Evidence map›Paper›PMID 27816057›Full record

Trial reportBMC family practice2016

Feasibility of alcohol screening among patients receiving opioid treatment in primary care.

Anne Marie Henihan, Geoff McCombe, Jan Klimas, Davina Swan, Dorothy Leahy, Rolande Anderson, Gerard Bury, Colum P Dunne, Eamon Keenan, John S Lambert and 8 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC family practice, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 12% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
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

18 authors at 6 institutions in 4 countries.

Anne Marie HenihanGraduate Entry Medical School, Faculty of Education & Health Sciences, University of Limerick, Limerick, Ireland.
Geoff McCombeGraduate Entry Medical School, Faculty of Education & Health Sciences, University of Limerick, Limerick, Ireland.
Jan KlimasGraduate Entry Medical School, Faculty of Education & Health Sciences, University of Limerick, Limerick, Ireland.
Davina SwanGraduate Entry Medical School, Faculty of Education & Health Sciences, University of Limerick, Limerick, Ireland.
Dorothy LeahyGraduate Entry Medical School, Faculty of Education & Health Sciences, University of Limerick, Limerick, Ireland.
Rolande AndersonAddiction Counsellor, Suite 33, The Morrison Chambers, 32, Nassau Street, Dublin 2, Ireland.
Gerard BuryUCD School of Medicine, University College Dublin , Belfield, Dublin 4, Ireland.
Colum P DunneGraduate Entry Medical School, Faculty of Education & Health Sciences, University of Limerick, Limerick, Ireland.
Eamon KeenanAddiction Services, Health Services Executive, Dublin, Ireland.
John S LambertUCD School of Medicine, University College Dublin , Belfield, Dublin 4, Ireland.
David MeagherGraduate Entry Medical School, Faculty of Education & Health Sciences, University of Limerick, Limerick, Ireland.
Clodagh O'GormanGraduate Entry Medical School, Faculty of Education & Health Sciences, University of Limerick, Limerick, Ireland.
Tom P O'TooleBrown-Alpert Medical School, Providence, Rhode Island, USA.
Jean SaundersGraduate Entry Medical School, Faculty of Education & Health Sciences, University of Limerick, Limerick, Ireland.
Gillian W ShorterTrinity Centre for Practice and Healthcare Innovation, School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland.
Bobby P SmythTrinity Centre for Practice and Healthcare Innovation, School of Nursing and Midwifery, Trinity College Dublin, Dublin, Ireland.
Eileen KanerInstitute of Health and Society, Newcastle University, Newcastle upon Tyne, UK.
Walter CullenGraduate Entry Medical School, Faculty of Education & Health Sciences, University of Limerick, Limerick, Ireland. Walter.Cullen@ucd.ie.
University of Limerick · IEUniversity College Dublin · IETrinity College Dublin · IEBrown University · USHealth Service Executive · IENewcastle University · GB

Funding

Medical Research Council G0901530
6 · The paper itself

Abstract

backgroundIdentifying and treating problem alcohol use among people who also use illicit drugs is a challenge. Primary care is well placed to address this challenge but there are several barriers which may prevent this occurring. The objective of this study was to determine if a complex intervention designed to support screening and brief intervention for problem alcohol use among people receiving opioid agonist treatment is feasible and acceptable to healthcare providers and their patients in a primary care setting.

methodsA randomised, controlled, pre-and-post design measured feasibility and acceptability of alcohol screening based on recruitment and retention rates among patients and practices. Efficacy was measured by screening and brief intervention rates and the proportion of patients with problem alcohol use.

resultsOf 149 practices that were invited, 19 (12.8 %) agreed to participate. At follow up, 13 (81.3 %) practices with 81 (62.8 %) patients were retained. Alcohol screening rates in the intervention group were higher at follow up than in the control group (53 % versus 26 %) as were brief intervention rates (47 % versus 19 %). Four (18 %) people reduced their problem drinking (measured by AUDIT-C), compared to two (7 %) in the control group.

conclusionsAlcohol screening among people receiving opioid agonist treatment in primary care seems feasible. A definitive trial is needed. Such a trial would require over sampling and greater support for participating practices to allow for challenges in recruitment of patients and practices.

Indexed as

Mass ScreeningAdultAlcohol-Related DisordersAttitude of Health PersonnelControlled Before-After StudiesFeasibility StudiesFemaleGeneral PracticeHumansMaleMethadoneMiddle AgedNarcoticsOpioid-Related DisordersOutcome and Process Assessment, Health CarePrimary Health CareMethadoneNarcoticsAgonist treatmentAlcoholBrief interventionFeasibilityGeneral practiceImplementationMethadonePrimary careSBIRTScreening

Identifiers

PMID27816057
PMCPMC5097838
OpenAlexW2548309705

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.