Trial reportAlcohol and alcoholism (Oxford, Oxfordshire)2017
Assertive Community Treatment For People With Alcohol Dependence: A Pilot Randomized Controlled Trial.
Trial report in Alcohol and alcoholism (Oxford, Oxfordshire), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 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
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A Meta-Analysis of the Efficacy of Case Management for Substance Use Disorders: A Recovery Perspective.Frontiers in psychiatry · 2019Pooled it
- Association between alcoholic interventions and abstinence rates for alcohol use disorders: A meta-analysis.Medicine · 2018Pooled it
- Models of care for the management of alcohol use disorder in general hospital settings and transition to the community: a scoping review.Alcohol and alcoholism (Oxford, Oxfordshire) · 2026Article
- Characteristics of alcohol care teams in England: results of the ProACTIVE National Survey.Alcohol and alcoholism (Oxford, Oxfordshire) · 2025Article
- Exploring views and experiences of a unique alcohol assertive outreach model, the primary care alcohol nurse outreach service (PCANOS): a qualitative study.BMC primary care · 2025Article
- A qualitative exploration of the barriers and facilitators to the implementation of the alcohol assertive outreach model.Alcohol and alcoholism (Oxford, Oxfordshire) · 2025Article
- Building Connections and Striving to Build Better Futures: A Qualitative Interview Study of Alcohol Recovery Navigators' Practice in the North East of England, UK.International journal of environmental research and public health · 2025Article
- Prevalence and incidence of alcohol dependence: cross-sectional primary care analysis in Liverpool, UK.BMJ open · 2023Article
- Why Are Some Male Alcohol Misuse Disorder Patients High Utilisers of Emergency Health Services? An Asian Qualitative Study.International journal of environmental research and public health · 2022Article
- An Innovative Approach to Delivering a Family-Based Intervention to Address Parental Alcohol Misuse: Qualitative Findings from a Pilot Project.International journal of environmental research and public health · 2022Article
- A new paradigm in management of frequent attenders to emergency departments with severe alcohol use disorder-A pilot study for assertive community treatment in Singapore.Frontiers in health services · 2022Article
- Addiction Treatment: Who Needs It?Journal of studies on alcohol and drugs. Supplement · 2019Review
- Intensive Case Management for Addiction to promote engagement with care of people with severe mental and substance use disorders: an observational study.Substance abuse treatment, prevention, and policy · 2017Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
Abstract
aimsA pilot randomized controlled trial (RCT) to assess the feasibility and potential efficacy of assertive community treatment (ACT) in adults with alcohol dependence.
methodsSingle blind, individually randomized, pilot RCT of 12 months of ACT plus treatment as usual (TAU) versus TAU alone in adults (age 18+ years) with alcohol dependence and a history of previous unsuccessful alcohol treatment attending specialist community alcohol treatment services. ACT aimed to actively engage participants for 12 months with assertive, regular, minimum weekly contact. ACT was combined with TAU. TAU comprised access to the full range of services provided by the community teams. Primary outcome is mean drinks per drinking day and percent days abstinent at 12 months follow up. Analysis of covariance was conducted using 80% confidence intervals, appropriate in the context of a pilot trial.
resultsA total of 94 participants were randomized, 45 in ACT and 49 in TAU. Follow-up was achieved with 98 and 88%, respectively at 12 months. Those in ACT had better treatment engagement, and were more often seen in their homes or local community than TAU participants. At 12 months the ACT group had more problems related to drinking and lower quality of life than TAU but no differences in drinking measures. The ACT group had a higher percentage of days abstinent but lower quality of life at 6 months. The ACT group had less unplanned healthcare use than TAU.
conclusionsAn trial of ACT was feasible to implement in an alcohol dependent treatment population.
trial registrationISRCTN22775534.
Indexed as
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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.