Evidence map›Paper›PMID 25090043›Full record

Trial reportJournal of consulting and clinical psychology2014

Adding an Internet-delivered treatment to an efficacious treatment package for opioid dependence.

Darren R Christensen, Reid D Landes, Lisa Jackson, Lisa A Marsch, Michael J Mancino, Mohit P Chopra, Warren K Bickel

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of consulting and clinical psychology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 79 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 8 pooled it
3.0field-weighted citation impact, top 9% 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

79 citing papers in PubMed, 8 syntheses or guidelines pooled it, 159 citations in OpenAlex.

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19 more citing papers are in PubMed but not listed here.

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

7 authors at 3 institutions in 2 countries.

Darren R ChristensenFaculty of Health Sciences, University of Lethbridge.
Reid D LandesDepartment of Biostatistics.
Lisa JacksonDepartment of Biostatistics.
Lisa A MarschDepartment of Psychiatry, Dartmouth Psychiatric Research Center.
Michael J MancinoDepartment of Psychiatry, University of Arkansas for Medical Sciences.
Mohit P ChopraDepartment of Psychiatry, Boston University School of Medicine.
Warren K BickelAddiction Recovery Research Center.
University of Arkansas for Medical Sciences · USUniversity of Lethbridge · CAUniversity School · US

Funding

Treatment Development & Evaluation CoreP30DA029926 · NIDA · DARTMOUTH COLLEGE · PI Lisa A. Marsch · 2011 to 2026
$21.5M
Arkansas Center for Clinical and Translational ResearchUL1TR000039 · NCATS · UNIV OF ARKANSAS FOR MED SCIS · PI BECK, CORNELIA MARIE, JAMES, LAURA P · 2012 to 2014
$10.0M
IMPROVING COMBINED BUPRENORPHINE-BEHAVIORAL TREATMENTR01DA012997 · NIDA · UNIV OF ARKANSAS FOR MED SCIS · PI BICKEL, WARREN K · 2000 to 2009
$8.9M
Telemedicine CoreP30GM110702 · NIGMS · UNIV OF ARKANSAS FOR MED SCIS · PI GARCIA-RILL, EDGAR E. · 2014 to 2018
$6.1M
NCATS NIH HHS UL1TR000039NIDA NIH HHS P30 DA029926NIDA NIH HHS R01 DA012997NIDA NIH HHS R01 DA12997NIGMS NIH HHS P30 GM110702
6 · The paper itself

Abstract

objectiveTo examine the benefit of adding an Internet-delivered behavior therapy to a buprenorphine medication program and voucher-based motivational incentives.

methodA block-randomized, unblinded, parallel, 12-week treatment trial was conducted with 170 opioid-dependent adult patients (mean age = 34.3 years; 54.1% male; 95.3% White). Participants received an Internet-based community reinforcement approach intervention plus contingency management (CRA+) and buprenorphine or contingency management alone (CM-alone) plus buprenorphine. The primary outcomes, measured over the course of treatment, were longest continuous abstinence, total abstinence, and days retained in treatment.

resultsCompared to those receiving CM-alone, CRA+ recipients exhibited, on average, 9.7 total days more of abstinence (95% confidence interval [CI = 2.3, 17.2]) and had a reduced hazard of dropping out of treatment (hazard ratio = 0.47; 95% CI [0.26, 0.85]). Prior treatment for opioid dependence significantly moderated the additional improvement of CRA+ for longest continuous days of abstinence.

conclusionsThese results provide further evidence that an Internet-based CRA+ treatment is efficacious and adds clinical benefits to a contingency management/medication based program for opioid dependence.

Indexed as

InternetMotivationOpiate Substitution TreatmentReinforcement, PsychologyAdultAgedAnalgesics, OpioidBuprenorphineCognitive Behavioral TherapyCombined Modality TherapyFemaleHumansMaleMiddle AgedNarcotic AntagonistsOpioid-Related DisordersAnalgesics, OpioidBuprenorphineNarcotic Antagonists

Identifiers

PMID25090043
PMCPMC4244262
OpenAlexW1985718825

What OpenQuestion holds

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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.