Evidence map›Paper›PMID 25913697›Full record

SynthesisAddiction (Abingdon, England)2015

Specialty substance use disorder services following brief alcohol intervention: a meta-analysis of randomized controlled trials.

Joseph E Glass, Ashley M Hamilton, Byron J Powell, Brian E Perron, Randall T Brown, Mark A Ilgen

Abstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Addiction (Abingdon, England), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 84 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
84citing papers in PubMed, 5 pooled it
–field-weighted citation impact
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

84 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Investigating for Whom Brief Substance Use Interventions Are Most Effective: An Individual Participant Data Meta-analysis.Prevention science : the official journal of the Society for Prevention Research · 2023
    Pooled it
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  5. Evidence Base on Outpatient Behavioral Treatments for Adolescent Substance Use, 2014-2017: Outcomes, Treatment Delivery, and Promising Horizons.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Pooled it
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24 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Joseph E GlassSchool of Social Work, University of Wisconsin-Madison, Madison, WI, USA.
Ashley M HamiltonChrysalis, Inc., Madison, WI, USA.
Byron J PowellDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Brian E PerronSchool of Social Work, University of Michigan, Ann Arbor, MI, USA.
Randall T BrownDepartment of Family Medicine, School of Medicine and Public Health, University of Wisconsin-Madison, Madison, WI, USA.
Mark A IlgenVA Center for Clinical Management Research (CCMR), VA Ann Arbor Healthcare System and the Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, USA.

Funding

A Multiple Case Study of Implementation as Usual in Children's Mental HealthF31MH098478 · NIMH · WASHINGTON UNIVERSITY · PI POWELL, BYRON JAMES · 2012 to 2013
$54k
Perceived alcohol stigma and treatment for alcohol use disordersF31AA021034 · NIAAA · WASHINGTON UNIVERSITY · PI GLASS, JOSEPH EDWIN · 2011 to 2011
$30k
NIAAA NIH HHS F31 AA021034NIMH NIH HHS F31 MH098478
6 · The paper itself

Abstract

BACKGROUND AND

aimsBrief alcohol interventions in medical settings are efficacious in improving self-reported alcohol consumption among those with low-severity alcohol problems. Screening, Brief Intervention and Referral to Treatment initiatives presume that brief interventions are efficacious in linking patients to higher levels of care, but pertinent evidence has not been evaluated. We estimated main and subgroup effects of brief alcohol interventions, regardless of their inclusion of a referral-specific component, in increasing the utilization of alcohol-related care.

methodsA systematic review of English language papers published in electronic databases to 2013. We included randomized controlled trials (RCTs) of brief alcohol interventions in general health-care settings with adult and adolescent samples. We excluded studies that lacked alcohol services utilization data. Extractions of study characteristics and outcomes were standardized and conducted independently. The primary outcome was post-treatment alcohol services utilization assessed by self-report or administrative data, which we compared across intervention and control groups.

resultsThirteen RCTs met inclusion criteria and nine were meta-analyzed (n = 993 and n = 937 intervention and control group participants, respectively). In our main analyses the pooled risk ratio (RR) was = 1.08, 95% confidence interval (CI) = 0.92-1.28. Five studies compared referral-specific interventions with a control condition without such interventions (pooled RR = 1.08, 95% CI = 0.81-1.43). Other subgroup analyses of studies with common characteristics (e.g. age, setting, severity, risk of bias) yielded non-statistically significant results.

conclusionsThere is a lack of evidence that brief alcohol interventions have any efficacy for increasing the receipt of alcohol-related services.

Indexed as

Randomized Controlled Trials as TopicAlcohol-Related DisordersCounselingHumansReferral and ConsultationSubstance-Related DisordersAlcoholbrief interventionmeta-analysisreferral to treatmenttreatment initiationtreatment utilization

Identifiers

PMID25913697
PMCPMC4753046

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.