I also complete a set of modules of what’s called community reinforcement approach, which is a very specific type of neuro-behavioral intervention for addiction. I complete four of those modules per week so that’s about 30 minutes of engagement. As I’m completing those modules I receive rewards that incentivize me to continue participating with the software. Q: Many of us have experienced the addictive nature of apps like Facebook or Twitter. Is this technology similar to that? A: It’s well known that addicted patients respond very favorably to what are called variable reward schedules. So our program is a highly engaging mechanism for patients with substance use and opioid use disorder. What we’re finding is that all of these different patient populations interact with technology and are engaged in entirely specific ways. What technology has done prior to Pear is to look at the way that healthy, normal people like you and I presumably interact with technology. Q: So how are these patients different? A: I guess in layman’s terms, if you’ve ever been to a casino and seen someone playing a slot machine, smoking a cigarette and drinking a martini-there’s an old adage that “it’s all dopamine.” What happens when you look at these patients’ brains is they’re really just swimming in dopamine. Q: What are the actual rewards or perks that patients get from these apps? A: Patients receive everything from badges and digital “at-a-boys” to things like gift cards for Starbucks and things of nominal financial value which can’t be exchanged for substances of abuse. And each of the patients interacts with these different reward schedules in different ways. A good deal of the novelty is in pairing up the right patient with the right reward corresponding to the right amount.
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