Evidence map›Paper›PMID 24760017›Full record

ArticlePloS one2014

Costs of a motivational enhancement therapy coupled with cognitive behavioral therapy versus brief advice for pregnant substance users.

Xiao Xu, Kimberly A Yonkers, Jennifer P Ruger

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.5field-weighted citation impact, top 14% 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

4 citing papers in PubMed, 61 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
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

3 authors at 1 institution in 1 country.

Xiao XuDepartment of Obstetrics, Gynecology and Reproductive Sciences, School of Medicine, Yale University, New Haven, Connecticut, United States of America.
Kimberly A YonkersDepartment of Psychiatry and Department of Obstetrics, Gynecology and Reproductive Sciences, Yale University, School of Medicine, Yale University, New Haven, Connecticut, United States of America.
Jennifer P RugerYale University, Department of Health Policy and Management, New Haven, CT Department of Public Health, School of Medicine, Yale University, New Haven, Connecticut, United States of America.
Yale University · US

Funding

Project START: Screening to Augment Referral to TreatmentR01DA027194 · NIDA · YALE UNIVERSITY · PI MARTINO, STEVE, YONKERS, KIMBERLY A · 2010 to 2014
$3.3M
Economic Evaluation of Drug Abuse Treatment and HIV Prevention Services for PregnR01DA025555 · NIDA · YALE UNIVERSITY · PI PRAH RUGER, JENNIFER · 2009 to 2012
$2.6M
Psychosocial Res. to Improve Drug Treatment in PregnancyR01DA019135 · NIDA · YALE UNIVERSITY · PI YONKERS, KIMBERLY A · 2004 to 2008
$2.4M
Progesterone for Postpartum Cocaine RelapseR21DA029914 · NIDA · YALE UNIVERSITY · PI SOFUOGLU, MEHMET, YONKERS, KIMBERLY A · 2010 to 2011
$448k
NIDA NIH HHS R01 DA019135NIDA NIH HHS R01DA019135NIDA NIH HHS R01 DA025555NIDA NIH HHS R01DA025555NIDA NIH HHS R01 DA027194NIDA NIH HHS R21 DA029914
6 · The paper itself

Abstract

objectivesTo determine and compare costs of a nurse-administered behavioral intervention for pregnant substance users that integrated motivational enhancement therapy with cognitive behavioral therapy (MET-CBT) to brief advice (BA) administered by an obstetrical provider. Both interventions were provided concurrent with prenatal care.

methodsWe conducted a micro-costing study that prospectively collected detailed resource utilization and unit cost data for each of the two intervention arms (MET-CBT and BA) within the context of a randomized controlled trial. A three-step approach for identifying, measuring and valuing resource utilization was used. All cost estimates were inflation adjusted to 2011 U.S. dollars.

resultsA total of 82 participants received the MET-CBT intervention and 86 participants received BA. From the societal perspective, the total cost (including participants' time cost) of the MET-CBT intervention was $120,483 or $1,469 per participant. In contrast, the total cost of the BA intervention was $27,199 or $316 per participant. Personnel costs (nurse therapists and obstetric providers) for delivering the intervention sessions and supervising the program composed the largest share of the MET-CBT intervention costs. Program set up costs, especially intervention material design and training costs, also contributed substantially to the overall cost.

conclusionsImplementation of an MET-CBT program to promote drug abstinence in pregnant women is associated with modest costs. Future cost effectiveness and cost benefit analyses integrating costs with outcomes and benefits data will enable a more comprehensive understanding of the intervention in improving the care of substance abusing pregnant women.

Indexed as

MotivationCognitive Behavioral TherapyCombined Modality TherapyCost-Benefit AnalysisDrug UsersFemaleHealth Care CostsHumansPregnancySubstance-Related Disorders

Identifiers

PMID24760017
PMCPMC3997437
OpenAlexW1996091376

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.