Evidence map›Paper›PMID 22335183›Full record

Trial reportHarvard review of psychiatry

Implementing evidence-based alcohol interventions in a resource-limited setting: novel delivery strategies in Tomsk, Russia.

Sonya S Shin, Viktoriya Livchits, Adrianne K Nelson, Charmaine S Lastimoso, Galina V Yanova, Sergey A Yanov, Sergey P Mishustin, Hilary S Connery, Shelly F Greenfield

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Harvard review of psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.0field-weighted citation impact, top 25% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Integrating tuberculosis and mental health services: global receptivity of national tuberculosis program directors.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2019
    Article
  3. Article
  4. Risk factors and timing of default from treatment for non-multidrug-resistant tuberculosis in Moldova.The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease · 2013
    Article
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

9 authors at 3 institutions in 1 country.

Sonya S ShinHarvard Medical School, Division of Global Health Equity, Brigham & Women's Hospital, Boston, MA 02115, USA. sshin@partners.org
Viktoriya Livchits
Adrianne K Nelson
Charmaine S Lastimoso
Galina V Yanova
Sergey A Yanov
Sergey P Mishustin
Hilary S Connery
Shelly F Greenfield
Brigham and Women's Hospital · USPartners In Health · USHarvard University · US

Funding

Mentoring in Substance Abuse Treatment ResearchK24DA019855 · NIDA · MC LEAN HOSPITAL (BELMONT, MA) · PI GREENFIELD, SHELLY F. · 2005 to 2014
$1.8M
Effectiveness of Alcohol Interventions Among TB Patients in Tomsk, RussiaR01AA016318 · NIAAA · BRIGHAM AND WOMEN'S HOSPITAL · PI SHIN, SONYA S · 2006 to 2008
$1.1M
NIAAA NIH HHS R01 AA016318NIAAA NIH HHS R01AA016318NIDA NIH HHS K24 DA019855NIDA NIH HHS K24DA019855
6 · The paper itself

Abstract

Effective implementation of evidence-based interventions in "real-world" settings can be challenging. Interventions based on externally valid trial findings can be even more difficult to apply in resource-limited settings, given marked differences-in provider experience, patient population, and health systems-between those settings and the typical clinical trial environment. Under the auspices of the Integrated Management of Physician-Delivered Alcohol Care for Tuberculosis Patients (IMPACT) study, a randomized, controlled effectiveness trial, and as an integrated component of tuberculosis treatment in Tomsk, Russia, we adapted two proven alcohol interventions to the delivery of care to 200 patients with alcohol use disorders. Tuberculosis providers performed screening for alcohol use disorders and also delivered naltrexone (with medical management) or a brief counseling intervention either independently or in combination as a seamless part of routine care. We report the innovations and challenges to intervention design, training, and delivery of both pharmacologic and behavioral alcohol interventions within programmatic tuberculosis treatment services. We also discuss the implications of these lessons learned within the context of meeting the challenge of providing evidence-based care in resource-limited settings.

Indexed as

AlcoholismCombined Modality TherapyCounselingDelivery of Health CareEducation, Medical, ContinuingHumansMedically Underserved AreaNaltrexoneNarcotic AntagonistsPatient ComplianceProgram DevelopmentRussiaTreatment OutcomeTuberculosis, PulmonaryNaltrexoneNarcotic Antagonists

Identifiers

PMID22335183
PMCPMC3318976
OpenAlexW2121526173

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.