ArticleAlcoholism, clinical and experimental research2022
Sensitivity, specificity, and tolerability of the BACTrack Skyn compared to other alcohol monitoring approaches among young adults in a field-based setting.
Article in Alcoholism, clinical and experimental research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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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.
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Who cites it
20 citing papers in PubMed, 20 citations in OpenAlex.
- Wearable Intervention for Alcohol Use Risk and Sleep in Young Adults: A Randomized Clinical Trial.JAMA network open · 2025Trial
- Use of Wearable Transdermal Alcohol Sensors for Monitoring Alcohol Consumption After Detoxification With Contingency Management: Pilot Randomized Feasibility Trial.JMIR human factors · 2025Trial
- Objective Assessment in Clinical Psychological Science: Progress in Wearable Alcohol Biosensors.Annual review of clinical psychology · 2026Review
- Acceptability and feasibility of a new-generation alcohol biosensor: A mixed methods evaluation in a large community sample.Experimental and clinical psychopharmacology · 2026Article
- Development of an alcohol biosensor non-wear algorithm: laboratory-based machine learning and field-based deployment.Scientific reports · 2025Article
- A wearable alcohol biosensor: Exploring the accuracy of transdermal drinking detection.Drug and alcohol dependence · 2025Article
- Self-Determined Motivation for Alcohol Use and Drinking Frequency, Intensity, and Consequences.Substance use & misuse · 2025Article
- Natural language processing in mixed-methods evaluation of a digital sleep-alcohol intervention for young adults.NPJ digital medicine · 2024Article
- A qualitative exploration of the experiences of transdermal alcohol sensor devices amongst people in receipt of treatment for alcohol use disorder.Addictive behaviors reports · 2024Article
- Baseline protective behavioral strategy use predicts more moderate transdermal alcohol concentration dynamics and fewer negative consequences of drinking in young adults' natural settings.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2024Article
- Transdermal alcohol concentration features predict alcohol-induced blackouts in college students.Alcohol, clinical & experimental research · 2024Article
- Signal processing and machine learning with transdermal alcohol concentration to predict natural environment alcohol consumption.Experimental and clinical psychopharmacology · 2024Article
- Leveraging Natural Language Processing to Evaluate Young Adults' User Experiences with a Digital Sleep Intervention for Alcohol Use.Research square · 2024Article
- Accuracy of transdermal alcohol monitoring devices in a laboratory setting.Alcohol and alcoholism (Oxford, Oxfordshire) · 2024Article
- Acceptability and anklet user experience with the SCRAM-CAM transdermal alcohol concentration sensor in regularly drinking young adults' natural environments.Alcohol (Fayetteville, N.Y.) · 2023Article
- Article
- Use of the BACtrack Skyn alcohol biosensor: Practical applications for data collection and analysis.Addiction (Abingdon, England) · 2023Article
- Acceptability and validity of using the BACtrack skyn wrist-worn transdermal alcohol concentration sensor to capture alcohol use across 28 days under naturalistic conditions - A pilot study.Alcohol (Fayetteville, N.Y.) · 2023Article
- Correspondence between alcohol use measured by a wrist-worn alcohol biosensor and self-report via ecological momentary assessment over a 2-week period.Alcohol, clinical & experimental research · 2023Article
- Examining new-generation transdermal alcohol biosensor performance across laboratory and field contexts.Alcohol, clinical & experimental research · 2023Article
Corrections and comments
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Authors and funding
10 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundThere is a need for novel alcohol biosensors that are accurate, able to detect alcohol concentration close in time to consumption, and feasible and acceptable for many clinical and research applications. We evaluated the field accuracy and tolerability of novel (BACTrack Skyn) and established (Alcohol Monitoring Systems SCRAM CAM) alcohol biosensors.
methodsThe sensor and diary data were collected in a larger study of a biofeedback intervention and compared observationally in the present sub-study. Participants (high-risk drinkers, 40% female; median age 21) wore both Skyn and SCRAM CAM sensors for 1-6 days and were instructed to drink as usual. Data from the first cohort of participants (N = 27; 101 person-days) were used to find threshold values of transdermal alcohol that classified each day as meeting or not meeting defined levels of drinking (heavy, above-moderate, any). These values were used to develop scoring metrics that were subsequently tested using the second cohort (N = 20; 57 person-days). Data from both biosensors were compared to mobile diary self-report to evaluate sensitivity and specificity in relation to a priori standards established in the literature.
resultsSkyn classification rules for Cohort #1 within 3 months of device shipment showed excellent sensitivity for heavy drinking (94%) and exceeded expectations for above-moderate and any drinking (78% and 69%, respectively), while specificity met expectations (91%). However, classification worsened when Cohort #1 devices ≥3 months from shipment were tested (area under curve for receiver operator characteristic 0.87 vs. 0.79) and the derived classification threshold when applied to Cohort #2 was inadequately specific (70%). Skyn tolerability metrics were excellent and exceeded the SCRAM CAM (p ≤ 0.001).
conclusionsSkyn tolerability was favorable and accuracy rules were internally derivable but did not yield useful scoring metrics going forward across device lots and months of usage.
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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.