Evidence map›Paper›PMID 26985726›Full record

Trial reportJournal of consulting and clinical psychology2016

Brief motivational intervention to reduce alcohol and HIV/sexual risk behavior in emergency department patients: A randomized controlled trial.

Peter M Monti, Nadine R Mastroleo, Nancy P Barnett, Suzanne M Colby, Christopher W Kahler, Don Operario

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

Trial report in Journal of consulting and clinical psychology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03812146 (An Integrated Brief Alcohol and PTSD Intervention for Veterans in Primary Care), which is not on this map. Cited by 33 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 5 pooled it
14.7field-weighted citation impact, top 1% 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.

NCT03812146 nacompletednot on this mapstarted 2019, after this paper: background citation

An Integrated Brief Alcohol and PTSD Intervention for Veterans in Primary Care

TypeinterventionalSponsorSyracuse VA Medical CenterRan2019 to 2021Enrolled63ConditionsStress Disorders, Post-Traumatic, Alcohol-Related DisordersArmsPC-TIME, PC-TAU
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 5 syntheses or guidelines pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Motivational interviewing for substance use reduction.The Cochrane database of systematic reviews · 2023
    Pooled it
  3. 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
  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
  5. Effectiveness of brief alcohol interventions in primary care populations.The Cochrane database of systematic reviews · 2018
    Pooled it
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  8. Change talk subtypes as predictors of alcohol use following brief motivational intervention.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2023
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  11. Mechanisms of behavior change in a brief dual-target motivational intervention: Reduction in alcohol use mediates intervention effects on risky sex.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2019
    Trial
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  18. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Peter M MontiCenter for Alcohol and Addiction Studies, Brown University.
Nadine R MastroleoCenter for Alcohol and Addiction Studies, Brown University.
Nancy P BarnettCenter for Alcohol and Addiction Studies, Brown University.
Suzanne M ColbyCenter for Alcohol and Addiction Studies, Brown University.
Christopher W KahlerCenter for Alcohol and Addiction Studies, Brown University.
Don OperarioCenter for Alcohol and Addiction Studies, Brown University.
John Brown University · US

Funding

Virology CoreP01AA019072 · NIAAA · BROWN UNIVERSITY · PI KAHLER, CHRISTOPHER W. · 2010 to 2024
$19.7M
MOTIVATIONAL INTERVIEWING FOR ETOH+ TEENS IN THE ERR01AA009892 · NIAAA · BROWN UNIVERSITY · PI MONTI, PETER M. · 1994 to 2014
$8.3M
Mechanisms of Behavior Change Resource Core for Alcohol-HIV InterventionsU24AA022003 · NIAAA · BROWN UNIVERSITY · PI KAHLER, CHRISTOPHER W. · 2012 to 2020
$5.9M
Minority Populations Prevention Researcher TrainingR25HD045810 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI NEILANDS, TORSTEN BRIAN · 2003 to 2018
$4.3M
Advancing a Bio-Psycho-Social Alcohol Treatment Research and Mentoring ProgramK05AA019681 · NIAAA · BROWN UNIVERSITY · PI MONTI, PETER M. · 2010 to 2014
$1.2M
NIAAA NIH HHS K05 AA019681NIAAA NIH HHS P01 AA019072NIAAA NIH HHS R01 AA009892NIAAA NIH HHS U24 AA022003NICHD NIH HHS R25 HD045810
6 · The paper itself

Abstract

objectiveGiven the prevalence of co-occurring risky sexual behavior and drinking among emergency department (ED) patients, we developed a motivational intervention (MI) to address both behaviors. This study tested efficacy of a single-session MI compared to brief advice (BA) for reducing heavy drinking and condomless sex in adult ED patients screening positive for both.

methodWe randomized 372 patients to MI (n = 184) or BA (n = 188). Alcohol and sex risk outcomes were assessed over 9 months.

resultsGeneralized estimating equations models analyzing 327 patients with follow-up data provided strong support for efficacy of this integrated alcohol and sex-risk MI. Compared to BA, and after controlling for baseline covariates, those in MI reported significantly fewer heavy drinking days, drinks per week, and were less likely to engage in excessive drinking over follow-up (all ps < .05). MI was also favored over BA for reducing sex risk. Compared to BA, those in MI reported significantly fewer days on which they engaged in condomless sex with casual partners, had lower odds of reporting any condomless sex with a casual partner, and reported fewer days of sex under the influence of alcohol/other drugs (all ps < .05).

conclusionThis innovative MI was acceptable, feasible, and successfully delivered in 2 community hospitals and thus shows great promise for scalability and dissemination into complex health settings where newly insured at-risk individuals are likely to seek care. (PsycINFO Database Record

Indexed as

Emergency Service, HospitalOutcome Assessment, Health CareRisk Reduction BehaviorRisk-TakingAdultAlcohol-Related DisordersHIV InfectionsHumansMotivational InterviewingSexual Behavior

Identifiers

PMID26985726
PMCPMC4919277
OpenAlexW2328892081

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.