Evidence map›Paper›PMID 22029398›Full record

Trial reportAddiction (Abingdon, England)2012

Randomized trial of standard methadone treatment compared to initiating methadone without counseling: 12-month findings.

Robert P Schwartz, Sharon M Kelly, Kevin E O'Grady, Devang Gandhi, Jerome H Jaffe

Registry-linked trialOpen access · greenAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Addiction (Abingdon, England), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00712036 (Entry Into Comprehensive Methadone Treatment Via Interim Maintenance), which is not on this map. Cited by 42 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 7 pooled it
4.2field-weighted citation impact, top 6% 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.

NCT00712036 nacompletednot on this map

Entry Into Comprehensive Methadone Treatment Via Interim Maintenance

TypeinterventionalSponsorFriends Research Institute, Inc.Ran2008 to 2011Enrolled230ConditionsOpiate DependenceArmsInterim, Comprehensive, Restored
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 7 syntheses or guidelines pooled it, 92 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Robert P SchwartzFriends Research Institute, Inc, Baltimore, MD 21201, USA. rschwartz@friendsresearch.org
Sharon M Kelly
Kevin E O'Grady
Devang Gandhi
Jerome H Jaffe
Friends Research Institute · USUniversity of Maryland, Baltimore · USUniversity of Maryland, College Park · US

Funding

Services Research on Interim Opioid MaintenanceR01DA013636 · NIDA · FRIENDS RESEARCH INSTITUTE, INC. · PI SCHWARTZ, ROBERT P · 2001 to 2010
$3.1M
NIDA NIH HHS 2R01 DA 13636NIDA NIH HHS R01 DA013636
6 · The paper itself

Abstract

aimsThis study aimed to determine the relative effectiveness of 12 months of interim methadone (IM; supervised methadone with emergency counseling only for the first 4 months of treatment), standard methadone treatment (SM; with routine counseling) and restored methadone treatment (RM: routine counseling with smaller case-loads).

designA randomized controlled trial was conducted comparing IM, SM and RM treatment. IM lasted for 4 months, after which participants were transferred to SM.

settingThe study was conducted in two methadone treatment programs in Baltimore, MD, USA.

participantsThe study included 230 adult methadone patients newly admitted through waiting-lists. MEASUREMENTS: We administered the Addiction Severity Index and a supplemental questionnaire at baseline, 4 and 12 months post- baseline. Measurements included retention in treatment, self-reported days of heroin and cocaine use, criminal behavior and arrests and urine tests for heroin and cocaine metabolites.

findingsAt 12 months, on an intent-to-treat basis, there were no significant differences in retention in treatment among the IM, SM and RM groups (60.6%, 54.8% and 37.0%, respectively). Positive urine tests for the three groups declined significantly from baseline (Ps < 0.001 and 0.003, for heroin and cocaine metabolites, respectively) but there were no significant group x time interactions for these measures. At least one arrest was reported by 30.6% of the sample during the year, but there were no significant between-group effects.

conclusionsLimited availability of drug counseling services should not be a barrier to providing supervised methadone to adults dependent on heroin--at least for the first 4 months of treatment.

Indexed as

AdultAmbulatory CareCocaine-Related DisordersCounselingFemaleHeroin DependenceHumansMaleMethadoneMiddle AgedNarcoticsPatient ComplianceTreatment OutcomeMethadoneNarcotics

Identifiers

PMID22029398
PMCPMC3319854
OpenAlexW1946250460

What OpenQuestion holds

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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.