Evidence map›Paper›PMID 26718395›Full record

Trial reportDrug and alcohol dependence2016

Telephone-based continuing care counseling in substance abuse treatment: Economic analysis of a randomized trial.

Donald S Shepard, Marilyn C Daley, Matthew J Neuman, Aaron P Blaakman, James R McKay

Abstract 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. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

6 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Review
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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

5 authors at 3 institutions in 1 country.

Donald S ShepardSchneider Institutes for Health Policy, Heller School for Social Policy & Management, Brandeis University, Waltham, MA 02454-9110, United States. Electronic address: shepard@brandeis.edu.
Marilyn C DaleySchneider Institutes for Health Policy, Heller School for Social Policy & Management, Brandeis University, Waltham, MA 02454-9110, United States.
Matthew J NeumanU.S. Department of Veterans Affairs, Program Evaluation and Resource Center, VA Palo Alto Health Care System, Menlo Park Division, 795 Willow Road, Menlo Park, CA 94025, United States; U.S. Department of Veterans Affairs, Health Care Financing & Economics, VA Boston Health Care System, 150 South Huntington Avenue, Boston, MA 02130, United States.
Aaron P BlaakmanConsultancy, 203 Candia Lane, Cary, NC 27519, United States.
James R McKayUniversity of Pennsylvania, Perelman School of Medicine, Department of Psychiatry, 3440 Market Street, Suite 370, Philadelphia, PA 19104, United States; U.S. Department of Veterans Affairs, Crescenz VA Medical Center, 3900 Woodland Avenue, Philadelphia, PA 19104, United States.
Brandeis University · USPhiladelphia VA Medical Center · USVA Boston Healthcare System · US

Funding

Adaptive Treatment Models for the Management of Drug Use DisordersK24DA029062 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI MCKAY, JAMES R. · 2010 to 2021
$1.6M
AFTERCARE FOR SUBSTANCE ABUSERSK02DA000361 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI MCKAY, JAMES R. · 1998 to 2008
$900k
AFTERCARE FOR COCAINE PATIENTS--EFFECTIVENESS AND COSTSR01DA010262 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI MCKAY, JAMES R · 1997 to 2001
$685k
EFFICACY AND COST EFFECTIVENESS OF AFTERCARER01AA010341 · NIAAA · UNIVERSITY OF PENNSYLVANIA · PI MCKAY, JAMES R · 1996 to 2000
$447k
NIAAA NIH HHS R01 AA010341NIDA NIH HHS K02 DA000361NIDA NIH HHS K24 DA029062NIDA NIH HHS R01 DA010262
6 · The paper itself

Abstract

purposeTo investigate whether telephone-based continuing care (TEL) is a promising alternative to traditional face-to-face counseling for clients in treatment for substance abuse.

methodsPatients with alcohol and/or cocaine dependence who had completed a 4-week intensive outpatient program were randomly assigned through urn randomization into one of three 12-week interventions: standard continuing care (STD), in-person relapse prevention (RP), or telephone-based continuing care (TEL). This study performed cost, cost-effectiveness, and cost-benefit analyses of TEL and RP compared to STD, using results from the randomized clinical trial with two years of follow up (359 participants). In addition, the study examined the potential moderating effect of baseline patient costs on economic outcomes.

resultsThe study found that TEL was less expensive per client from the societal perspective ($569) than STD ($870) or RP ($1684). TEL also was also significantly more effective, with an abstinence rate of 57.1% compared to 46.7% for STD (p<0.05). Thus TEL dominated STD, with a highly favorable negative incremental cost-effectiveness ratio (-$1400 per abstinent year). TEL also proved favorable under a benefit-cost perspective.

conclusionsTEL proved to be a cost-effective and cost-beneficial contributor to long-term recovery over two years. Because TEL dominated STD care interventions, wider adoption should be considered.

Indexed as

TelephoneContinuity of Patient CareCost-Benefit AnalysisCounselingFemaleHumansMaleSecondary PreventionSubstance-Related DisordersTreatment OutcomeAlcohol and cocaine dependenceContinuing care alternativesRelapse preventionTelephone-based continuing care

Identifiers

PMID26718395
PMCPMC4744476
OpenAlexW2192307636

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.