Evidence map›Paper›PMID 26293644›Full record

Trial reportJournal of substance abuse treatment2015

Comparative Effectiveness of Web-Based vs. Educator-Delivered HIV Prevention for Adolescent Substance Users: A Randomized, Controlled Trial.

Lisa A Marsch, Honoria Guarino, Michael J Grabinski, Cassandra Syckes, Elaine T Dillingham, Haiyi Xie, Benjamin S Crosier

Open access · greenAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Journal of substance abuse treatment, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 6 pooled it
7.3field-weighted citation impact, top 3% 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

20 citing papers in PubMed, 6 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
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  4. Complex solutions for a complex problem: A meta-analysis of the efficacy of multiple-behavior interventions on change in outcomes related to HIV.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2021
    Pooled it
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  14. A Systematic Review on Effect of Electronic Media on Diet, Exercise, and Sexual Activity among Adolescents.Indian journal of community medicine : official publication of Indian Association of Preventive & Social Medicine · 2018
    Review
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  19. Technology-based Interventions for Preventing and Treating Substance Use Among Youth.Child and adolescent psychiatric clinics of North America · 2016
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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

7 authors at 2 institutions in 1 country.

Lisa A MarschDartmouth College, Geisel School of Medicine, Department of Psychiatry, Center for Technology and Behavioral Health, Rivermill Commercial Center, 85 Mechanic Street, Suite B4-1, Lebanon, NH 03766. Electronic address: Lisa.A.Marsch@Dartmouth.edu.
Honoria GuarinoNational Development and Research Institutes, Inc., 71 West 23rd Street, 4th Floor, New York, NY 10010.
Michael J GrabinskiRed 5 Group, LLC, 101 West 23rd Street, New York, NY 10011.
Cassandra SyckesNational Development and Research Institutes, Inc., 71 West 23rd Street, 4th Floor, New York, NY 10010.
Elaine T DillinghamNational Development and Research Institutes, Inc., 71 West 23rd Street, 4th Floor, New York, NY 10010.
Haiyi XieDartmouth College, Geisel School of Medicine, Department of Psychiatry, Center for Technology and Behavioral Health, Rivermill Commercial Center, 85 Mechanic Street, Suite B4-1, Lebanon, NH 03766.
Benjamin S CrosierDartmouth College, Geisel School of Medicine, Department of Psychiatry, Center for Technology and Behavioral Health, Rivermill Commercial Center, 85 Mechanic Street, Suite B4-1, Lebanon, NH 03766.
National Development and Research Institutes · USDartmouth College · US

Funding

Treatment Development & Evaluation CoreP30DA029926 · NIDA · DARTMOUTH COLLEGE · PI Lisa A. Marsch · 2011 to 2026
$21.5M
Training in the Science of Co-Occurring DisordersT32DA037202 · NIDA · DARTMOUTH COLLEGE · PI Lisa A. Marsch · 2014 to 2026
$4.7M
Comparative Effectiveness of Web-based vs. Traditional Adolescent HIV PreventionRC1DA028415 · NIDA · NATIONAL DEVELOPMENT AND RESEARCH INSTITUTES, INC. · PI MARSCH, LISA A. · 2009 to 2010
$985k
NIDA NIH HHS P30 DA029926NIDA NIH HHS P30DA029926NIDA NIH HHS RC1 DA028415NIDA NIH HHS RC1DA028415NIDA NIH HHS T32 DA037202
6 · The paper itself

Abstract

backgroundYoung people who engage in substance use are at risk for becoming infected with HIV and diseases with similar transmission dynamics. Effective disease prevention programs delivered by prevention specialists exist but are rarely provided in systems of care due to staffing/resource constraints and operational barriers-and are thus of limited reach. Web-based prevention interventions could possibly offer an effective alternative to prevention specialist-delivered interventions and may enable widespread, cost-effective access to evidence-based prevention programming. Previous research has shown the HIV/disease prevention program within the Web-based therapeutic education system (TES) to be an effective adjunct to a prevention specialist-delivered intervention. The present study was the first randomized, clinical trial to evaluate the comparative effectiveness of this Web-based intervention as a standalone intervention relative to a traditional, prevention specialist-delivered intervention.

methodsAdolescents entering outpatient treatment for substance use participated in this multi-site trial. Participants were randomly assigned to either a traditional intervention delivered by a prevention specialist (n=72) or the Web-delivered TES intervention (n=69). Intervention effectiveness was assessed by evaluating changes in participants' knowledge about HIV, hepatitis, and sexually transmitted infections, intentions to engage in safer sex, sex-related risk behavior, self-efficacy to use condoms, and condom use skills.

findingsParticipants in the TES intervention achieved significant and comparable increases in HIV/disease-related knowledge, condom use self-efficacy, and condom use skills and comparable decreases in HIV risk behavior relative to participants who received the intervention delivered by a prevention specialist. Participants rated TES as easier to understand.

conclusionThis study indicates that TES is as effective as HIV/disease prevention delivered by a prevention specialist. Because technology-based interventions such as TES have high fidelity, are inexpensive and scalable, and can be implemented in a wide variety of settings, they have the potential to greatly increase access to effective prevention programming.

Indexed as

Adolescent BehaviorHealth Knowledge, Attitudes, PracticeInternetRisk-TakingSafe SexAdolescentChildCondomsFemaleHealth EducationHIV InfectionsHumansMaleSubstance-Related DisordersTreatment OutcomeAdolescentsHIVPreventionSubstance use

Identifiers

PMID26293644
PMCPMC4661099
OpenAlexW2102216682

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.