Evidence map›Paper›PMID 26590876›Full record

Trial reportActa psychiatrica Scandinavica2016

Pilot randomised trial of a brief intervention for comorbid substance misuse in psychiatric in-patient settings.

H L Graham, A Copello, E Griffith, N Freemantle, P McCrone, L Clarke, K Walsh, C A Stefanidou, A Rana, M Birchwood

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Acta psychiatrica Scandinavica, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

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

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Review
  6. Article
  7. Article
  8. Article
  9. Brief Interventions for Substance Use Disorders.Indian journal of psychiatry · 2020
    Article
  10. 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

10 authors.

H L GrahamSchool of Psychology, University of Birmingham, Edgbaston, Birmingham, UK.
A CopelloSchool of Psychology, University of Birmingham, Edgbaston, Birmingham, UK.
E GriffithSchool of Psychology, University of Bath, Claverton Down, Bath, UK.
N FreemantleDepartment of Primary Care and Population Health, Upper Third Floor, UCL Medical School (Royal Free Campus), London, UK.
P McCroneHealth Service and Population Research Department, Institute of Psychiatry, Kings College London, London, UK.
L ClarkeSchool of Psychology, University of Birmingham, Edgbaston, Birmingham, UK.
K WalshSchool of Psychology, University of Birmingham, Edgbaston, Birmingham, UK.
C A StefanidouSchool of Psychology, University of Birmingham, Edgbaston, Birmingham, UK.
A RanaSchool of Psychology, University of Birmingham, Edgbaston, Birmingham, UK.
M BirchwoodDivision of Mental Health and Wellbeing, University of Warwick, Coventry, UK.

Funding

Department of Health PB-PG-1010-23138Department of Health WMCLAHRC-2014-1
6 · The paper itself

Abstract

objectiveThis proof of principle study evaluated the effectiveness and feasibility of a brief motivational intervention, delivered in mental health in-patient settings, to improve engagement in treatment for drug and alcohol misuse.

methodA randomised controlled trial using concealed randomisation, blind, independent assessment of outcome at 3 months. Participants were 59 new adult admissions, to six acute mental health hospital units in one UK mental health service, with schizophrenia related or bipolar disorder diagnoses, users of community mental health services and also misusing alcohol and/or drugs. Participants were randomised to Brief Integrated Motivational Intervention (BIMI) with Treatment As Usual (TAU), or TAU alone. The BIMI took place over a 2-week period and encouraged participants to explore substance use and its impact on mental health.

resultsFifty-nine in-patients (BIMI n = 30; TAU n = 29) were randomised, the BIMI was associated with a 63% relative odds increase in the primary outcome engagement in treatment [OR 1.63 (95% CI 1.01-2.65; P = 0.047)], at 3 months. Qualitative interviews with staff and participants indicated that the BIMI was both feasible and acceptable.

conclusionMental health hospital admissions present an opportunity for brief motivational interventions focussed on substance misuse and can lead to improvements in engagement.

Indexed as

AdultBipolar DisorderFeasibility StudiesFemaleHumansMaleMental Health ServicesOutcome Assessment, Health CarePilot ProjectsPrescription Drug MisuseSchizophreniaSubstance-Related Disordersdual diagnosishospital admissionrandomised controlled trialschizophreniasubstance misuse

Identifiers

PMID26590876
PMCPMC5091625

What OpenQuestion holds

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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.