[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100642089":3},{"organization":4,"armGroups":7,"interventions":24,"overallOfficials":33,"centralContacts":23,"locations":37,"responsibleParty":51,"collaborators":54,"id":58,"slug":59,"hasResults":60,"nctId":61,"briefTitle":62,"officialTitle":63,"acronym":64,"eligibilityCriteria":65,"healthyVolunteers":60,"sex":66,"minAge":67,"maxAge":68,"enrollmentInfo":69,"targetDuration":23,"studyType":72,"phases":73,"briefSummary":75,"conditions":76,"keywords":78,"overallStatus":85,"whyStopped":23,"lastUpdateSubmitDate":86,"lastUpdatePostDateStruct":87,"startDateStruct":90,"completionDateStruct":92,"leadSponsor":94,"locationsCount":95},{"fullName":5,"class":6},"Stanford University","OTHER",[8,14,19],{"label":9,"type":10,"description":11,"interventionNames":12},"MICA","EXPERIMENTAL","MICA is a generative AI-powered counseling agent that delivers brief Motivational Interviewing (MI)-consistent sessions, following the validated MI process (engagement, focusing, evoking, planning, and closing). It uses personalized prompts to promote autonomy and evoke change talk, ending with a session summary and satisfaction check. Participants will complete a MICA session (\\~5-10 min) in the ED and at 3 months.",[13],"Behavioral: MICA",{"label":15,"type":10,"description":16,"interventionNames":17},"MICA+SMS","This condition includes the MICA ED session, a 3-month booster, and 12 weeks of weekly SMS messages supporting self-monitoring, goal-setting, and adaptive strategies. Messages are tailored based on reported alcohol use and goal commitment, offering encouragement, feedback, and harm-reduction messaging.",[13,18],"Behavioral: TRAC",{"label":20,"type":21,"description":22,"interventionNames":23},"Standard care","NO_INTERVENTION","Standard ED care and as-needed referral to alcohol resources",null,[25,29],{"type":26,"name":9,"description":27,"armGroupLabels":28,"otherNames":23},"BEHAVIORAL","MICA is an AI chatbot that uses a secure API with ChatGPT and prompted to follow MI principles to support individuals in exploring and resolving ambivalence about their alcohol use. MICA follows a predefined conversational framework and steps: introduction, engagement, focusing, evoking, planning, and closing-adapted from Miller \\& Rollnick's Motivational Interviewing: Helping People Change (3rd ed.).",[9,15],{"type":26,"name":30,"description":31,"armGroupLabels":32,"otherNames":23},"TRAC","Weekly SMS check-ins designed to support goal-setting, self-monitoring, and adaptive self-regulation strategies. Beginning the Sunday after enrollment, participants will engage with an automated SMS program once weekly for 12 weeks. Prompts include reporting on the past week's alcohol use and whether they are willing to commit to a drinking limit goal for the upcoming week. Responses trigger tailored feedback.",[15],[34],{"name":35,"affiliation":5,"role":36},"Brian Suffoletto, MS MS","PRINCIPAL_INVESTIGATOR",[38],{"facility":39,"status":23,"city":40,"state":41,"zip":42,"country":43,"countryCode":44,"cosmosGeoPoint":45,"geoPoint":50,"contacts":23},"Stanford University Medical Center","Palo Alto","California","94304","United States","US",{"type":46,"coordinates":47},"Point",[48,49],-122.14302,37.44188,{"lat":49,"lon":48},{"type":36,"investigatorFullName":52,"investigatorTitle":53,"investigatorAffiliation":5,"oldNameTitle":23,"oldOrganization":23},"Brian Suffoletto","Professor, Emergency Medicine",[55],{"name":56,"class":57},"National Institute on Alcohol Abuse and Alcoholism (NIAAA)","NIH","100642089","advancing-scalable-alcohol-brief-interventions-in-the-ed-a-trial-of-conversational-ai-with-digital-reinforcements-100642089",false,"NCT07661563","Advancing Scalable Alcohol Brief Interventions in the ED: A Trial of Conversational AI With Digital Reinforcements","A Randomized Trial of an AI Intervention to Help Individuals With Risky Alcohol Use Among Emergency Department Patients","MICA-ED","Inclusion Criteria:\n\n1. For men: 1+ days with 5 or more drinks OR any week with 14+ drinks\u002Fweek in the past 3 months\n2. For women: 1+ days with 4 or more drinks OR any week with 7+ drinks\u002Fweek in the past 3 months\n3. Owns a mobile phone\n4. Reads English language\n\nExclusion Criteria:\n\n1. For women: current or planned pregnancy in next 12 months\n2. Prisoner or active military status","ALL","18 Years","65 Years",{"count":70,"type":71},750,"ESTIMATED","INTERVENTIONAL",[74],"NA","The goal of this clinical trial is to learn if a novel digital strategy combining a generative AI counseling agent (MICA) and weekly SMS boosters works to reduce risky drinking among Emergency Department patients.",[77],"Alcohol Misuse",[79,80,81,82,83,84],"alcohol","emergency department","adults","AI","motivational interviewing","text messaging","NOT_YET_RECRUITING","2026-06-16",{"date":88,"type":89},"2026-06-22","ACTUAL",{"date":91,"type":71},"2026-08",{"date":93,"type":71},"2031-02",{"name":5,"class":6},1]