Evidence map›Paper›PMID 25264466›Full record

ArticleTranslational behavioral medicine2014

Introduction to SMART designs for the development of adaptive interventions: with application to weight loss research.

Daniel Almirall, Inbal Nahum-Shani, Nancy E Sherwood, Susan A Murphy

5 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Translational behavioral medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 256 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
256citing papers in PubMed, 10 pooled it
22.8field-weighted citation impact, top 1% 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.

NCT04706624 nacompletednot on this mapstarted 2021, after this paper: background citation

Screen, Treat and Retain Meth-using People With Opioid Use Disorders at Methadone Clinics

TypeinterventionalSponsorHanoi Medical UniversityRan2021 to 2025Enrolled667ConditionsMethamphetamine Abuse, Opioid-use Disorder, HIV SeropositivityArmsContingency management (12 weeks), Contingency management (6 weeks), SMS reminders, Matrix only, Matrix + Contingency management
NCT04901312 naunknown statusnot on this mapstarted 2021, after this paper: background citation

Identifying an Effective and Cost Beneficial Approach to Preventing OUD in Justice-Involved Youth

TypeinterventionalSponsorSeattle Children's HospitalRan2021 to 2024Enrolled215ConditionsSubstance Use Disorders, RecidivismArmsAdolescent Community Reinforcement Approach, Assertive Continuing Care, Trauma Affect Regulation Guide for Education and Therapy, Motivational Interviewing, Opioid Education Workbook
NCT05419232 nacompletednot on this mapstarted 2022, after this paper: background citation

RADx Up Safe Return to Schools: Strategies to Increase Vaccine Uptake

TypeinterventionalSponsorWashington University School of MedicineRan2022 to 2024Enrolled262ConditionsVaccination Refusal, COVID-19ArmsShort Message Service (SMS) + Website Link Strategy, Phone Call with Peer Strategy
NCT05877196 narecruitingnot on this mapstarted 2023, after this paper: background citation

Precision Medicine in Alzheimer's Disease: A SMART Trial of Adaptive Exercises and Their Mechanisms of Action Using AT(N) Biomarkers to Optimize Aerobic-Fitness Responses (The FIT-AD SMART Trial)

TypeinterventionalSponsorArizona State UniversityRan2023 to 2028Enrolled216ConditionsMild Cognitive Impairment, Alzheimer Disease, Cognitive Impairment, Cognitive DeclineArmsModerate Intensity Continuous Training (MICT), Chair-based Stretch, High-Intensity Interval Training (HIIT), Combined Aerobic Resistance Exercise (CARE)
NCT05916339 phase4recruitingnot on this mapstarted 2023, after this paper: background citation

Comparative Effectiveness of Pharmacologic Management of ADHD in Children and Youth With Autism Spectrum Disorder

TypeinterventionalSponsorDaniel CouryRan2023 to 2027Enrolled500ConditionsADHD, Autism Spectrum DisorderArmsRandomization to either Amphetamine (AMP) class of stimulant medication or Methylphenidate (MPH) class of stimulant medication, Randomization to either Alpha 2 agonist class of medication or alternate class of stimulant.
3 · Its place in the literature

Who cites it

256 citing papers in PubMed, 10 syntheses or guidelines pooled it, 441 citations in OpenAlex.

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  7. Understanding the Effects of Naturalistic Developmental Behavioral Interventions: A Project AIM Meta-analysis.Autism research : official journal of the International Society for Autism Research · 2021
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196 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

4 authors at 2 institutions in 1 country.

Daniel Almirall214NU Institute for Social Research, University of Michigan, 426 Thompson Street, Ann Arbor, MI 48104-2321 USA.
Inbal Nahum-Shani214NU Institute for Social Research, University of Michigan, 426 Thompson Street, Ann Arbor, MI 48104-2321 USA.
Nancy E SherwoodHealthPartners Institute for Education and Research, Minneapolis, USA.
Susan A MurphyDepartment of Statistics and Institute for Social Research, University of Michigan, Ann Arbor, USA.
University of Michigan–Ann Arbor · USHealthPartners · US

Funding

THE REFINEMENT &APPLICATION OF MEDICAL DECISION MAKING IN PREVENTION SCIENCESP50DA010075 · NIDA · PENNSYLVANIA STATE UNIVERSITY-UNIV PARK · PI LANZA, STEPHANIE T · 1996 to 2014
$24.5M
Obesity and Energy Metabolism CoreP30DK050456 · NIDDK · UNIVERSITY OF MINNESOTA TWIN CITIES · PI BERNLOHR, DAVID A · 1995 to 2015
$17.0M
TRAINING U54EB020404 · NIBIB · UNIVERSITY OF MEMPHIS · PI KUMAR, SANTOSH · 2014 to 2018
$11.3M
Translational Research Core - Health Engagement & Action Translational (HEAT)P30DK092924 · NIDDK · KAISER FOUNDATION RESEARCH INSTITUTE · PI Alyce Sophia Adams, HILARY Kessler SELIGMAN · 2011 to 2026
$9.2M
Instrumental Variable Methods for Longitudinal Discrete DataRC4MH092722 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI JOFFE, MARSHALL M · 2010 to 2010
$1.5M
Discovering Tailoring Variables in Childhood Mental Health Treatment ResearchR03MH097954 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ALMIRALL, DANIEL · 2012 to 2013
$166k
NIBIB NIH HHS U54 EB020404NIDA NIH HHS P50 DA010075NIDDK NIH HHS P30 DK050456NIDDK NIH HHS P30 DK092924NIMH NIH HHS R03 MH097954NIMH NIH HHS RC4 MH092722
6 · The paper itself

Abstract

The management of many health disorders often entails a sequential, individualized approach whereby treatment is adapted and readapted over time in response to the specific needs and evolving status of the individual. Adaptive interventions provide one way to operationalize the strategies (e.g., continue, augment, switch, step-down) leading to individualized sequences of treatment. Often, a wide variety of critical questions must be answered when developing a high-quality adaptive intervention. Yet, there is often insufficient empirical evidence or theoretical basis to address these questions. The Sequential Multiple Assignment Randomized Trial (SMART)-a type of research design-was developed explicitly for the purpose of building optimal adaptive interventions by providing answers to such questions. Despite increasing popularity, SMARTs remain relatively new to intervention scientists. This manuscript provides an introduction to adaptive interventions and SMARTs. We discuss SMART design considerations, including common primary and secondary aims. For illustration, we discuss the development of an adaptive intervention for optimizing weight loss among adult individuals who are overweight.

Indexed as

Adaptive treatment strategiesDynamic treatment regimens or regimesExperimental designIndividualized or personalized behavioral interventionsTiming and sequencing of intervention components

Identifiers

PMID25264466
PMCPMC4167891
OpenAlexW1986546901

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.