Evidence map›Paper›PMID 28199070›Full record

Trial reportThe Journal of clinical psychiatry

Randomized Controlled Trial Comparing Exercise to Health Education for Stimulant Use Disorder: Results From the CTN-0037 STimulant Reduction Intervention Using Dosed Exercise (STRIDE) Study.

Madhukar H Trivedi, Tracy L Greer, Chad D Rethorst, Thomas Carmody, Bruce D Grannemann, Robrina Walker, Diane Warden, Kathy Shores-Wilson, Mark Stoutenberg, Neal Oden and 15 more

Registry-linked trialOpen access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The Journal of clinical psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01141608 (NIDA CTN Protocol 0037), which is not on this map. Cited by 49 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 5 pooled it
5.4field-weighted citation impact, top 4% 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.

NCT01141608 nacompletednot on this map

NIDA CTN Protocol 0037: Stimulant Reduction Intervention Using Dosed Exercise (STRIDE)

TypeinterventionalSponsorUniversity of Texas Southwestern Medical CenterRan2010 to 2013Enrolled302ConditionsStimulant Abuse and DependenceArmsVigorous Intensity High Dose Exercise, Health Education Intervention
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 5 syntheses or guidelines pooled it, 68 citations in OpenAlex.

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  11. Reinforcing exercise to improve drug abuse treatment outcomes: A randomized controlled study in a substance use disorder outpatient treatment setting.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2020
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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

25 authors at 8 institutions in 1 country.

Madhukar H TrivediCenter for Depression Research and Clinical Care, UT Southwestern Medical Center, 5323 Harry Hines Blvd, Dallas, TX 75390-9119. Madhukar.Trivedi@utsouthwestern.edu.
Tracy L GreerDepartment of Psychiatry, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Chad D RethorstDepartment of Psychiatry, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Thomas CarmodyDepartment of Psychiatry, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Bruce D GrannemannDepartment of Psychiatry, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Robrina WalkerDepartment of Psychiatry, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Diane WardenDepartment of Psychiatry, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Kathy Shores-WilsonDepartment of Psychiatry, University of Texas Southwestern Medical Center, Dallas, Texas, USA.
Mark StoutenbergDepartment of Public Health Services, University of Miami, Miami, Florida, USA.
Neal OdenThe EMMES Corporation, Rockville, Maryland, USA.
Meredith SilversteinArapahoe House, Denver, Colorado, USA.
Candace HodgkinsGateway Community Services, Jacksonville, Florida, USA.
Lee LoveGibson Recovery Center, Cape Girardeau, Missouri, USA.
Cindy SeamansNexus Recovery Center, Dallas, Texas, USA.
Angela StottsDepartment of Family and Community Medicine, University of Texas Health Science Center at Houston, Texas, USA.
Trey CauseyMorris Village Alcohol and Drug Addiction Treatment Center, Columbia, South Carolina, USA.
Regina P Szucs-ReedDepartment of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Paul RinaldiSt Luke's-Roosevelt Hospital, New York, New York, USA.
Hugh MyrickRalph H. Johnson VA Medical Center, Charleston, South Carolina, USA.
Michele StrausNational Institutes of Health, National Institute on Drug Abuse, Bethesda, Maryland, USA.
David LiuNational Institutes of Health, National Institute on Drug Abuse, Bethesda, Maryland, USA.
Robert LindbladThe EMMES Corporation, Rockville, Maryland, USA.
Timothy ChurchPennington Biomedical Research Center, Louisiana State University, Baton Rouge, Louisiana, USA.
Steven N BlairArnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA.
Edward V NunesDepartment of Psychiatry, Columbia University Medical Center, New York, New York, USA.
The University of Texas Southwestern Medical Center · USEmmes (United States) · USNational Institute on Drug Abuse · USColumbia University Irving Medical Center · USPennington Biomedical Research Center · USRalph H. Johnson VA Medical Center · USUniversity of Pennsylvania · USUniversity of South Carolina · US

Funding

Project-004UG1DA020024 · NIDA · UT SOUTHWESTERN MEDICAL CENTER · PI Steven J Shoptaw, MADHUKAR H. TRIVEDI · 2015 to 2026
$71.6M
FLORIDA NODE OF THE DRUG ABUSE CLINICAL TRIALS NETWORKU10DA013720 · NIDA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI METSCH, LISA R, SZAPOCZNIK, JOSE · 2000 to 2015
$56.9M
The Florida Node Alliance of the National Drug Abuse Treatment Clinical Trials NetworkUG1DA013720 · NIDA · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Daniel J Feaster, Viviana Elizabeth Horigian · 2015 to 2026
$50.6M
CU PARTNERS: NY/LONG ISLAND REGIONAL NODEU10DA013035 · NIDA · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI NUNES, EDWARD V., ROTROSEN, JOHN P · 2001 to 2015
$47.6M
Clinical Trials Network, Ohio Valley Node U10DA013732U10DA013732 · NIDA · UNIVERSITY OF CINCINNATI · PI WINHUSEN, T JOHN · 2000 to 2015
$45.0M
Southern Consortium Node of the Clinical Trials NetworkU10DA013727 · NIDA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T. · 2000 to 2015
$34.4M
Southern Consortium Node of the Clinical Trials Network (Varenicline)UG1DA013727 · NIDA · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI KATHLEEN T. BRADY, Kelly S. Barth · 2015 to 2026
$24.8M
Concept ProjectU10DA020024 · NIDA · UT SOUTHWESTERN MEDICAL CENTER · PI TRIVEDI, MADHUKAR H. · 2005 to 2015
$22.6M
Miami Clinical and Translational Science InstituteKL2TR000461 · NCATS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI SACCO, RALPH L. · 2012 to 2016
$2.1M
Drug Abuse Treatment Development and Research MentoringK24DA022412 · NIDA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI NUNES, EDWARD V. · 2007 to 2016
$1.7M
An Exercise Intervention to Prevent Interferon-Induced Depression in Hepatitis CK01MH097847 · NIMH · UT SOUTHWESTERN MEDICAL CENTER · PI RETHORST, CHAD D · 2013 to 2016
$595k
NCATS NIH HHS KL2 TR000461NIDA NIH HHS HHSN271200900034CNIDA NIH HHS K24 DA022412NIDA NIH HHS U10 DA013035NIDA NIH HHS U10 DA013720NIDA NIH HHS U10 DA013727NIDA NIH HHS U10 DA013732NIDA NIH HHS U10 DA020024NIDA NIH HHS UG1 DA013727NIDA NIH HHS UG1 DA020024NIMH NIH HHS K01 MH097847
6 · The paper itself

Abstract

objectiveTo evaluate exercise as a treatment for stimulant use disorders.

methodsThe STimulant Reduction Intervention using Dosed Exercise (STRIDE) study was a randomized clinical trial conducted in 9 residential addiction treatment programs across the United States from July 2010 to February 2013. Of 497 adults referred to the study, 302 met all eligibility criteria, including DSM-IV criteria for stimulant abuse and/or dependence, and were randomized to either a dosed exercise intervention (Exercise) or a health education intervention (Health Education) control, both augmenting treatment as usual and conducted thrice weekly for 12 weeks. The primary outcome of percent stimulant abstinent days during study weeks 4 to 12 was estimated using a novel algorithm adjustment incorporating self-reported Timeline Followback (TLFB) stimulant use and urine drug screen (UDS) data.

resultsMean percent of abstinent days based on TLFB was 90.8% (SD = 16.4%) for Exercise and 91.6% (SD = 14.7%) for Health Education participants. Percent of abstinent days using the eliminate contradiction (ELCON) algorithm was 75.6% (SD = 27.4%) for Exercise and 77.3% (SD = 25.1%) for Health Education. The primary intent-to-treat analysis, using a mixed model controlling for site and the ELCON algorithm, produced no treatment effect (P = .60). In post hoc analyses controlling for treatment adherence and baseline stimulant use, Exercise participants had a 4.8% higher abstinence rate (78.7%) compared to Health Education participants (73.9%) (P = .03, number needed to treat = 7.2).

conclusionsThe primary analysis indicated no significant difference between exercise and health education. Adjustment for intervention adherence showed modestly but significantly higher percent of abstinent days in the exercise group, suggesting that exercise may improve outcomes for stimulant users who have better adherence to an exercise dose.

trial registrationClinicalTrials.gov identifier: NCT01141608.

Indexed as

Exercise TherapySubstance-Related DisordersAdultCentral Nervous System StimulantsDiagnostic and Statistical Manual of Mental DisordersExerciseFemaleHealth EducationHumansMaleMiddle AgedPatient ComplianceTreatment OutcomeCentral Nervous System Stimulants

Identifiers

PMID28199070
PMCPMC5683711
OpenAlexW2588307613

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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.