Evidence map›Paper›PMID 21545667›Full record

Trial reportAddiction (Abingdon, England)2011

Extended telephone-based continuing care for alcohol dependence: 24-month outcomes and subgroup analyses.

James R McKay, Deborah Van Horn, David W Oslin, Megan Ivey, Michelle L Drapkin, Donna M Coviello, Qin Yu, Kevin G Lynch

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Addiction (Abingdon, England), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 38 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 5 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.

NCT00123409 nacompletednot on this map

Telephone Disease Management At-Risk Drinking (TDM 11)

TypeinterventionalSponsorUS Department of Veterans AffairsRan2004 to 2009Enrolled146ConditionsAlcohol AbuseArmsTelephone disease management, Usual Care
NCT03246646 nacompletednot on this mapstarted 2017, after this paper: background citation

Telephone Coaching of Family Members of Veterans With Substance Abuse Problems

TypeinterventionalSponsorVA Office of Research and DevelopmentRan2017 to 2019Enrolled52ConditionsSubstance AbuseArmsCoaching
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Technology-Based Substance Use Interventions: Opportunities for Gender-Transformative Health Promotion.International journal of environmental research and public health · 2020
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  9. Rural Clients' Continuity Into Follow-Up Substance Use Disorder Treatment: Impacts of Travel Time, Incentives, and Alerts.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2020
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

James R McKayUniversity of Pennsylvania, Department of Psychiatry, Philadelphia, PA 19104, USA. mckay_j@mail.trc.upenn.edu
Deborah Van Horn
David W Oslin
Megan Ivey
Michelle L Drapkin
Donna M Coviello
Qin Yu
Kevin G Lynch

Funding

Effectiveness of Extended Telephone MonitoringR01AA014850 · NIAAA · UNIVERSITY OF PENNSYLVANIA · PI MCKAY, JAMES R · 2003 to 2007
$2.9M
Research Methods CoreP01AA016821 · NIAAA · UNIVERSITY OF PENNSYLVANIA · PI LYNCH, KEVIN G · 2008 to 2012
$2.7M
Adaptive Treatment Models for the Management of Drug Use DisordersK24DA029062 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI MCKAY, JAMES R. · 2010 to 2021
$1.6M
AFTERCARE FOR SUBSTANCE ABUSERSK02DA000361 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI MCKAY, JAMES R. · 1998 to 2008
$900k
NIAAA NIH HHS P01 AA016821NIAAA NIH HHS P01AA016821NIAAA NIH HHS R01 AA014850NIAAA NIH HHS R01AA14850NIDA NIH HHS K02 DA000361NIDA NIH HHS K24 DA029062
6 · The paper itself

Abstract

aimsTo determine whether 18 months of telephone continuing care improves 24-month outcomes for patients with alcohol dependence. Subgroup analyses were performed to identify patients who would benefit most from continuing care.

designComparative effectiveness trial of continuing care that consisted of monitoring and feedback only (TM) or monitoring and feedback plus counseling (TMC). Patients were randomized to treatment as usual (TAU), TAU plus TM or TAU plus TMC, and followed quarterly for 24 months.

settingPublicly funded intensive out-patient programs (IOP).

participantsA total of 252 alcohol-dependent patients (49% with current cocaine dependence) who completed 3 weeks of IOP. MEASUREMENTS: Percentage of days drinking, any heavy drinking and a composite good clinical outcome.

findingsIn the intent-to-treat sample, group differences in alcohol outcomes out to 18 months favoring TMC over TAU were no longer present in months 19-24. There was also a non-significant trend for TMC to perform better than usual care on the good clinical outcome measure (60% vs. 46% good clinical outcome in months 19-24). Overall significant effects favoring TMC and TM over TAU were seen for women; and TMC was also superior to TAU for participants with social support for drinking, low readiness to change and prior alcohol treatments. Most of these effects were obtained on at least two of three outcomes. However, no effects remained significant at 24 months.

conclusionsThe benefits of an extended telephone-based continuing care programme to treat alcohol dependence did not persist after the end of the intervention. A post-hoc analysis suggested that women and individuals with social support for drinking, low readiness to change or prior alcohol treatments may benefit from the intervention.

Indexed as

Outcome Assessment, Health CareTelemedicineAdolescentAdultAgedAlcohol DrinkingAlcoholismAmbulatory CareBlack or African AmericanCocaine-Related DisordersComparative Effectiveness ResearchCounselingFemaleHumansIntention to Treat AnalysisLong-Term Care

Identifiers

PMID21545667
PMCPMC3174323

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.