · PR

Funding

Project-005UL1TR001445 · NCATS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI BREDELLA, MIRIAM ANTOINETTE, HOCHMAN, JUDITH S · 2015 to 2025
$103.5M
Development of a text messaging tool to support buprenorphine treatment in primary careK23DA042140 · NIDA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI TOFIGHI, BABAK · 2017 to 2021
$969k
NCATS NIH HHS UL1 TR001445NIDA NIH HHS K23 DA042140
6 · The paper itself

Abstract

backgroundSmartphone apps promise to enhance the reach of evidence-based interventions (cognitive behavior therapy, contingency management and therapeutic education system) for populations with substance use disorders, with minimal disruption to health systems. However, further studies are needed to systematically evaluate smartphone apps targeting alcohol and illicit substances.

objectiveThe aim of this study was to evaluate the functionality, aesthetics, and quality of information of free or low-cost apps claiming to target alcohol, benzodiazepine, cocaine, crack/cocaine, crystal methamphetamine, and heroin use using the validated Mobile App Rating Scale (MARS) and critical content analysis.

methodsA systematic search of iTunes and Google Play app stores for free or low-cost apps facilitating recovery was conducted in March 2018 and yielded 904 apps using the keywords described in previous studies (eg, recovery, sobriety, sober, alcohol, and heroin). An interdisciplinary team of clinicians, behavioral informatics, and public health reviewers trained in substance use disorders conducted a descriptive analysis of 74 apps categorized as reducing use. In addition to the MARS scale, a descriptive analysis of relevant apps was conducted by the study team to assess for quality indicators emphasized by expert guidelines and review articles.

resultsMost apps (n=74) claimed to reduce use or promote abstinence and yielded an overall low median MARS score of 2.82 (0.55) and a wide range of scores (1.64, 4.20). Ratings were also low for engagement (2.75 (0.72)), functionality (3.64 (0.78)), aesthetics (3.03 (0.87)), information (2.82 (0.62)), and satisfaction (1.76 (0.67)) subdomains. Innovative design and content features elicited in the review included initial assessments of substance use following app download, tracking substance use, and related consequences (eg, cost or calorie intake), remote and proximate peer support per geospatial positioning, and allowing users and family members of individuals with substance use disorders to locate 12-step meetings, treatment programs, and mental health services. Few apps integrated evidence-based psychotherapeutic (eg, cognitive behavioral therapy [CBT] or motivational interviewing) and pharmacologic interventions (eg, naloxone or buprenorphine).

conclusionsFew commercially available apps yielded in our search integrated evidence-based interventions (eg, extended-release naltrexone, buprenorphine, naloxone, Self-Management and Recovery Training recovery, or CBT), and a concerning number of apps promoted harmful drinking and illicit substance use.

Indexed as

Behavior TherapyHumansMobile ApplicationsSubstance-Related Disordersalcohol abusemHealthmobile healthsubstance use disorder

Identifiers

PMID31008713
PMCPMC6658280
OpenAlexW2905070788

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.