Evidence map›Paper›PMID 27451854›Full record

Trial reportSubstance abuse treatment, prevention, and policy2016

Auricular acupuncture for substance use: a randomized controlled trial of effects on anxiety, sleep, drug use and use of addiction treatment services.

Rickard Ahlberg, Kurt Skårberg, Ole Brus, Lars Kjellin

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Substance abuse treatment, prevention, and policy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 15 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 4 pooled it
6.4field-weighted citation impact, top 5% 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.

NCT02604706 phase2completednot on this map

RCT of Auricular Acupuncture in Substance Abuse: Effects on Anxiety, Sleep, Drug Use and Use of Addiction Treatment Services. A Randomized Controlled Study

TypeinterventionalSponsorÖrebro Läns LandstingRan2010 to 2014Enrolled280ConditionsSubstance Abuse, Anxiety, SleepArmsNADA Acupuncture, LP acupuncture, Relaxation
NCT06532188 nanot yet recruitingnot on this mapstarted 2024, after this paper: background citation

Efficacy of Hypno-ear-acupuncture on Insomnia in Advanced Cancer Patients: a Randomized Clinical Trial

TypeinterventionalSponsorMedical University of GrazRan2024 to 2024Enrolled20ConditionsOncology, Insomnia, Symptoms and SignsArmsHypno-ear-acupuncture, Sham Hypno-ear-acupuncture
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 4 syntheses or guidelines pooled it, 34 citations in OpenAlex.

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  2. A systematic review and meta-analysis of music interventions to improve sleep in adults with mental health problems.European psychiatry : the journal of the Association of European Psychiatrists · 2024
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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

4 authors at 1 institution in 1 country.

Rickard AhlbergFaculty of Medicine and Health, University Health Care Research Center, Örebro University, P.O. Box 1613, SE-701 16, Örebro, Sweden.
Kurt SkårbergAddiction Center, Faculty of Medicine and Health, Örebro University, P.O. Box 1613, SE-701 16, Örebro, Sweden.
Ole BrusClinical Epidemiology and Biostatistics, Faculty of Medicine and Health, Örebro University, P.O. Box 1613, SE-701 16, Örebro, Sweden.
Lars KjellinFaculty of Medicine and Health, University Health Care Research Center, Örebro University, P.O. Box 1613, SE-701 16, Örebro, Sweden. lars.kjellin@regionorebrolan.se.ORCID 0000-0002-4565-8864
Örebro University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA common alternative treatment for substance abuse is auricular acupuncture. The aim of the study was to evaluate the short and long-term effect of auricular acupuncture on anxiety, sleep, drug use and addiction treatment utilization in adults with substance abuse.

methodOf the patients included, 280 adults with substance abuse and psychiatric comorbidity, 80 were randomly assigned to auricular acupuncture according to the NADA protocol, 80 to auricular acupuncture according to a local protocol (LP), and 120 to relaxation (controls). The primary outcomes anxiety (Beck Anxiety Inventory; BAI) and insomnia (Insomnia Severity Index; ISI) were measured at baseline and at follow-ups 5 weeks and 3 months after the baseline assessment. Secondary outcomes were drug use and addiction service utilization. Complete datasets regarding BAI/ISI were obtained from 37/34 subjects in the NADA group, 28/28 in the LP group and 36/35 controls. Data were analyzed using Chi-square, Analysis of Variance, Kruskal Wallis, Repeated Measures Analysis of Variance, Eta square (η(2)), and Wilcoxon Signed Ranks tests.

resultsParticipants in NADA, LP and control group improved significantly on the ISI and BAI. There was no significant difference in change over time between the three groups in any of the primary (effect size: BAI, η(2) = 0.03, ISI, η(2) = 0.05) or secondary outcomes. Neither of the two acupuncture treatments resulted in differences in sleep, anxiety or drug use from the control group at 5 weeks or 3 months.

conclusionNo evidence was found that acupuncture as delivered in this study is more effective than relaxation for problems with anxiety, sleep or substance use or in reducing the need for further addiction treatment in patients with substance use problems and comorbid psychiatric disorders. The substantial attrition at follow-up is a main limitation of the study.

trial registrationClinical Trials NCT02604706 (retrospectively registered).

Indexed as

Acupuncture, EarAdultAnxietyBehavior, AddictiveFemaleHumansMaleMiddle AgedPatient Acceptance of Health CareSleep Initiation and Maintenance DisordersSubstance-Related DisordersTreatment OutcomeAuricular acupuncturePsychiatric comorbidityRandomized controlled trialRelaxationSubstance abuse treatment

Identifiers

PMID27451854
PMCPMC4959048
OpenAlexW2460274510

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.