Evidence map›Paper›PMID 24520906›Full record

Trial reportAddiction (Abingdon, England)2014

Computerized versus in-person brief intervention for drug misuse: a randomized clinical trial.

Robert P Schwartz, Jan Gryczynski, Shannon Gwin Mitchell, Arturo Gonzales, Ana Moseley, Thomas R Peterson, Steven J Ondersma, Kevin E O'Grady

Open access · greenAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Addiction (Abingdon, England), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 7 pooled it
6.6field-weighted citation impact, top 3% 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

36 citing papers in PubMed, 7 syntheses or guidelines pooled it, 68 citations in OpenAlex.

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  6. Psychosocial interventions for cannabis use disorder.The Cochrane database of systematic reviews · 2016
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Robert P SchwartzFriends Research Institute, Baltimore, MD, USA.
Jan Gryczynski
Shannon Gwin Mitchell
Arturo Gonzales
Ana Moseley
Thomas R Peterson
Steven J Ondersma
Kevin E O'Grady
Community Health Partnership · USFriends Research Institute · USUniversity of Maryland, College Park · USWayne State University · US

Funding

SBIRT in New MexicoR01DA026003 · NIDA · FRIENDS RESEARCH INSTITUTE, INC. · PI SCHWARTZ, ROBERT P · 2009 to 2013
$2.5M
TREATMENT OF COCAINE-INDUCED 5-HT DYSFUNCTIONR01DA013669 · NIDA · LOYOLA UNIVERSITY CHICAGO · PI BATTAGLIA, GEORGE · 2001 to 2005
$1.6M
NIDA NIH HHS 1R01DA026003NIDA NIH HHS R01 DA013669NIDA NIH HHS R01 DA026003
6 · The paper itself

Abstract

BACKGROUND AND

aimsSeveral studies have found that brief interventions (BIs) for drug misuse have superior effectiveness to no-treatment controls. However, many health centers do not provide BIs for drug use consistently due to insufficient behavioral health staff capacity. Computerized BIs for drug use are a promising approach, but their effectiveness compared with in-person BIs has not been established. This study compared the effectiveness of a computerized brief intervention (CBI) to an in-person brief intervention (IBI) delivered by a behavioral health counselor.

methodsTwo-arm randomized clinical trial, conducted in two health centers in New Mexico, United States. Participants were 360 adult primary care patients with moderate-risk drug scores on the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) who were randomly assigned on a 1 : 1 basis to a computerized brief intervention (CBI) or to an in-person brief intervention (IBI) delivered by a behavioral health counselor. Assessments were conducted at baseline and 3-month follow-up, and included the ASSIST and drug testing on hair samples.

resultsThe IBI and CBI conditions did not differ at 3 months on global ASSIST drug scores [b = -1.79; 95% confidence interval (CI) = -4.37, 0.80] or drug-positive hair tests [odds ratio (OR) = 0.97; 95% CI = 0.47, 2.02]. There was a statistically significant advantage of CBI over IBI in substance-specific ASSIST scores for marijuana (b = -1.73; 95% CI = -2.91, -0.55; Cohen's d = 0.26; P = 0.004) and cocaine (b = -4.48; 95% CI = -8.26, -0.71; Cohen's d = 0.50; P = 0.021) at 3 months.

conclusionsComputerized brief intervention can be an effective alternative to in-person brief intervention for addressing moderate drug use in primary care.

Indexed as

Surveys and QuestionnairesAdolescentAdultAgedAged, 80 and overComputersCounselingFemaleFollow-Up StudiesHumansMaleMiddle AgedNew MexicoOdds RatioPrimary Health CareSubstance-Related DisordersBehavioral health counselorbrief interventioncomputer technologyprimary carerandomized clinical trialSBIRTsubstance abuse

Identifiers

PMID24520906
PMCPMC4086904
OpenAlexW1541396632

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.