Trial reportAddiction (Abingdon, England)2017
Receipt of addiction treatment as a consequence of a brief intervention for drug use in primary care: a randomized trial.
Trial report in Addiction (Abingdon, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.
- Motivational interviewing for substance use reduction.The Cochrane database of systematic reviews · 2023Pooled it
- Pooled it
- Recent incarceration and minoritized racial status as barriers to the effectiveness of recovery management checkups.Substance abuse treatment, prevention, and policy · 2025Trial
- Effect of screening, brief intervention and referral to treatment for unhealthy alcohol and other drug use in mental health treatment settings: a randomized controlled trial.Addiction (Abingdon, England) · 2021Trial
- Falling Through the Cracks: Perspectives From Local Leaders on Substance Use and Psychosis Treatment for Youth.Journal of dual diagnosis · 2025Article
- Between acute medicine and municipal alcohol treatment: Cross-sectoral collaborations regarding patients with alcohol problems.Nordisk alkohol- & narkotikatidskrift : NAT · 2024Article
- Article
- Exploring the feasibility of Recovery Management Checkups for Primary Care in a Federally Qualified Health Center.Frontiers in public health · 2024Article
- Purpose in life, loneliness and depression among patients with substance use disorders in the psychiatric hospitals in Ghana.PloS one · 2024Article
- A randomized controlled trial of recovery management checkups for primary care patients: Twelve-month results.Alcohol, clinical & experimental research · 2023Article
- Variation in brief treatment for substance use disorder: a qualitative investigation of four federally qualified health centers with SBIRT services.Substance abuse treatment, prevention, and policy · 2021Article
- Recent and active problematic substance use among primary care patients: Results from the alcohol, smoking, and substance involvement screening test in a multisite study.Substance abuse · 2021Article
- Discussing Drug Use With Health Care Providers Is Associated With Perceived Need and Receipt of Drug Treatment Among Adults in the United States: We Need to Talk.Medical care · 2020Article
- Brief Interventions for Substance Use Disorders.Indian journal of psychiatry · 2020Article
- Prevention, screening, and treatment for heavy drinking and alcohol use disorder.The lancet. Psychiatry · 2019Review
- Study protocol testing toolkit versus usual care for implementation of screening, brief intervention, referral to treatment in hospitals: a phased cluster randomized approach.Addiction science & clinical practice · 2018Article
- Effects of motivational interviewing fidelity on substance use treatment engagement in primary care.Journal of substance abuse treatment · 2018Article
- Linking Individuals with Substance Use Disorders (SUDs) in Primary Care to SUD Treatment: the Recovery Management Checkups-Primary Care (RMC-PC) Pilot Study.The journal of behavioral health services & research · 2018Article
- Gender and ethnic differences in primary care patients' response to computerized vs. in-person brief intervention for illicit drug misuse.Journal of substance abuse treatment · 2018Article
- DSM-5 substance use disorders among adult primary care patients: Results from a multisite study.Drug and alcohol dependence · 2017Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
Abstract
BACKGROUND AND
aimsScreening, brief intervention and 'referral to treatment' programs have been promoted widely as US federal policy. Little is known about the efficacy of the RT component (referral to treatment) of brief intervention for motivating patients with unhealthy drug use identified by screening to use addiction treatment. This study aimed to compare receipt of addiction treatment following two types of brief intervention for drug use versus a no-intervention control group among primary care patients screening positive for drug use.
designSecondary analyses from a single-site randomized controlled trial.
settingMassachusetts, USA.
participantsA total of 528 adults with Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) drug-specific scores ≥ 4.
interventionsRandom assignment to: (1) a 10-15-minute brief negotiated interview (BNI) conducted by health educators (n = 174), (2) a 30-45-minute adaptation of motivational interviewing by Masters-level counselors (MOTIV) (n = 177) or (3) no BI (n = 177). All received a list of treatment and mutual help resources; both intervention protocols included dedicated staff for treatment referrals. MEASUREMENTS: Receipt of any addiction treatment within 6 months after study entry, assessed in a state-wide database and hospital electronic medical record linked to trial data.
findingsAmong 528 participants, the main drugs used were marijuana (63%), cocaine (19%) and opioids (17%); 46% met past-year drug dependence criteria (short form Composite International Diagnostic Interview); and 10% of MOTIV, 18% of BNI and 17% of control participants had any addiction treatment receipt within 6 months after study entry. There was no significant difference in addiction treatment receipt for BNI versus control [adjusted odds ratio (AOR) = 1.11; 95% confidence interval (CI) = 0.57, 2.15, Hochberg adjusted P = 0.76]. The MOTIV group had lower odds of linking to treatment (AOR = 0.36, 95% CI = 0.17, 0.78, Hochberg adjusted P = 0.02) compared with the no BI group.
conclusionBrief intervention delivered in primary care for screen-identified drug use did not increase addiction treatment receipt significantly; a motivational interviewing approach appeared to be counterproductive.
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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.