Health-Related Quality of Life Before and After Sobriety in Combination With an Adjunctive Journaling App in Patients With Alcohol-Related Liver Disease: Prospective Single-Arm Study

In this exploratory observational study, hepatologist-led abstinence support supplemented by a smartphone-based journaling app was associated with improvements in physical HRQOL. Unlike previous studies that have focused on addiction specialist-led interventions, this study evaluated abstinence support delivered by hepatologists in routine outpatient practice, providing a real-world assessment of a digitally supported approach. These findings suggest that hepatologist-led, digitally supported care may be a feasible strategy in clinical settings with limited access to specialized addiction services.