{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T10:56:39Z","timestamp":1781175399389,"version":"3.54.1"},"reference-count":26,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,5,15]],"date-time":"2025-05-15T00:00:00Z","timestamp":1747267200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychiatry"],"abstract":"<jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study was conducted to verify the effectiveness of using digital self-care devices in reducing alcohol-related problems among high-risk alcohol users in community addiction-related institutions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were collected from 257 adults in Korea aged 18 and over (157 men and 60 women), examining their level of alcohol use disorder and the usage of digital self-care devices (such as the number of days alcohol consumption was logged, continuous days of sobriety, feeling, alcohol cravings, alcohol probability, etc.).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The results confirmed that the severity of alcohol use disorder significantly decreased before and after the use of digital self-care devices, as analyzed by a t-test (M = 5.239, SD = 10.121, t = 6.945, df = 179, P = .000***). Additionally, a machine learning analysis (random forest) was conducted to explore the factors that most influence the reduction in alcohol risk levels among participants. The analysis revealed that the factor \u201ccontinuous days of sobriety\u201d had the most significant impact on the reduction of alcohol risk levels. The predictive accuracy of this factor was demonstrated using an ROC curve (AUC = 0.724). Subsequently, a multiple regression analysis was conducted to explore the factors influencing continuous days of sobriety. The results indicated that age and the logging of sobriety days had a significant impact, with the logging of sobriety days emerging as the most influential factor.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These results suggest that in reducing alcohol consumption and achieving successful sobriety, it may be more important to maintain continuous sobriety rather than the total number of sober days. Additionally, it is necessary to identify the key factors that help maintain continuous sobriety. Understanding which elements need to be fulfilled through digital self-care devices to sustain continuous sobriety is also essential.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical trial registration<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link>https:\/\/cris.nih.go.kr\/cris\/search\/detailSearch.do?search_lang=EM&amp;amp;focus=reset_12&amp;amp;search_page=M&amp;amp;pageSize=10M&amp;amp;page=undefinedM&amp;amp;seq=16267M&amp;amp;status=5M&amp;amp;seq_group=16267<\/jats:ext-link>\n                      , identifier, KCT0005135.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyt.2025.1485940","type":"journal-article","created":{"date-parts":[[2025,5,15]],"date-time":"2025-05-15T01:29:24Z","timestamp":1747272564000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Effectiveness of digital self-care device for at risk drinking problems: focus on individuals at risk for alcohol-related issues"],"prefix":"10.3389","volume":"16","author":[{"given":"Yong Chan","family":"Jeong","sequence":"first","affiliation":[{"name":"College of Medicine, Hallym University, Chuncheon, Gangwon","place":["Chuncheon, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong Jin","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Social Welfare, Welfare and People Addiction Prevention Institute, Seoul","place":["Seoul, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sungwon","family":"Roh","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Hanyang University Seoul Hospital, Seoul","place":["Seoul, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eun Seon","family":"Seo","sequence":"additional","affiliation":[{"name":"Department of Social Welfare, Integrated Addiction Management Support Center, Hwaseong, Gyeonggi","place":["Hwaseong, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong Seok","family":"Oh","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Konyang University Hospital, Daejeon","place":["Daejeon, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"In Suk","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Nursing, Integrated Addiction Management Support Center, Suwon","place":["Suwon, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eun Ji","family":"Lee","sequence":"additional","affiliation":[{"name":"College of Medicine, Hallym University, Chuncheon, Gangwon","place":["Chuncheon, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyeon Ji","family":"Cho","sequence":"additional","affiliation":[{"name":"Department of Counseling Psychology, Sahmyook University","place":["Seoul, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sang-Kyu","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Hallym University Medical Center","place":["Chuncheon, Gangwon, Republic of Korea"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,5,15]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"269","DOI":"10.5498\/wjp.v6.i2.269","article-title":"Review of key telepsychiatry outcomes","volume":"6","author":"Hubley","year":"2016","journal-title":"World J Psychiatry"},{"key":"B2","doi-asserted-by":"publisher","first-page":"e24761","DOI":"10.2196\/24761","article-title":"Patient attitudes toward telepsychiatry during the COVID-19 pandemic: a nationwide, multisite survey","volume":"7","author":"Guinart","year":"2020","journal-title":"JMIR Ment 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