Evidence map›Paper›PMID 23948537›Full record

Trial reportJournal of studies on alcohol and drugs2013

Treatment may influence self-report and jeopardize our understanding of outcome.

Ted Nirenberg, Richard Longabaugh, Janette Baird, Michael J Mello

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of studies on alcohol and drugs, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Interventions for female drug-using offenders.The Cochrane database of systematic reviews · 2019
    Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Review
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

4 authors.

Ted NirenbergDepartment of Emergency Medicine, Alpert Medical School, Brown University, Providence, Rhode Island, USA tnirenberg@lifespan.org
Richard Longabaugh
Janette Baird
Michael J Mello

Funding

Reducing Driving Offenses of Adolescent DrinkersR01AA015708 · NIAAA · RHODE ISLAND HOSPITAL · PI NIRENBERG, TED D · 2007 to 2011
$2.5M
NIAAA NIH HHS 1R01AA15708-01A2NIAAA NIH HHS R01 AA015708PHS HHS 3RAA15708-03S1
6 · The paper itself

Abstract

objectiveStandardized measures of self-reported alcohol use are the predominant method by which change in alcohol use following interventions is evaluated. This study examined whether the invariance of the test-retest pretreatment Alcohol Use Disorders Identification Test (AUDIT) was affected by the treatment experience. In this study, the intervening exposure was to motivational interviewing (MI) versus community service (CS), the treatment-as-usual control group.

methodAnalyses were conducted on a subsample of court-referred 16- to 21-year-olds recruited into a randomized controlled trial examining the effects of MI on alcohol use and police charges for risky driving and/or drinking. Youths were randomized to CS or MI. A subsample of 478 participants, who at baseline completed the AUDIT in reference to alcohol use for the 6 months before their conviction, later repeated the AUDIT at treatment completion, in reference to the same 6-month baseline period.

resultsAt completion of treatment, participants receiving CS had a significant decrease in baseline AUDIT scores, whereas those in MI reported no significant change. The difference between the two groups was significant (p = .02). Also, of those who reported no drinking before treatment, after receiving MI, 33.5% changed their response and acknowledged pretreatment drinking, compared with only 8.3% in CS.

conclusionsThese results suggest that treatment received may differentially affect a standardized measure of self-reported risky drinking. This effect may be attributable to the treatment experience and/or the experience of the control group. Possible explanations for the effect are explored, including more honesty because of a trusting therapeutic alliance and a response shift bias. Differential change in self-report might affect treatment outcome assessment. Depending on the treatment contrasts, research that relies on pre- to post-treatment changes in self-report may be underestimating treatment effects.

Indexed as

Self ReportAdolescentAlcohol DrinkingAlcohol-Related DisordersAutomobile DrivingBiasFemaleHumansMaleMandatory ProgramsMotivational InterviewingProfessional-Patient RelationsRisk-TakingTreatment OutcomeTruth DisclosureYoung Adult

Identifiers

PMID23948537
PMCPMC3749320

What OpenQuestion holds

Textmetadata
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.