Trial reportAddiction science & clinical practice2014
Randomized clinical trial of the effects of screening and brief intervention for illicit drug use: the Life Shift/Shift Gears study.
Trial report in Addiction science & clinical practice, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01683227 (Screening and Brief Intervention for Latino and Non-Latino White Drug Users), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled 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.
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.
Screening and Brief Intervention for Latino and Non-Latino White Drug Users
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Efficacy of Brief Intervention for Unhealthy Drug Use in Outpatient Medical Care: a Systematic Review and Meta-analysis.Journal of general internal medicine · 2022Pooled it
- Therapist and computer-based brief interventions for drug use within a randomized controlled trial: effects on parallel trajectories of alcohol use, cannabis use and anxiety symptoms.Addiction (Abingdon, England) · 2020Trial
- Cost-effectiveness of electronic- and clinician-delivered screening, brief intervention and referral to treatment for women in reproductive health centers.Addiction (Abingdon, England) · 2019Trial
- Sexual HIV risk behavior outcomes of brief interventions for drug use in an inner-city emergency department: Secondary outcomes from a randomized controlled trial.Drug and alcohol dependence · 2018Trial
- Impact of a brief intervention on reducing alcohol use and increasing alcohol treatment services utilization among alcohol- and drug-using adult emergency department patients.Alcohol (Fayetteville, N.Y.) · 2017Trial
- A randomized study of the use of screening, brief intervention, and referral to treatment (SBIRT) for drug and alcohol use with jail inmates.Journal of substance abuse treatment · 2017Trial
- Readiness to change is a predictor of reduced substance use involvement: findings from a randomized controlled trial of patients attending South African emergency departments.BMC psychiatry · 2016Trial
- Evaluation of a brief intervention to reduce the negative consequences of drug misuse among adult emergency department patients.Drug and alcohol dependence · 2015Trial
- Short-term Efficacy of a Brief Intervention to Reduce Drug Misuse and Increase Drug Treatment Utilization Among Adult Emergency Department Patients.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2015Trial
- Screening and brief intervention for drug use in primary care: the ASPIRE randomized clinical trial.JAMA · 2014Trial
- Health-related material needs and substance use among emergency department patients.Substance abuse · 2020Article
- The Acceptability and Feasibility of Screening for Alcohol and Drug Misuse in a Hospital Emergency Department.Addictive disorders & their treatment · 2017Article
- Commentary on Blow et al. (2017): Leveraging technology may boost the effectiveness and adoption of interventions for drug use in emergency departments.Addiction (Abingdon, England) · 2017Article
- Marijuana use trajectories among drug-using youth presenting to an urban emergency department: Violence and social influences.Drug and alcohol dependence · 2017Article
- Effect of a brief intervention for alcohol and illicit drug use on trauma recidivism in a cohort of trauma patients.PloS one · 2017Article
- Variations in Substance Use Prevalence Estimates and Need for Interventions among Adult Emergency Department Patients Based on Different Screening Strategies Using the ASSIST.The western journal of emergency medicine · 2016Article
- A research agenda for gender and substance use disorders in the emergency department.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2014Article
- Screening and brief intervention for unhealthy drug use: little or no efficacy.Frontiers in psychiatry · 2014Review
- Characteristics of Cannabis-Only and Other Drug Users Who Visit the Emergency Department.Cannabis and cannabinoid researchArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 6 institutions in 2 countries.
Funding
Abstract
backgroundAlthough screening, brief intervention, and referral to treatment (SBIRT) has shown promise for alcohol use, relatively little is known about its effectiveness for adult illicit drug use. This randomized controlled trial assessed the effectiveness of the SBIRT approach for outcomes related to drug use among patients visiting trauma and emergency departments (EDs) at two large, urban hospitals.
methodsA total of 700 ED patients who admitted using illegal drugs in the past 30 days were recruited, consented, provided baseline measures of substance use and related problems measured with the Addiction Severity Index-Lite (ASI-Lite), and then randomized to the Life Shift SBIRT intervention or to an attention-placebo control group focusing on driving and traffic safety (Shift Gears). Both groups received a level of motivational intervention matched to their condition and risk level by trained paraprofessional health educators. Separate measurement technicians conducted face-to-face follow-ups at 6 months post-intervention and collected hair samples to confirm reports of abstinence from drug use. The primary outcome measure of the study was past 30-day drug abstinence at 6 months post-intervention, as self-reported on the ASI-Lite.
resultsOf 700 participants, 292 (42%) completed follow-up. There were no significant differences in self-reported abstinence (12.5% vs. 12.0% , p = 0.88) for Life Shift and Shift Gears groups, respectively. When results of hair analyses were applied, the abstinence rate was 7 percent for Life Shift and 2 percent for Shift Gears (p = .074). In an analysis in which results were imputed (n = 694), there was no significant difference in the ASI-Lite drug use composite scores (Life Shift +0.005 vs. Shift Gears +0.017, p = 0.12).
conclusionsIn this randomized controlled trial, there was no evidence of effectiveness of SBIRT on the primary drug use outcome.
trial registrationClinicalTrials.gov NCT01683227.
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Identifiers
What OpenQuestion holds
Registered trials
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.