Evidence map›Paper›PMID 21903347›Full record

Trial reportDrug and alcohol dependence2012

Four-year outcomes from the Early Re-Intervention (ERI) experiment using Recovery Management Checkups (RMCs).

Michael L Dennis, Christy K Scott

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Drug and alcohol dependence, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 pooled it
4.8field-weighted citation impact, top 5% of its field
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

40 citing papers in PubMed, 2 syntheses or guidelines pooled it, 68 citations in OpenAlex.

  1. Motivational interviewing for substance use reduction.The Cochrane database of systematic reviews · 2023
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  18. Systematic Review of Cocaine-Treatment Interventions for Black Americans.Clinical psychological science : a journal of the Association for Psychological Science · 2025
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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

2 authors at 1 institution in 1 country.

Michael L DennisChestnut Health Systems, 448 Wylie Drive, Normal, IL 61761, USA. mdennis@chestnut.org
Christy K Scott
Chestnut Health Systems · US

Funding

Early Re-Intervention Experiment2(ERI-2)R37DA011323 · NIDA · CHESTNUT HEALTH SYSTEMS, INC. · PI DENNIS, MICHAEL L. · 2003 to 2012
$8.4M
Smartphone Addiction Recovery Coach for Young Adults (SARC-YA) ExperimentR01DA011323 · NIDA · CHESTNUT HEALTH SYSTEMS, INC. · PI MICHAEL L. DENNIS, ASHLI J SHEIDOW · 1999 to 2026
$5.5M
NIDA NIH HHS R01 DA011323NIDA NIH HHS R37 DA011323NIDA NIH HHS R37 DA11323
6 · The paper itself

Abstract

backgroundWhile drug abuse is the 10th leading cause of mortality in the US, the public health care system has been slow to adopt a chronic disease approach with aggressively timed monitoring and interventions. Drug abuse remains isolated from adoption into the "chronic condition" model of care. This paper evaluates the efficacy of quarterly Recovery Management Checkups (RMCs) on treatment reentry and long-term substance use in the context of chronic substance use disorders.

methods446 adult substance users were randomly assigned to RMC or a control group and assessed quarterly for 4 years (94% completion). The main outcome measures were: time from need of treatment to treatment reentry, frequency of treatment reentry, days of treatment, number of substance use related problems per month, and total days abstinent.

resultsParticipants in the RMC condition were significantly more likely than participants in the control group to return to treatment sooner, to return at all, to return more times, and to receive more total days of treatment. They subsequently had significantly fewer quarters in need of treatment, fewer substance related problems per month, and more total days of abstinence. Effects were larger for those with earlier onset and higher crime/violence scores.

conclusionsRMC is an effective method of monitoring and re-intervening with chronic substance users and is associated with improved long-term outcomes. A subgroup of people for whom RMC did not appear to be "enough," signals a need to explore more intensive models to address chronicity.

Indexed as

AdultChronic DiseaseFemaleFollow-Up StudiesHumansMaleMiddle AgedPublic HealthSubstance Abuse Treatment CentersSubstance-Related DisordersTreatment Outcome

Identifiers

PMID21903347
PMCPMC3277866
OpenAlexW2139289168

What OpenQuestion holds

Textmetadata
LicenceTDM
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.