Evidence map›Paper›PMID 16971059›Full record

ArticleDrug and alcohol dependence2007

The adoption of medications in substance abuse treatment: associations with organizational characteristics and technology clusters.

Hannah K Knudsen, Lori J Ducharme, Paul M Roman

Abstract read
In one paragraph

Article in Drug and alcohol dependence, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Availability of Medications for the Treatment of Alcohol and Opioid Use Disorder in the USA.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2020
    Review
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2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Hannah K KnudsenCenter for Research on Behavioral Health and Human Services Delivery, The University of Georgia, 101 Barrow Hall, Athens, GA 30602-2401, USA. hknudsen@uga.edu
Lori J Ducharme
Paul M Roman

Funding

CTN Membership and Adoption of Innovative Tx PracticesR01DA014482 · NIDA · UNIVERSITY OF GEORGIA (UGA) · PI ROMAN, PAUL M · 2001 to 2011
$8.0M
ADOPTION OF INNOVATIONS IN PRIVATE A&D TREATMENT CENTERSR01DA013110 · NIDA · UNIVERSITY OF GEORGIA (UGA) · PI ROMAN, PAUL M · 1999 to 2010
$4.9M
NIDA NIH HHS R01 DA013110NIDA NIH HHS R01 DA014482NIDA NIH HHS R01DA13110NIDA NIH HHS R01DA14482
6 · The paper itself

Abstract

Despite growing interest in closing the "research to practice gap", there are few data on the availability of medications in American substance abuse treatment settings. Recent research suggests that organizational characteristics may be associated with medication availability. It is unclear if the availability of medications can be conceptualized in terms of "technology clusters", where the availability of a medication is positively associated with the likelihood that other medications are also offered. Using data from 403 privately funded and 363 publicly funded specialty substance abuse treatment centers in the US, this research models the availability of agonist medications, naltrexone, disulfiram, and SSRIs. Bivariate logistic regression models indicated considerable variation in adoption across publicly funded non-profit, government-owned, privately funded non-profit, and for-profit treatment centers. Some of these differences were attenuated by organizational characteristics, such as accreditation, the presence of staff physicians, and the availability of detoxification services. There was some evidence that naltrexone, disulfiram, and SSRIs represent a group of less intensely regulated medications that is distinct from more intensely regulated medications. These types of medications were associated with somewhat different correlates. Future research should continue to investigate the similarities and differences in the predictors of medication availability across national contexts.

Indexed as

Community Mental Health CentersDisulfiramHumansMultivariate AnalysisNaltrexoneNarcotic AntagonistsNational Institutes of Health (U.S.)Regression AnalysisSubstance Abuse DetectionSubstance-Related DisordersTreatment OutcomeUnited StatesDisulfiramNaltrexoneNarcotic Antagonists

Identifiers

PMID16971059
PMCPMC1868517

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.