Mobile App-based Approach for Reducing Pain and Hazardous Drinking: a Pilot Study

Inclusion Criteria * 1 Heavy drinking by NIAAA guidelines (weekly limits \[\> 7 standard drinks for women or men age 65+, \> 14 for men younger than 65\], and/or a heavy drinking episode in the past month \[\>3 for women or men age 65+, \> 4 for men younger than 65\]) or by a positive USAUDIT-C score * 2 Chronic pain \[at least 3 months in duration\] of at least moderate severity (4 or greater on the Numerical Pain Rating Scale from 0-10) Exclusion Criteria: * 1 If on medication for pain or alcohol, not on same dose for at least 2 months \[Note: Participants who are on psychoactive medications for pain management may be included if they have a stable (at least 2 months) medication dose and state a willingness to continue use of medication as prescribed by their physician through the intervention phase\] * 2 Patients with bipolar disorder, schizophrenia, other psychotic disorder, or current suicidal intent. * 3 Prior history of withdrawal-related seizures or delirium tremens * 4 Current non-pharmacological treatment for alcohol use disorder or chronic pain. * 5 Any acute life-threatening illness that requires treatment or intend to have surgery for a pain-related condition in the next 6-months * 6 Pain that is related to a current cancer diagnosis * 7 Patients who are unable to provide one or more individuals who will likely know where they are at follow up * 8 Individuals who do not have a smartphone with which they can use to complete the remote study procedures.