{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T04:08:24Z","timestamp":1789013304902,"version":"build-2803163510"},"reference-count":56,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:00:00Z","timestamp":1788912000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:00:00Z","timestamp":1788912000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["American J Addict"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Objectives<\/jats:title>\n                    <jats:p>Managing substance use disorders (SUDs) is limited by the lack of longitudinal clinical data during active use and recovery. Wearable devices may help address this gap by capturing physiological and behavioral data in real\u2010world settings. This review evaluated the feasibility and acceptability of wearable devices among individuals with SUDs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic search of PubMed, PsycINFO, and MEDLINE identified peer\u2010reviewed studies published between 2000 and 2023 examining wearable devices that passively measured physiological data among adults with SUDs or at\u2010risk substance use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Thirty\u2010three studies met inclusion criteria and were grouped into feasibility and acceptability outcomes, sleep\u2010related outcomes, and other clinical outcomes including craving, stress, and detection of substance use or overdose events. Most studies used wrist\u2010worn devices and focused on opioid and alcohol use. The literature was heterogeneous and predominantly observational, with few experimental designs, and several studies included individuals with at\u2010risk use rather than diagnosed SUDs. Short\u2010term wearable use was generally feasible and acceptable when privacy and safety concerns were addressed. Wearables captured indicators such as sleep disruption, stress, and overdose risk. However, none of the included studies evaluated whether wearable use was associated with improved substance use outcomes over time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion and Conclusions<\/jats:title>\n                    <jats:p>Wearable devices show promise as adjunct tools for monitoring clinically relevant indicators in SUDs, but evidence remains limited. Future research should prioritize longitudinal outcomes, validate clinically meaningful thresholds, and support equitable, patient\u2010centered implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Scientific Significance<\/jats:title>\n                    <jats:p>This review provides a structured synthesis of an emerging and fragmented literature, offering a foundation to guide future hypothesis\u2010driven, longitudinal, and implementation\u2010focused research.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajad.70199","type":"journal-article","created":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T03:40:06Z","timestamp":1789011606000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical applications of wearable devices for individuals with at\u2010risk substance use and substance use disorders: A systematic review"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-2352-0986","authenticated-orcid":false,"given":"Alexandra","family":"Sas","sequence":"first","affiliation":[{"name":"Institute of Medical Sciences, Temerty Faculty of Medicine University of Toronto Toronto Ontario Canada"},{"name":"INTREPID Lab Centre for Addiction and Mental Health Toronto Ontario Canada"},{"name":"Institute for Mental Health Policy Research Centre for Addiction and Mental Health Toronto Ontario Canada"},{"name":"Addiction Division Centre for Addiction and Mental Health Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew E.","family":"Sloan","sequence":"additional","affiliation":[{"name":"Institute of Medical Sciences, Temerty Faculty of Medicine University of Toronto Toronto Ontario Canada"},{"name":"Institute for Mental Health Policy Research Centre for Addiction and Mental Health Toronto Ontario Canada"},{"name":"Addiction Division Centre for 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