Evidence map›Paper›PMID 23875821›Full record

Trial reportJournal of consulting and clinical psychology2013

Web intervention for OEF/OIF veterans with problem drinking and PTSD symptoms: a randomized clinical trial.

Deborah J Brief, Amy Rubin, Terence M Keane, Justin L Enggasser, Monica Roy, Eric Helmuth, John Hermos, Mark Lachowicz, Denis Rybin, David Rosenbloom

Open access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of consulting and clinical psychology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 10 pooled it
11.3field-weighted citation impact, top 1% 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

64 citing papers in PubMed, 10 syntheses or guidelines pooled it, 129 citations in OpenAlex.

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  8. Behavior Change Techniques Used in Digital Behavior Change Interventions to Reduce Excessive Alcohol Consumption: A Meta-regression.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2018
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4 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 3 institutions in 1 country.

Deborah J BriefBehavioral Science Division, National Center for PTSD.
Amy RubinBehavioral Science Division, National Center for PTSD.
Terence M KeaneBehavioral Science Division, National Center for PTSD.
Justin L EnggasserVA Boston Healthcare System.
Monica RoyVA Boston Healthcare System.
Eric HelmuthDepartment of Health Policy and Management, Boston University School of Public Health.
John HermosVA Boston Healthcare System.
Mark LachowiczBehavioral Science Division, National Center for PTSD.
Denis RybinDepartment of Biostatistics, Boston University School of Public Health.ORCID 0000-0002-3657-4829
David RosenbloomDepartment of Health Policy and Management, Boston University School of Public Health.ORCID 0000-0001-5161-2638
National Center for PTSD · USBoston University · USVA Boston Healthcare System · US

Funding

Postdoctoral Training Program in Stress and TraumaT32MH019836 · NIMH · TUFTS UNIVERSITY BOSTON · PI DENISE M. SLOAN · 1996 to 2026
$4.7M
Web-based Behavioral Intervention for Returning Veterans with Risky Alcohol UseRC1AA019248 · NIAAA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI KEANE, TERENCE M · 2009 to 2010
$909k
NIAAA NIH HHS RC1 AA019248NIMH NIH HHS T32 MH019836
6 · The paper itself

Abstract

objectiveVeterans who served in Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) commonly experience alcohol misuse and symptoms of posttraumatic stress disorder (PTSD) following their return from deployment to a war zone. We conducted a randomized clinical trial to evaluate the efficacy of a newly developed, 8-module, self-management web intervention (VetChange) based on motivational and cognitive-behavioral principles to reduce alcohol consumption, alcohol-related problems, and PTSD symptoms in returning combat veterans.

methodSix hundred participants, recruited through targeted Facebook ads, were randomized to either an Initial Intervention Group (IIG; n = 404) or a Delayed Intervention Group (DIG; n = 196) that waited 8 weeks for access to VetChange. Primary outcome measures were Drinks per Drinking Day, Average Weekly Drinks, Percent Heavy Drinking Days, and PTSD symptoms. Intent-to-treat analyses compared changes in outcome measures over time between IIG and DIG as well as within-group changes.

resultsIIG participants demonstrated greater reductions in drinking (p < .001 for each measure) and PTSD symptoms (p = .009) between baseline and end-of-intervention than did DIG participants between baseline and the end of the waiting period. DIG participants showed similar improvements to those in IIG following participation in VetChange. Alcohol problems were also reduced within each group between baseline and 3-month follow-up.

conclusionsResults indicate that VetChange is effective in reducing drinking and PTSD symptoms in OIF/OEF veterans. Further studies of VetChange are needed to assess web-based recruitment and retention methods and to determine VetChange's effectiveness in demographic and clinical sub-populations of returning veterans.

Indexed as

AdultAfghan Campaign 2001-Alcohol DrinkingAlcoholismCognitive Behavioral TherapyComorbidityFemaleFollow-Up StudiesHumansInternetIraq War, 2003-2011MaleMiddle AgedMotivationStress Disorders, Post-TraumaticTime Factors

Identifiers

PMID23875821
PMCPMC9169869
OpenAlexW2088572302

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.