Evidence map›Paper›PMID 28103073›Full record

Trial reportAmerican journal of public health2017

Multilevel Prevention Trial of Alcohol Use Among American Indian and White High School Students in the Cherokee Nation.

Kelli A Komro, Melvin D Livingston, Alexander C Wagenaar, Terrence K Kominsky, Dallas W Pettigrew, Brady A Garrett, Cherokee Nation Prevention Trial Team

Open access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in American journal of public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 5 pooled it
4.7field-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.

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

31 citing papers in PubMed, 5 syntheses or guidelines pooled it, 61 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Family-based prevention programmes for alcohol use in young people.The Cochrane database of systematic reviews · 2019
    Pooled it
  6. Trial
  7. Trial
  8. Article
  9. Article
  10. E-Cigarette Use and Depression Among American Indian Adults Who Smoke.Journal of racial and ethnic health disparities · 2026
    Article
  11. Barriers to alcohol intervention program: a scoping review.Korean journal of family medicine · 2025
    Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

7 authors at 1 institution in 1 country.

Kelli A KomroKelli A. Komro and Alexander C. Wagenaar are with the Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA. Melvin D. Livingston is with the Department of Biostatistics and Epidemiology, Health Sciences Center, University of North Texas, Fort Worth. Terrence K. Kominsky, Dallas W. Pettigrew, and Brady A. Garrett are with Cherokee Nation Behavioral Health, Tahlequah, OK.
Melvin D LivingstonKelli A. Komro and Alexander C. Wagenaar are with the Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA. Melvin D. Livingston is with the Department of Biostatistics and Epidemiology, Health Sciences Center, University of North Texas, Fort Worth. Terrence K. Kominsky, Dallas W. Pettigrew, and Brady A. Garrett are with Cherokee Nation Behavioral Health, Tahlequah, OK.
Alexander C WagenaarKelli A. Komro and Alexander C. Wagenaar are with the Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA. Melvin D. Livingston is with the Department of Biostatistics and Epidemiology, Health Sciences Center, University of North Texas, Fort Worth. Terrence K. Kominsky, Dallas W. Pettigrew, and Brady A. Garrett are with Cherokee Nation Behavioral Health, Tahlequah, OK.
Terrence K KominskyKelli A. Komro and Alexander C. Wagenaar are with the Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA. Melvin D. Livingston is with the Department of Biostatistics and Epidemiology, Health Sciences Center, University of North Texas, Fort Worth. Terrence K. Kominsky, Dallas W. Pettigrew, and Brady A. Garrett are with Cherokee Nation Behavioral Health, Tahlequah, OK.
Dallas W PettigrewKelli A. Komro and Alexander C. Wagenaar are with the Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA. Melvin D. Livingston is with the Department of Biostatistics and Epidemiology, Health Sciences Center, University of North Texas, Fort Worth. Terrence K. Kominsky, Dallas W. Pettigrew, and Brady A. Garrett are with Cherokee Nation Behavioral Health, Tahlequah, OK.
Brady A GarrettKelli A. Komro and Alexander C. Wagenaar are with the Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA. Melvin D. Livingston is with the Department of Biostatistics and Epidemiology, Health Sciences Center, University of North Texas, Fort Worth. Terrence K. Kominsky, Dallas W. Pettigrew, and Brady A. Garrett are with Cherokee Nation Behavioral Health, Tahlequah, OK.
Cherokee Nation Prevention Trial TeamKelli A. Komro and Alexander C. Wagenaar are with the Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University, Atlanta, GA. Melvin D. Livingston is with the Department of Biostatistics and Epidemiology, Health Sciences Center, University of North Texas, Fort Worth. Terrence K. Kominsky, Dallas W. Pettigrew, and Brady A. Garrett are with Cherokee Nation Behavioral Health, Tahlequah, OK.
University of North Texas · US

Funding

Cherokee Nation Prevention Trial: Interactive Effects of Environment & SBIRTR01AA020695 · NIAAA · UNIVERSITY OF FLORIDA · PI KOMRO, KELLI ANN · 2011 to 2015
$4.8M
NIAAA NIH HHS R01 AA020695
6 · The paper itself

Abstract

objectivesTo evaluate the effectiveness of a multilevel intervention designed to prevent underage alcohol use among youths living in the Cherokee Nation.

methodsWe randomly assigned 6 communities to a control, Communities Mobilizing for Change on Alcohol (CMCA; a community-organizing intervention targeting alcohol access) only, CONNECT (a school-based universal screening and brief intervention) only, or a combined condition. We collected quarterly surveys 2012-2015 from students starting in 9th and 10th grades and ending in 11th and 12th grades. Response rates ranged from 83% to 90%; 46% of students were American Indian (of which 80% were Cherokee) and 46% were White only.

resultsStudents exposed to CMCA, CONNECT, and both showed a significant reduction in the probability over time of 30-day alcohol use (25%, 22%, and 12% reduction, respectively) and heavy episodic drinking (24%, 19%, and 13% reduction) compared with students in the control condition, with variation in magnitude of effects over the 2.5-year intervention period.

conclusionsCMCA and CONNECT are effective interventions for reducing alcohol use among American Indian and other youths living in rural communities. Challenges remain for sustaining intervention effects.

Indexed as

Indians, North AmericanWhite PeopleAdolescentAlcohol DrinkingCommunity-Based Participatory ResearchFemaleHumansMaleRisk FactorsUnited States

Identifiers

PMID28103073
PMCPMC5296689
OpenAlexW2575313165

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.