Evidence map›Paper›PMID 27367263›Full record

Trial reportAddiction (Abingdon, England)2016

Finding success in failure: using latent profile analysis to examine heterogeneity in psychosocial functioning among heavy drinkers following treatment.

Adam D Wilson, Adrian J Bravo, Matthew R Pearson, Katie Witkiewitz

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Addiction (Abingdon, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
–field-weighted citation impact
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

31 citing papers in PubMed.

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  4. Abstinence and low risk drinking during treatment: Association with psychosocial functioning, alcohol use, and alcohol problems 3 years following treatment.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2018
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  17. Epidemiology of Recovery From Alcohol Use Disorder.Alcohol research : current reviews · 2020
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Adam D WilsonDepartment of Psychology, Center on Alcoholism, Substance Abuse and Addictions, University of New Mexico, Albuquerque, NM, USA.
Adrian J BravoDepartment of Psychology, Old Dominion University, Norfolk, VA, USA.
Matthew R PearsonDepartment of Psychology, Center on Alcoholism, Substance Abuse and Addictions, University of New Mexico, Albuquerque, NM, USA.
Katie WitkiewitzDepartment of Psychology, Center on Alcoholism, Substance Abuse and Addictions, University of New Mexico, Albuquerque, NM, USA.

Funding

Precision Medicine and Recovery in a Telehealth Treatment Program for Alcohol Use DisorderR01AA022328 · NIAAA · UNIVERSITY OF NEW MEXICO · PI Katie A Witkiewitz · 2013 to 2026
$3.1M
Efficacy and neurobiological mechanisms of mobile-delivered cognitive retrainingK01AA023233 · NIAAA · UNIVERSITY OF NEW MEXICO · PI PEARSON, MATTHEW RYAN · 2014 to 2018
$832k
NIAAA NIH HHS K01 AA023233NIAAA NIH HHS R01 AA022328
6 · The paper itself

Abstract

aimsTo estimate differences in post-treatment psychosocial functioning among treatment 'failures' (i.e. heavy drinkers, defined as 4+/5+ drinks for women/men) from two large multi-site clinical trials and to compare these levels of functioning to those of the purported treatment 'successes' (i.e. non-heavy drinkers).

designSeparate latent profile analyses of data from two of the largest alcohol clinical trials conducted in the United States, COMBINE (Combined Pharmacotherapies and Behavioral Interventions) and Project MATCH (Matching Alcoholism Treatments to Client Heterogeneity), comparing psychosocial outcomes across derived classes of heterogeneous treatment responders.

settingEleven US academic sites in COMBINE, 27 US treatment sites local to nine research sites in Project MATCH.

participantsA total of 962 individuals in COMBINE (69% male, 77% white, mean age: 44 years) treated January 2001 to January 2004 and 1528 individuals in Project MATCH (75% male, 80% white, mean age: 40 years) treated April 1991 to September 1994. MEASUREMENTS: In COMBINE, we analyzed health, quality of life, mental health symptoms and alcohol consequences 12 months post-baseline. In Project MATCH, we examined social functioning, mental health symptoms and alcohol consequences 15 months post-baseline.

findingsLatent profile analysis of measures of functioning in both samples supported a three-profile solution for the group of treatment 'failures', characterized by high-, average- and low-functioning individuals. The high-functioning treatment 'failures' generally performed better across measures of psychosocial functioning at follow-up than participants designated treatment 'successes' by virtue of being abstainers or light drinkers.

conclusionsCurrent United States Food and Drug Administration guidance to use heavy drinking as indicative of treatment 'failure' fails to take into account substantial psychosocial improvements made by individuals who continue occasionally to drink heavily post-treatment.

Indexed as

Interpersonal RelationsAdultAlcohol DeterrentsAlcohol DrinkingCognitive Behavioral TherapyCombined Modality TherapyFemaleHumansMaleMotivational InterviewingQuality of LifeTreatment OutcomeAlcohol DeterrentsBinge drinkingheavy drinkinglatent profile analysisperson-centered analysispsychosocial functioningtreatment failure

Identifiers

PMID27367263
PMCPMC5218991

What OpenQuestion holds

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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.