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Time Matters: Uncovering dynamic mechanisms and optimising the intervention timing across the addictions

Project description

Why timing can make or break addiction recovery

For those trying to recover from addiction, relapse is rarely a single event. A moment of craving, a dip in confidence or a stressful encounter can increase the risk of a slip. That first slip can gradually shift someone closer to old patterns of use. While these shifts happen in real time, most treatments still fail to account for when risk is highest. With this in mind, the ERC-funded Time Matters project puts timing at the centre of relapse prevention. By treating addiction as a dynamic system, researchers are combining behavioural science with control engineering to track risk in real time using smartphones, wearables and ultra-short surveys. The aim is to learn precisely when support is most effective, offering help not just in the right way but at the right moment.

Objective

Addictive behaviours cause unprecedented disease burden and human suffering. Supporting people to quit is an urgent priority yet absolute quit rates are low due to momentary lapses which beget further lapses and relapse. Studies using high-resolution measurements in people’s daily lives have found that fluctuations in biopsychosocial factors (e.g. cravings, self-efficacy) are associated with lapse risk at the within-person level. This has led to my conceptualising addictive behaviours as dynamical systems which change continuously and non-linearly over time. Potent relapse prevention interventions will need the ability to provide the right type of support to individuals, when and where they most need it. However, this cannot be achieved through relying on dominant addiction theories which do not encode temporal information about dynamical systems and state-of-the-art experimental methods which are not suited for studying intervention effects over time, within individuals.

Time Matters will integrate previously unconnected theoretical and methodological advancements from addiction science and control engineering, including my unique skills in formal, dynamical systems modelling and novel within-person experimental designs, to uncover dynamic mechanisms of lapse and relapse across the addictions and optimise the intervention timing in systems which change over time. To achieve these ambitious goals, I will conduct five empirical studies and use advanced analytical techniques to integrate dynamic insights from temporally dense empirical data using low burden ‘microinteraction’ smartphone surveys, a new behavioural task suitable for smartphone delivery, smartwatches and smartphone meta-data. If successful, Time Matters has the potential to transform relapse prevention theories and interventions, ultimately helping to solve the perennial challenge of when, where and how to intervene for each person and reducing the global disease burden caused by addictive behaviours

Fields of science (EuroSciVoc)

Keywords

Programme(s)

Topic(s)

Funding Scheme

HORIZON-ERC - HORIZON ERC Grants

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Call for proposal

(opens in new window) ERC-2025-STG

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Host institution

STOCKHOLMS UNIVERSITET
Net EU contribution
€ 1 499 508,00
Address
UNIVERSITETSVAGEN 10
10691 Stockholm
Sweden
Region
Östra Sverige Stockholm Stockholms län
Activity type
Higher or Secondary Education Establishments
Links
Total cost
€ 1 499 508,00

Beneficiaries (1)