Evidence map›Paper›PMID 23961833›Full record

Trial reportAddiction (Abingdon, England)2013

Cost-effectiveness analysis of Recovery Management Checkups (RMC) for adults with chronic substance use disorders: evidence from a 4-year randomized trial.

Kathryn E McCollister, Michael T French, Derek M Freitas, Michael L Dennis, Christy K Scott, Rodney R Funk

Abstract 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. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Evidence Base on Outpatient Behavioral Treatments for Adolescent Substance Use, Update 2018-2023: Current Status, Best Practices, and Opportunities for Advancing the Science.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Pooled it
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  5. Ridesharing and substance use disorder treatment.Journal of health economics · 2025
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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

6 authors.

Kathryn E McCollisterDepartment of Public Health Sciences, Miller School of Medicine, University of Miami, Miami, FL, USA.
Michael T French
Derek M Freitas
Michael L Dennis
Christy K Scott
Rodney R Funk

Funding

Early Re-Intervention Experiment2(ERI-2)R37DA011323 · NIDA · CHESTNUT HEALTH SYSTEMS, INC. · PI DENNIS, MICHAEL L. · 2003 to 2012
$8.4M
Smartphone Addiction Recovery Coach for Young Adults (SARC-YA) ExperimentR01DA011323 · NIDA · CHESTNUT HEALTH SYSTEMS, INC. · PI MICHAEL L. DENNIS, ASHLI J SHEIDOW · 1999 to 2026
$5.5M
Recovery Management Checkups for Women Offenders (RMC-WO) ExperimentR01DA021174 · NIDA · CHESTNUT HEALTH SYSTEMS, INC. · PI SCOTT, CHRISTY K · 2007 to 2011
$4.1M
Economic Evaluation of Recovery Management Checkups for Women Offenders (RMC-WO)R01DA031785 · NIDA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI MCCOLLISTER, KATHRYN E · 2011 to 2013
$1.1M
NIDA NIH HHS R01 DA011323NIDA NIH HHS R01 DA021174NIDA NIH HHS R01 DA031785NIDA NIH HHS R37 DA011323
6 · The paper itself

Abstract

aimsThis study performs the first cost-effectiveness analysis (CEA) of Recovery Management Checkups (RMC) for adults with chronic substance use disorders.

designCost-effectiveness analysis of a randomized clinical trial of RMC. Participants were assigned randomly to a control condition of outcome monitoring (OM-only) or the experimental condition OM-plus-RMC, with quarterly follow-up for 4 years.

settingParticipants were recruited from the largest central intake unit for substance abuse treatment in Chicago, Illinois, USA.

participantsA total of 446 participants who were 38 years old on average, 54% male, and predominantly African American (85%). MEASUREMENTS: Data on the quarterly cost per participant come from a previous study of OM and RMC intervention costs. Effectiveness is measured as the number of days of abstinence and number of substance use-related problems.

findingsOver the 4-year trial, OM-plus-RMC cost on average $2184 more than OM-only (P < 0.01). Participants in OM-plus-RMC averaged 1026 days abstinent and had 89 substance use-related problems. OM-only averaged 932 days abstinent and reported 126 substance use-related problems. Mean differences for both effectiveness measures were statistically significant (P < 0.01). The incremental cost-effectiveness ratio for OM-plus-RMC was $23.38 per day abstinent and $59.51 per reduced substance-related problem. When additional costs to society were factored into the analysis, OM-plus-RMC was less costly and more effective than OM-only.

conclusionsRecovery Management Checkups are a cost-effective and potentially cost-saving strategy for promoting abstinence and reducing substance use-related problems among chronic substance users.

Indexed as

AdultBlack or African AmericanChicagoChronic DiseaseCost-Benefit AnalysisCost of IllnessFemaleHumansLong-Term CareMaleSubstance-Related DisordersChronic substance use disordercost-effectiveness analysiseconomic evaluationRecovery Management Checkups

Identifiers

PMID23961833
PMCPMC3834076

What OpenQuestion holds

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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.