Evidence map›Paper›PMID 27296662›Full record

ArticleJournal of substance abuse treatment2016

An Initial Evaluation of a Comprehensive Continuing Care Intervention for Clients with Substance Use Disorders: My First Year of Recovery (MyFYR).

James R McKay, Cheryl Knepper, Erin Deneke, Christopher O'Reilly, Robert L DuPont

Erratum issuedAbstract read
In one paragraph

Article in Journal of substance abuse treatment, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

James R McKayUniversity of Pennsylvania, Perelman School of Medicine, Department of Psychiatry, 3440 Market St., Suite 370, Philadelphia, PA, 19104. Electronic address: jimrache@mail.med.upenn.edu.
Cheryl KnepperCaron Treatment Centers, 243 N. Galen Hall Rd., Wernersville, PA, 19565.
Erin DenekeCaron Treatment Centers, 243 N. Galen Hall Rd., Wernersville, PA, 19565.
Christopher O'ReillyCaron Treatment Centers, 243 N. Galen Hall Rd., Wernersville, PA, 19565.
Robert L DuPontInstitute for Behavior and Health, Inc., 6191 Executive Blvd, Rockville, MD, 20852.
Caron · USInstitutes for Behavior Resources · USUniversity of Pennsylvania · 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
NIDA NIH HHS K24 DA029062
6 · The paper itself

Abstract

introductionPhysician health programs (PHPs) generate high rates of sustained abstinence in addicted physicians, through a combination of formal treatment, self-help involvement, regular monitoring via random urine toxicology tests, and powerful incentives generated by the threat of losing one's medical license. Recently, Caron Treatment Centers developed a new continuing care intervention, "My First Year of Recovery" (MyFYR), which is modeled after PHPs but provides extended recovery support to a broader segment of those with substance use disorders. This paper presents initial outcome data from MyFYR.

methodsMyFYR features frequent outcomes monitoring via urine toxicology tests, and also includes a web-based social platform to coordinate efforts of recovery coaches, family members, and others (e.g., employers, probation officers). Participants were the first 198 clients who enrolled in MyFYR after participating in residential treatment at Caron. Substance use outcomes were determined by a combination of urine toxicology tests, client self-report, and information from family members obtained during a 12-month period following entry into MyFYR.

resultsClients in MyFYR provided 70% of scheduled urine samples, for an average of 16.4 urine samples per client. Only 4.1% of the samples tested positive for alcohol or any drug. As determined by urine toxicology and client and family reports, 54% of the participants had some use of alcohol or drugs during the follow-up. Of these relapsed clients, 70.1% were retained or re-engaged in MyFYR, and of these, half were able to re-establish abstinence of two months duration or more, as documented by urine toxicology. DISCUSSION: These initial results are extremely promising, as they document high rates of sustained participation in urine drug test monitoring and positive outcome in clients not under the threat of losing a professional license or incarceration.

Indexed as

AdultAftercareAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedResidential TreatmentSelf ReportSubstance Abuse DetectionSubstance-Related DisordersTreatment OutcomeYoung AdultContinuing careOutcomes monitoringSubstance use disorder treatmentUrine drug testWeb platform

Identifiers

PMID27296662
PMCPMC5814127
OpenAlexW2345737131

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.