Evidence map›Paper›PMID 26714233›Full record

Trial reportSubstance abuse

BSAFER: A Web-based intervention for drug use and intimate partner violence demonstrates feasibility and acceptability among women in the emergency department.

Esther K Choo, Caron Zlotnick, David R Strong, Daniel D Squires, Chantal Tapé, Michael J Mello

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Substance abuse. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 7 pooled it
1.4field-weighted citation impact, top 16% 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

27 citing papers in PubMed, 7 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
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  4. More behavioral recommendations produce more change: A meta-analysis of efficacy of multibehavior recommendations to reduce nonmedical substance use.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2020
    Pooled it
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  6. Psychological therapies for women who experience intimate partner violence.The Cochrane database of systematic reviews · 2020
    Pooled it
  7. Technology-Based Substance Use Interventions: Opportunities for Gender-Transformative Health Promotion.International journal of environmental research and public health · 2020
    Pooled it
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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

6 authors at 3 institutions in 2 countries.

Esther K Chooa Division of Sex and Gender in Emergency Medicine, Department of Emergency Medicine, Warren Alpert Medical School of Brown University , Providence , Rhode Island , USA.
Caron Zlotnickd Department of Psychiatry and Human Behavior , Brown University , Providence , Rhode Island , USA.
David R Strongf Division of Behavioral Medicine, Department of Family Medicine and Public Health, University of California , San Diego , California , USA.
Daniel D Squiresc Brown University School of Public Health , Providence , Rhode Island , USA.
Chantal Tapéa Division of Sex and Gender in Emergency Medicine, Department of Emergency Medicine, Warren Alpert Medical School of Brown University , Providence , Rhode Island , USA.
Michael J Mellob Injury Prevention Center, Department of Emergency Medicine, Warren Alpert Medical School of Brown University , Providence , Rhode Island , USA.
Brown University · USUniversity of California, San Diego · USUniversity of Cape Town · ZA

Funding

A Computer-based Intervention for Women with Substance Use and IPV in the EDK23DA031881 · NIDA · RHODE ISLAND HOSPITAL · PI CHOO, ESTHER K · 2011 to 2015
$900k
NIDA NIH HHS K23 DA031881
6 · The paper itself

Abstract

backgroundAddressing violence along with drug use change goals is critical for women with coexisting intimate partner violence (IPV) and substance use disorders (SUDs).

methodsThis was an acceptability and feasibility study of BSAFER, a brief Web-based program and booster phone call addressing violence and drug use. A screening survey identified women with recent drug use and IPV in the emergency department (ED). Participants were randomized to BSAFER or a Web-based control program and booster call providing education about home fire safety. Program completion, usability, satisfaction, and motivational interviewing (MI) adherence were primary outcomes. Drug use and IPV outcomes were measured at baseline, 1 month, and 3 months.

resultsForty women were enrolled (21 BSAFER, 19 control); 50% were nonwhite and mean age was 30 years. The most commonly used drugs were marijuana (88%) and cocaine (30%); 45% reported physical abuse, and 33% reported severe combined physical and sexual abuse. Thirty-nine (98%) completed the Web program, 30 (75%) completed the booster, and 29 (73%) completed the 3-month follow-up. Mean System Usability Scale (SUS) for the BSAFER Web program was 84 (95% confidence interval [CI]: 78-89) of 100; mean Client Satisfaction Questionnaire (CSQ-8) was 28 (95% CI: 26-29) of 32. MI adherence scores were high and similar for both the Web program and the booster. Both intervention and control groups had small mean decreases in weekly drug use days (0.7 vs. 1.5 days); participants using drugs other than marijuana demonstrated greater average reductions in drug use than those using marijuana only.

conclusionsAn ED Web-based intervention for SUDs and IPV in women demonstrated feasibility and acceptability. Future studies will examine efficacy of the BSAFER program and investigate whether specific subgroups of drug using women may be most responsive to ED-based Web interventions.

Indexed as

InternetMotivational InterviewingAdultEmergency Service, HospitalFemaleHumansPatient CompliancePatient SatisfactionSpouse AbuseSubstance-Related DisordersComputersdomestic violencedrug use disordersemergency medicineintervention studieswomen's health

Identifiers

PMID26714233
PMCPMC4927399
OpenAlexW2213284706

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.