Evidence map›Paper›PMID 26116368›Full record

ArticleDrug and alcohol dependence2015

The effects of continuing care on emerging adult outcomes following residential addiction treatment.

Brandon G Bergman, Bettina B Hoeppner, Lindsay M Nelson, Valerie Slaymaker, John F Kelly

Abstract read
In one paragraph

Article in Drug and alcohol dependence, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  13. Brief online interventions targeting risk and protective factors for increased and problematic alcohol use among American college students studying abroad.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2017
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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

5 authors.

Brandon G BergmanMassachusetts General Hospital, Boston, MA, United States; Harvard Medical School, Boston, MA, United States. Electronic address: bgbergman@mgh.harvard.edu.
Bettina B HoeppnerMassachusetts General Hospital, Boston, MA, United States; Harvard Medical School, Boston, MA, United States.
Lindsay M NelsonHazelden Betty Ford Foundation's Butler Center for Research, Center City, MN, United States.
Valerie SlaymakerHazelden Betty Ford Foundation's Butler Center for Research, Center City, MN, United States.
John F KellyMassachusetts General Hospital, Boston, MA, United States; Harvard Medical School, Boston, MA, United States.

Funding

Dynamic Processes of Smoking CessationK01DA027097 · NIDA · MASSACHUSETTS GENERAL HOSPITAL · PI HOEPPNER, BETTINA B. · 2010 to 2014
$834k
MECHANISMS AND MODERATORS OF CHANGE AMONG YOUTH TREATED FOR ALCOHOL USE DISORDERSR21AA018185 · NIAAA · MASSACHUSETTS GENERAL HOSPITAL · PI KELLY, JOHN F. · 2010 to 2011
$481k
NIAAA NIH HHS 1R21AA018185-01A2NIAAA NIH HHS R21 AA018185NIDA NIH HHS K01 DA027097NIDA NIH HHS K01DA027097
6 · The paper itself

Abstract

backgroundProfessional continuing care services enhance recovery rates among adults and adolescents, though less is known about emerging adults (18-25 years old). Despite benefit shown from emerging adults' participation in 12-step mutual-help organizations (MHOs), it is unclear whether participation offers benefit independent of professional continuing care services. Greater knowledge in this area would inform clinical referral and linkage efforts.

methodsEmerging adults (N=284; 74% male; 95% Caucasian) were assessed during the year after residential treatment on outpatient sessions per week, percent days in residential treatment and residing in a sober living environment, substance use disorder (SUD) medication use, active 12-step MHO involvement (e.g., having a sponsor, completing step work, contact with members outside meetings), and continuous abstinence (dichotomized yes/no). One generalized estimating equation (GEE) model tested the unique effect of each professional service on abstinence, and, in a separate GEE model, the unique effect of 12-step MHO involvement on abstinence over and above professional services, independent of individual covariates.

resultsApart from SUD medication, all professional continuing care services were significantly associated with abstinence over and above individual factors. In the more comprehensive model, relative to zero 12-step MHO activities, odds of abstinence were 1.3 times greater if patients were involved in one activity, and 3.2 times greater if involved in five activities (lowest mean number of activities in the sample across all follow-ups).

conclusionsBoth active involvement in 12-step MHOs and recovery-supportive, professional services that link patients with these community-based resources may enhance outcomes for emerging adults after residential treatment.

Indexed as

Residential TreatmentSelf-Help GroupsAdolescentBehavior, AddictiveCommunity Mental Health ServicesFemaleFollow-Up StudiesHumansMaleModels, StatisticalPatient Acceptance of Health CareSubstance-Related DisordersTreatment OutcomeYoung Adult12-Step mutual-help organizationsContinuing careEmerging adulthoodSubstance use disorders

Identifiers

PMID26116368
PMCPMC4510025

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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.