Evidence map›Paper›PMID 26621551›Full record

Trial reportDrug and alcohol dependence2016

Cost-effectiveness analysis of a continuing care intervention for cocaine-dependent adults.

Kathryn McCollister, Xuan Yang, James R McKay

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Drug and alcohol dependence, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00685659 (Effectiveness of Extended Treatments for Drug Dependence), which is not on this map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 10% 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.

NCT00685659 nacompletednot on this map

Effectiveness of Extended Treatments for Drug Dependence

TypeinterventionalSponsorUniversity of PennsylvaniaRan2007 to 2011Enrolled332ConditionsCocaine DependenceArmsIntensive Outpatient Treatment, Adaptive telephone-based counseling, Adaptive telephone-based counseling plus incentives
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Interventions for female drug-using offenders.The Cochrane database of systematic reviews · 2019
    Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Economic Evaluation of the Juvenile Drug Court/Reclaiming Futures (JDC/RF) Model.The journal of behavioral health services & research · 2018
    Article
  13. Article
  14. Review
  15. 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

3 authors at 2 institutions in 1 country.

Kathryn McCollisterDepartment Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, United States. Electronic address: kmccolli@miami.edu.
Xuan YangDepartment Public Health Sciences, University of Miami Miller School of Medicine, Miami, FL, United States.
James R McKayUniversity of Pennsylvania and the Philadelphia Veterans Affairs Medical Center, Philadelphia, PA, United States.
University of Miami · USUniversity of Pennsylvania · US

Funding

Utilization of health services after engagement with opioid use disorder (OUD) treatment provider by individuals with and without post-traumatic stress disorderP30DA040500 · NIDA · WEILL MEDICAL COLL OF CORNELL UNIV · PI Bruce R Schackman · 2015 to 2026
$20.7M
Effectiveness of Extended Treatments for Drug DependenceR01DA020623 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI MCKAY, JAMES R. · 2006 to 2010
$3.6M
Adaptive Treatment Models for the Management of Drug Use DisordersK24DA029062 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI MCKAY, JAMES R. · 2010 to 2021
$1.6M
Economic Evaluation of Recovery Management Checkups for Women Offenders (RMC-WO)R01DA031785 · NIDA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI MCCOLLISTER, KATHRYN E · 2011 to 2013
$1.1M
NIDA NIH HHS K24 DA029062NIDA NIH HHS P30 DA040500NIDA NIH HHS R01 DA020623NIDA NIH HHS R01 DA031785
6 · The paper itself

Abstract

introductionThe study conducts a cost-effectiveness analysis (CEA) of a continuing care Telephone Monitoring and Counseling (TMC) intervention for adults diagnosed with cocaine dependence. Participants were randomly assigned to a control condition of intensive outpatient treatment only (treatment-as-usual, or TAU; N=108), or to one of two treatment conditions featuring TMC (N=106) and TMC plus incentives (TMC-plus; N=107). Follow-up assessments were conducted over a 2-year period.

methodsIntervention and client costs were collected with the program and client versions of the Drug Abuse Treatment Cost Analysis Program (DATCAP). Effectiveness was measured as the number of days abstinent during follow-up. Secondary analyses consider alternative measures of effectiveness and the reduced societal costs of physical and mental health problems and criminal justice involvement.

resultsFrom the societal perspective, TMC dominates both TAU and TMC-plus as a cost-effective and cost-saving intervention. Results varied by substance-using status, however, with the subgroup of participants in TMC-plus that were using drugs at intake and early in treatment having the greatest number of days of abstinence and generating similar savings during follow-up than the TMC subgroup using drugs at intake.

conclusionsTelephone monitoring and counseling appears to be a cost-effective and potentially cost-saving strategy for reducing substance use among chronic substance users. Providing client incentives added to total intervention costs but did not improve overall effectiveness. CLINICAL

trial registrationClinical Trials.gov Number: NCT00685659.

Indexed as

AdultAmbulatory CareCocaine-Related DisordersContinuity of Patient CareCost-Benefit AnalysisCounselingFemaleFollow-Up StudiesHumansMaleMiddle AgedMotivationTelephoneTreatment OutcomeYoung AdultContinuing careCost-effectiveness analysisEconomic evaluationSubstance use disorders

Identifiers

PMID26621551
PMCPMC4698077
OpenAlexW2176266839

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.