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Interviews were audiotaped, transcribed and coded using a constant comparison method for category themes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients (<jats:italic>n<\/jats:italic>\u2009=\u200923) were 56% female, mean 44\u2009years old, 87% White, with moderate\u2013severe liver disease. Some felt the ABMs appearance was unappealing; others felt it provided an opportunity for openness and education of others. While some found it feasible to wear, others felt it was unrealistic to wear 24\/7. Importantly, there were many positive themes on effectiveness\/efficiency\u2014participants felt the ABM could better record their alcohol use and patterns of use than they could remember. Patients felt wearing the ABM motivated abstinence, gave accountability and was a source of security.<\/jats:p><jats:p>Clinicians (<jats:italic>n<\/jats:italic>\u2009=\u200913) were mostly hepatologists (77%), seeing on average 38 ALD patients\/month. Clinicians felt seeing patterns and amounts of alcohol use could inform clinical decision making and treatments but expressed concern over the volume and complexity of data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion and Conclusions<\/jats:title><jats:p>Perspectives on ABMs for managing ALD were mixed among patients and providers. Future device designs may overcome acceptability barriers due to device appearance. However, for clinicians, the logistics of data gathering plus the complexity and volume of data produced by the ABM device requires considerable thought to make this an efficient tool for clinical use. Clinicaltrials.gov identifier NCT03533660: Alcohol biosensor monitoring for alcohol liver disease.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dar.13978","type":"journal-article","created":{"date-parts":[[2024,12,10]],"date-time":"2024-12-10T06:14:41Z","timestamp":1733811281000},"page":"532-554","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["What hepatology clinicians and their patients with alcohol\u2010related liver disease think of wearable alcohol biosensors to aid abstinence from alcohol: A qualitative study"],"prefix":"10.1111","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4883-121X","authenticated-orcid":false,"given":"Andrea","family":"DiMartini","sequence":"first","affiliation":[{"name":"Department of Psychiatry University of Pittsburgh  Pittsburgh Pennsylvania USA"},{"name":"Department of Surgery University of Pittsburgh  Pittsburgh Pennsylvania USA"},{"name":"Clinical and Translational 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