Stand Down: A mobile app with peer phone support to help Veterans reduce risky drinking

Stand Down-Think Before You Drink: An RCT of a Mobile App for Hazardous Drinking with Peer Phone Support

NIH-funded research Veterans Admin Palo Alto Health Care Sys · NIH-11199649

This offers Veterans a smartphone app plus regular phone support from a trained peer to help cut back on hazardous drinking.

Quick facts

Grant typeNIH-funded research
Study typeNIH-funded research
Funding institutionVeterans Admin Palo Alto Health Care Sys NIH-funded
Lab location1 site (Palo Alto, United States)
Project IDNIH-11199649 on NIH RePORTER

What this research studies

You would use the Stand Down app to track drinking, set goals, and get tips for managing urges. Trained Veteran Peer Specialists will call you to help you learn the app, troubleshoot problems, and provide encouragement and accountability. Veterans will be randomly assigned to get the app with peer phone support or the usual care offered in VA primary care, and researchers will compare drinking outcomes over several months. The program builds on a pilot that found the app plus peer calls was acceptable and helped some Veterans reduce drinking.

Who could benefit from this research

Good fit: Ideal candidates are Veterans seen in VA primary care who screen positive for hazardous drinking, have access to a smartphone, and are willing to receive brief peer phone support.

Not a fit: Those with severe alcohol dependence who need inpatient detox or intensive services, people without smartphone access, or non-Veterans are unlikely to benefit from this intervention.

Why it matters

Potential benefit: If successful, this could make it easier for Veterans to reduce risky drinking by offering convenient, phone-based help without frequent clinic visits.

How similar studies have performed: Related apps like Step Away and a prior open pilot of Stand Down showed promising drinking reductions, but keeping users engaged has been a recurring challenge.

Where this research is happening

Palo Alto, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.