Evidence map›Paper›PMID 23432593›Full record

Trial reportAddiction (Abingdon, England)2013

Reducing heavy drinking in HIV primary care: a randomized trial of brief intervention, with and without technological enhancement.

Deborah S Hasin, Efrat Aharonovich, Ann O'Leary, Eliana Greenstein, Martina Pavlicova, Srikesh Arunajadai, Rachel Waxman, Milton Wainberg, John Helzer, Barbara Johnston

5 registry-linked trialsOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Addiction (Abingdon, England), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 95 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed, 12 pooled it
7.1field-weighted citation impact, top 2% 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.

NCT01312181 nacompletednot on this map

HealthCall: Brief Intervention to Reduce Drug Use in HIV Primary Care

TypeinterventionalSponsorResearch Foundation for Mental Hygiene, Inc.Ran2011 to 2016Enrolled240ConditionsMental and Behavioral Disorders Due to Harmful Drug UseArmsHealthCall and Motivational Interviewing, Motivational Interviewing (MI), HIV/AIDS health education
NCT02294318 nacompletednot on this mapstarted 2015, after this paper: background citation

HealthCall: Brief Intervention to Reduce Drug Use in HIV Primary Care

TypeinterventionalSponsorResearch Foundation for Mental Hygiene, Inc.Ran2015 to 2016Enrolled47ConditionsAlcohol or Other Drugs UseArmsHealthCall+Motivational Interviewing, Motivational Interviewing
NCT03610815 phase4completednot on this mapstarted 2021, after this paper: background citation

Community I-STAR Mozambique: Community Implementation of SBIRT Using Technology for Alcohol Use Reduction in Mozambique

TypeinterventionalSponsorNew York State Psychiatric InstituteRan2021 to 2025Enrolled540ConditionsmSBIRT - Mobile Screening, Brief Intervention, Referral to Treatment, SBIRT-CTS - Screening, Brief Intervention, Referral to Treatment Conventional Training and Supervision StrategyArmsScreening, Brief Intervention, Referral to Treatment
NCT03652675 nacompletednot on this mapstarted 2018, after this paper: background citation

Understanding and Intervening With Heavy Drinking Among Patients With HIV and HCV: Clinical Trial

TypeinterventionalSponsorNew York State Psychiatric InstituteRan2018 to 2020Enrolled31ConditionsAlcohol Use Disorder, HIV/AIDS, Hepatitis C, Binge DrinkingArmsIntervention: (Clinician's Guide + HealthCall for HIV/HCV)
NCT03928418 nacompletednot on this mapstarted 2019, after this paper: background citation

Mobile Technology to Extend Clinic-based Counseling for HIV+s in Uganda

TypeinterventionalSponsorUniversity of California, San FranciscoRan2019 to 2021Enrolled272ConditionsAlcohol Use, Unspecified, HIV/AIDSArmsIn-person counseling session, Live phone call booster session, Technology (IVR or SMS) booster session
3 · Its place in the literature

Who cites it

95 citing papers in PubMed, 12 syntheses or guidelines pooled it, 119 citations in OpenAlex.

  1. Motivational interviewing for substance use reduction.The Cochrane database of systematic reviews · 2023
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  9. Integrating HIV and substance use services: a systematic review.Journal of the International AIDS Society · 2017
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35 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

10 authors at 6 institutions in 1 country.

Deborah S HasinDepartment of Psychiatry, Columbia University, New York, NY, USA. dsh2@columbia.edu
Efrat Aharonovich
Ann O'Leary
Eliana Greenstein
Martina Pavlicova
Srikesh Arunajadai
Rachel Waxman
Milton Wainberg
John Helzer
Barbara Johnston
Columbia University · USNew York Psychoanalytic Society and Institute · USNew York State Psychiatric InstituteCenters for Disease Control and Prevention · USIcahn School of Medicine at Mount Sinai · USUniversity of Vermont · US

Funding

The Statistics, Data Science, and Data Management (SDM) CoreP30MH043520 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI Claude Ann Mellins · 2003 to 2026
$48.2M
Reducing Unsafe Drinking in HIV Primary CareR01AA014323 · NIAAA · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI HASIN, DEBORAH S · 2005 to 2009
$2.9M
HealthCall: Brief Intervention to Reduce Drug Use in HIV Primary CareR01DA024606 · NIDA · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI AHARONOVICH, EFRAT · 2010 to 2014
$2.9M
Epidemiologic Studies of Alcohol Use Disorders (ongoing)K05AA014223 · NIAAA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI HASIN, DEBORAH S · 2003 to 2012
$1.5M
NIAAA NIH HHS K05 AA014223NIAAA NIH HHS K05AA014223NIAAA NIH HHS R01 AA014323NIAAA NIH HHS R01AA014323NIDA NIH HHS R01 DA024606NIMH NIH HHS P30 MH043520
6 · The paper itself

Abstract

aimsIn HIV-infected individuals, heavy drinking compromises survival. In HIV primary care, the efficacy of brief motivational interviewing (MI) to reduce drinking is unknown, alcohol-dependent patients may need greater intervention and resources are limited. Using interactive voice response (IVR) technology, HealthCall was designed to enhance MI via daily patient self-monitoring calls to an automated telephone system with personalized feedback. We tested the efficacy of MI-only and MI+HealthCall for drinking reduction among HIV primary care patients.

designParallel random assignment to control (n = 88), MI-only (n = 82) or MI+HealthCall (n = 88). Counselors provided advice/education (control) or MI (MI-only or MI+HealthCall) at baseline. At 30 and 60 days (end-of-treatment), counselors briefly discussed drinking with patients, using HealthCall graphs with MI+HealthCall patients.

settingLarge urban HIV primary care clinic.

participantsPatients consuming ≥4 drinks at least once in prior 30 days. MEASUREMENTS: Using time-line follow-back, primary outcome was number of drinks per drinking day, last 30 days.

findingsEnd-of-treatment number of drinks per drinking day (NumDD) means were 4.75, 3.94 and 3.58 in control, MI-only and MI+HealthCall, respectively (overall model χ(2) , d.f. = 9.11,2, P = 0.01). For contrasts of NumDD, P = 0.01 for MI+HealthCall versus control; P = 0.07 for MI-only versus control; and P = 0.24 for MI+HealthCall versus MI-only. Secondary analysis indicated no intervention effects on NumDD among non-alcohol-dependent patients. However, for contrasts of NumDD among alcohol-dependent patients, P < 0.01 for MI+HealthCall versus control; P = 0.09 for MI-only versus control; and P = 0.03 for MI+HealthCall versus MI-only. By 12-month follow-up, although NumDD remained lower among alcohol-dependent patients in MI+HealthCall than others, effects were no longer significant.

conclusionsFor alcohol-dependent HIV patients, enhancing MI with HealthCall may offer additional benefit, without extensive additional staff involvement.

Indexed as

AdultAlcohol DrinkingFemaleFollow-Up StudiesHIV InfectionsHumansMaleMiddle AgedMotivational InterviewingPrimary Health CarePsychotherapy, BriefTreatment Outcome

Identifiers

PMID23432593
PMCPMC3755729
OpenAlexW1933237424

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.