Evidence map›Paper›PMID 28410002›Full record

Trial reportThe American journal of drug and alcohol abuse2017

Comparing behavioral health models for reducing risky drinking among older male veterans.

Nikki R Wooten, Abbas S Tavakoli, Marlene B Al-Barwani, Naomi A Thomas, Hrishikesh Chakraborty, Anna M Scheyett, Kelly M Kaminski, Alyssia C Woods, Sue E Levkoff

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

Trial report in The American journal of drug and alcohol abuse, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

7 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Behavioral Health Service Use by Military Children During Afghanistan and Iraq Wars.The journal of behavioral health services & research · 2019
    Article
  5. Article
  6. Article
  7. 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

9 authors at 2 institutions in 1 country.

Nikki R Wootena College of Social Work , University of South Carolina , Columbia , SC , USA.ORCID 0000-0002-6319-8224
Abbas S Tavakolic College of Nursing , University of South Carolina , Columbia , SC , USA.
Marlene B Al-Barwania College of Social Work , University of South Carolina , Columbia , SC , USA.
Naomi A Thomasa College of Social Work , University of South Carolina , Columbia , SC , USA.
Hrishikesh Chakrabortyd Arnold School of Public Health , University of South Carolina , Columbia , SC , USA.
Anna M Scheyette School of Social Work , University of Georgia , Athens , GA , USA.
Kelly M Kaminskia College of Social Work , University of South Carolina , Columbia , SC , USA.
Alyssia C Woodsa College of Social Work , University of South Carolina , Columbia , SC , USA.
Sue E Levkoffa College of Social Work , University of South Carolina , Columbia , SC , USA.
University of South Carolina · USUniversity of Georgia · US

Funding

Behavioral Health Care in Army Warrior Transition UnitsK01DA037412 · NIDA · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI WOOTEN, NIKKI R. · 2014 to 2018
$740k
NIDA NIH HHS K01 DA037412
6 · The paper itself

Abstract

backgroundScreening older veterans in Veterans Affairs Medical Center (VAMC) primary care clinics for risky drinking facilitates early identification and referral to treatment.

objectiveThis study compared two behavioral health models, integrated care (a standardized brief alcohol intervention co-located in primary care clinics) and enhanced referral care (referral to specialty mental health or substance abuse clinics), for reducing risky drinking among older male VAMC primary care patients. VAMC variation was also examined.

methodA secondary analysis of longitudinal data from the Primary Care Research in Substance Abuse and Mental Health for Elderly (PRISM-E) study, a multisite randomized controlled trial, was conducted with a sample of older male veterans (n = 438) who screened positive for risky drinking and were randomly assigned to integrated or enhanced referral care at five VAMCs.

resultsGeneralized estimating equations revealed no differences in either behavioral health model for reducing risky drinking at a 6-month follow-up (AOR: 1.46; 95% CI: 0.42-5.07). Older veterans seen at a VAMC providing geriatric primary care and geriatric evaluation and management teams had lower odds of risky drinking (AOR: 0.24; 95% CI: 0.07-0.81) than those seen at a VAMC without geriatric primary care services.

conclusionsBoth integrated and enhanced referral care reduced risky drinking among older male veterans. However, VAMCs providing integrated behavioral health and geriatric specialty care may be more effective in reducing risky drinking than those without these services. Integrating behavioral health into geriatric primary care may be an effective public health approach for reducing risky drinking among older veterans.

Indexed as

CounselingModels, PsychologicalRisk Reduction BehaviorAgedAged, 80 and overAlcohol DrinkingHumansMalePrimary Health CareRisk-TakingVeteransbehavioral medicineintegrated behavioral health caremultisite randomized controlled trialOlder veteransPRISM-Erisky drinking

Identifiers

PMID28410002
PMCPMC5604788
OpenAlexW2606545289

What OpenQuestion holds

Textmetadata
LicenceTDM
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.