Evidence map›Paper›PMID 26256469›Full record

ArticleAddictive behaviors2015

Bridging waitlist delays with interim buprenorphine treatment: initial feasibility.

Stacey C Sigmon, Andrew C Meyer, Bryce Hruska, Taylor Ochalek, Gail Rose, Gary J Badger, John R Brooklyn, Sarah H Heil, Stephen T Higgins, Brent A Moore and 1 more

Abstract read
In one paragraph

Article in Addictive behaviors, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 5% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Routes of non-traditional entry into buprenorphine treatment programs.Substance abuse treatment, prevention, and policy · 2020
    Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Interim Buprenorphine vs. Waiting List for Opioid Dependence.The New England journal of medicine · 2016
    Trial
  6. Article
  7. Article
  8. Article
  9. Article
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  11. Article
  12. Review
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  14. Article
  15. Development of a Cascade of Care for responding to the opioid epidemic.The American journal of drug and alcohol abuse · 2019
    Article
  16. Review
  17. Estimating State Transitions for Opioid Use Disorders.Medical decision making : an international journal of the Society for Medical Decision Making · 2017
    Article
  18. Review
  19. Article
  20. Article
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

11 authors at 3 institutions in 1 country.

Stacey C SigmonDepartment of Psychiatry, University of Vermont, Burlington, VT, United States; Department of Psychology, University of Vermont, Burlington, VT, United States. Electronic address: stacey.sigmon@uvm.edu.
Andrew C MeyerDepartment of Psychiatry, University of Vermont, Burlington, VT, United States.
Bryce HruskaDepartment of Psychiatry, University of Vermont, Burlington, VT, United States.
Taylor OchalekDepartment of Psychology, University of Vermont, Burlington, VT, United States.
Gail RoseDepartment of Psychiatry, University of Vermont, Burlington, VT, United States.
Gary J BadgerDepartment of Biometry, University of Vermont, Burlington, VT, United States.
John R BrooklynDepartment of Psychiatry, University of Vermont, Burlington, VT, United States.
Sarah H HeilDepartment of Psychiatry, University of Vermont, Burlington, VT, United States; Department of Psychology, University of Vermont, Burlington, VT, United States.
Stephen T HigginsDepartment of Psychiatry, University of Vermont, Burlington, VT, United States; Department of Psychology, University of Vermont, Burlington, VT, United States.
Brent A MooreDepartment of Psychiatry, Yale University School of Medicine, New Haven, CT, United States.
Robert P SchwartzFriends Research Institute, Baltimore, MD, United States.
University of Vermont · USFriends Research Institute · USYale University · US

Funding

Vermont Center on Behavior and HealthP20GM103644 · NIGMS · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI KHADANGA, SHERRIE · 2013 to 2022
$21.3M
TRAINING IN BEHAV. PHARMACOLOGY OF HUMAN DRUG DEPENDENCET32DA007242 · NIDA · UNIVERSITY OF VERMONT &ST AGRIC COLLEGE · PI HEIL, SARAH H, HIGGINS, STEPHEN T · 1990 to 2025
$8.2M
Automated Recovery Line for Medication Assisted TreatmentR01DA034678 · NIDA · YALE UNIVERSITY · PI MOORE, BRENT A. · 2013 to 2015
$1.2M
Interim Treatment: Leveraging buprenophine + technology to bridge waitlist delaysR34DA037385 · NIDA · UNIVERSITY OF VERMONT & ST AGRIC COLLEGE · PI SIGMON, STACEY C · 2014 to 2015
$652k
NIDA NIH HHS R01 DA034678NIDA NIH HHS R34 DA037385NIDA NIH HHS R34DA037385NIDA NIH HHS T32 DA007242NIDA NIH HHS T32DA007242NIGMS NIH HHS P20 GM103644NIGMS NIH HHS P20GM103644
6 · The paper itself

Abstract

Despite the effectiveness of agonist maintenance for opioid dependence, individuals can remain on waitlists for months, during which they are at significant risk for morbidity and mortality. Interim dosing, consisting of daily medication without counseling, can reduce these risks. In this pilot study, we examined the initial feasibility of a novel technology-assisted interim buprenorphine treatment for waitlisted opioid-dependent adults. Following buprenorphine induction during Week 1, participants (n=10) visited the clinic at Weeks 2, 4, 6, 8, 10 and 12 to ingest their medication under staff observation, provide a urine specimen and receive their remaining doses via a computerized Med-O-Wheel Secure device. They also received daily monitoring via an Interactive Voice Response (IVR) platform, as well as random call-backs for urinalysis and medication adherence checks. The primary outcome was percent of participants negative for illicit opioids at each 2-week visit, with secondary outcomes of past-month drug use, adherence and acceptability. Participants achieved high levels of illicit opioid abstinence, with 90% abstinent at the Week 2 and 4 visits and 60% at Week 12. Significant reductions were observed in self-reported past-month illicit opioid use (p<.001), opioid withdrawal (p<.001), opioid craving (p<.001) and ASI Drug composite score (p=.008). Finally, adherence with buprenorphine administration (99%), daily IVR calls (97%) and random call-backs (82%) was high. Interim buprenorphine treatment shows promise for reducing patient and societal risks during delays to conventional treatment. A larger-scale, randomized clinical trial is underway to more rigorously examine the efficacy of this treatment approach.

Indexed as

Waiting ListsAdultAnalgesics, OpioidBuprenorphineDrug Administration ScheduleFeasibility StudiesFemaleHumansMaleOpiate Substitution TreatmentOpioid-Related DisordersPilot ProjectsSubstance Withdrawal SyndromeTreatment OutcomeAnalgesics, OpioidBuprenorphineBuprenorphineInterim treatmentOpioid abuseTechnology

Identifiers

PMID26256469
PMCPMC4558243
OpenAlexW2148731039

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.