Evidence map›Paper›PMID 24200104›Full record

SynthesisDrug and alcohol dependence2014

Changes in quality of life (WHOQOL-BREF) and addiction severity index (ASI) among participants in opioid substitution treatment (OST) in low and middle income countries: an international systematic review.

Jonathan P Feelemyer, Don C Des Jarlais, Kamyar Arasteh, Benjamin W Phillips, Holly Hagan

Abstract readSystematic Review
In one paragraph

Synthesis in Drug and alcohol dependence, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 4 pooled it
5.2field-weighted citation impact, top 5% 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

53 citing papers in PubMed, 4 syntheses or guidelines pooled it, 113 citations in OpenAlex.

  1. Pooled it
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  4. Measuring quality of life in opioid-dependent people: a systematic review of assessment instruments.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2017
    Pooled it
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  9. Article
  10. Examining quality of life by recovery status among college students with a history of substance use.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025
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  20. Health-related quality of life among people who inject drugs in Australia.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2023
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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

5 authors at 1 institution in 1 country.

Jonathan P FeelemyerThe Baron Edmond de Rothschild Chemical Dependency Institute, Beth Israel Medical Center, New York City, USA. Electronic address: jfeelemyer@chpnet.org.
Don C Des JarlaisThe Baron Edmond de Rothschild Chemical Dependency Institute, Beth Israel Medical Center, New York City, USA. Electronic address: ddesjarlais@chpnet.org.
Kamyar ArastehThe Baron Edmond de Rothschild Chemical Dependency Institute, Beth Israel Medical Center, New York City, USA. Electronic address: karasteh@chpnet.org.
Benjamin W PhillipsThe Baron Edmond de Rothschild Chemical Dependency Institute, Beth Israel Medical Center, New York City, USA. Electronic address: benjiwphillips@gmail.com.
Holly HaganNYU College of Nursing, New York University, New York City, USA. Electronic address: hh50@nyu.edu.
Mount Sinai Beth Israel · US

Funding

Multiple HIV Prevention Packages for IDUs in EstoniaR01AI083035 · NIAID · BETH ISRAEL MEDICAL CTR (NEW YORK) · PI DES JARLAIS, DON C · 2009 to 2012
$2.5M
NIAID NIH HHS R01 AI083035
6 · The paper itself

Abstract

backgroundOpioid substitution treatment (OST) can increase quality of life (WHOQOL-BREF) and reduce addiction severity index (ASI) scores among participants over time. OST program participants have noted that improvement in quality of life is one of the most important variables to their reduction in drug use. However, there is little systematic understanding of WHOQOL-BREF and ASI domain changes among OST participants in low and middle-income countries (LMIC).

methodsUtilizing PRISMA guidelines we conducted a systematic literature search to identify OST program studies documenting changes in WHOQOL-BREF or ASI domains for participants in buprenorphine or methadone programs in LMIC. Standardized mean differences for baseline and follow-up domain scores were compared along with relationships between domain scores, OST dosage, and length of follow-up.

resultsThere were 13 OST program studies with 1801 participants from five countries eligible for inclusion in the review. Overall, statistically significant changes were noted in all four WHOQOL-BREF domain and four of the seven ASI domain scores (drug, psychological, legal, and family) documented in studies. Dosage of pharmacologic medication and length of follow-up did not affect changes in domain scores.

conclusionWHOQOL-BREF and ASI domain scoring is a useful tool in measuring overall quality of life and levels of addiction among OST participants. Coupled with measurements of blood-borne infection, drug use, relapse, and overdose, WHOQOL-BREF and ASI represent equally important tools for evaluating the effects of OST over time and should be further developed as integrated tools in the evaluation of participants in LMIC.

Indexed as

InternationalityQuality of LifeSeverity of Illness IndexBehavior, AddictiveHumansOpiate Substitution TreatmentOpioid-Related DisordersPovertyProspective StudiesAddiction severity indexLow and middle income countriesOpioid dependenceOpioid substitution treatment (OST)People who inject drugsQuality of life (WHOQOL-BREF)

Identifiers

PMID24200104
PMCPMC3880839
OpenAlexW1968776785

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.