Evidence map›Paper›PMID 27936365›Full record

ArticleJournal of studies on alcohol and drugs2017

How Much Is Too Much? Patterns of Drinking During Alcohol Treatment and Associations With Post-Treatment Outcomes Across Three Alcohol Clinical Trials.

Katie Witkiewitz, Corey R Roos, Matthew R Pearson, Kevin A Hallgren, Stephen A Maisto, Megan Kirouac, Alyssa A Forcehimes, Adam D Wilson, Charles S Robinson, Elizabeth McCallion and 2 more

Open access · greenAbstract read
In one paragraph

Article in Journal of studies on alcohol and drugs, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

34 citing papers in PubMed, 45 citations in OpenAlex.

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  5. Evaluating cannabis use risk reduction as an alternative clinical outcome for cannabis use disorder.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2022
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  6. Characterizing cannabis use reduction and change in functioning during treatment: Initial steps on the path to new clinical endpoints.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2022
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  13. 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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  20. Using peers to increase veterans' engagement in a smartphone application for unhealthy alcohol use: A pilot study of acceptability and utility.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2021
    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

12 authors at 4 institutions in 2 countries.

Katie Witkiewitz
Corey R RoosDepartment of Psychology, University of New Mexico, Albuquerque, New Mexico.
Matthew R PearsonCenter on Alcoholism, Substance Abuse, and Addictions, University of New Mexico, Albuquerque, New Mexico.
Kevin A HallgrenCenter for the Study of Health and Risk Behaviors, University of Washington, Seattle, Washington.
Stephen A MaistoDepartment of Psychology, Syracuse University, Syracuse, New York.
Megan KirouacDepartment of Psychology, University of New Mexico, Albuquerque, New Mexico.
Alyssa A ForcehimesCenter on Alcoholism, Substance Abuse, and Addictions, University of New Mexico, Albuquerque, New Mexico.
Adam D WilsonDepartment of Psychology, University of New Mexico, Albuquerque, New Mexico.
Charles S RobinsonDepartment of Psychology, University of New Mexico, Albuquerque, New Mexico.
Elizabeth McCallionDepartment of Psychology, University of New Mexico, Albuquerque, New Mexico.
J Scott ToniganCenter on Alcoholism, Substance Abuse, and Addictions, University of New Mexico, Albuquerque, New Mexico.
Nick HeatherFaculty of Health & Life Sciences, Northumbria University, Newcastle-upon-Tyne, United Kingdom.
University of New Mexico · USNorthumbria University · GBSyracuse University · USUniversity of Washington · US

Funding

Alcohol Research Training: Methods & MechanismsT32AA018108 · NIAAA · UNIVERSITY OF NEW MEXICO · PI Katie A Witkiewitz · 2010 to 2026
$5.6M
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
Research and Mentoring on Alcohol Clinical and Human Laboratory ResearchK05AA016928 · NIAAA · SYRACUSE UNIVERSITY · PI MAISTO, STEPHEN A · 2008 to 2017
$2.1M
Efficacy and neurobiological mechanisms of mobile-delivered cognitive retrainingK01AA023233 · NIAAA · UNIVERSITY OF NEW MEXICO · PI PEARSON, MATTHEW RYAN · 2014 to 2018
$832k
Toward Identifying Clinically Useful Definitions of Treatment SuccessF31AA024959 · NIAAA · UNIVERSITY OF NEW MEXICO · PI KIROUAC, MEGAN · 2016 to 2017
$50k
NIAAA NIH HHS F31 AA024959NIAAA NIH HHS K01 AA023233NIAAA NIH HHS K05 AA016928NIAAA NIH HHS R01 AA022328NIAAA NIH HHS T32 AA018108
6 · The paper itself

Abstract

objectiveThis secondary data analysis examined patterns of drinking during alcohol treatment and associated drinking outcomes during the first year following treatment. The goal was to provide clinicians with guidance on which patients may be most at risk for negative long-term outcomes based on drinking patterns during treatment.

methodThis study was an analysis of existing data (N = 3,851) from three randomized clinical trials for alcohol use disorder: the COMBINE Study (n = 1,383), Project MATCH (n = 1,726), and the United Kingdom Alcohol Treatment Trial (n = 742). Indicators of abstinence, non-heavy drinking, and heavy drinking (defined as 4/5 or more drinks per day for women/men) were examined during each week of treatment using repeated-measures latent class analysis. Associations between drinking patterns during treatment and drinking intensity, drinking consequences, and physical and mental health 12 months following intake were examined.

resultsSeven drinking patterns were identified. Patients who engaged in persistent heavy drinking throughout treatment and those who returned to persistent heavy drinking during treatment had the worst long-term outcomes. Patients who engaged in some heavy drinking during treatment had better long-term outcomes than persistent heavy drinkers. Patients who reported low-risk drinking or abstinence had the best long-term outcomes. There were no differences in outcomes between low-risk drinkers and abstainers.

conclusionsAbstinence, low-risk drinking, or even some heavy drinking during treatment are associated with the best long-term outcomes. Patients who are engaging in persistent heavy drinking are likely to have the worst outcomes and may require a higher level of care.

Indexed as

AdultAlcohol DrinkingAlcoholismFemaleHumansMaleRandomized Controlled Trials as TopicTreatment OutcomeYoung Adult

Identifiers

PMID27936365
PMCPMC5148751
OpenAlexW2564841280

What OpenQuestion holds

Textmetadata
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.