Evidence map›Paper›PMID 28476273›Full record

Trial reportJournal of substance abuse treatment2017

Treatment seeking as a mechanism of change in a randomized controlled trial of a mobile health intervention to support recovery from alcohol use disorders.

Joseph E Glass, James R McKay, David H Gustafson, Rachel Kornfield, Paul J Rathouz, Fiona M McTavish, Amy K Atwood, Andrew Isham, Andrew Quanbeck, Dhavan Shah

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of substance abuse treatment, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 8 pooled it
3.8field-weighted citation impact, top 6% 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

28 citing papers in PubMed, 8 syntheses or guidelines pooled it, 49 citations in OpenAlex.

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  9. Using causal mediation to examine self-efficacy as a mechanism through which continuing care interventions reduce alcohol use.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2024
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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

10 authors at 3 institutions in 1 country.

Joseph E GlassKaiser Permanente Washington Health Research Institute, Kaiser Foundation Health Plan of Washington, Seattle, WA, USA. Electronic address: glass.j@ghc.org.
James R McKayDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia Veterans Affairs Medical Center, Philadelphia, PA, USA.
David H GustafsonCenter for Health Enhancement Systems Studies, College of Engineering, University of Wisconsin-Madison, Madison, WI, USA.
Rachel KornfieldMass Communication Research Center, School of Journalism and Mass Communication, University of Wisconsin-Madison, Madison, WI, USA.
Paul J RathouzDepartment of Biostatistics and Medical Informatics, University of Wisconsin-Madison, Madison, WI, USA.
Fiona M McTavishCenter for Health Enhancement Systems Studies, College of Engineering, University of Wisconsin-Madison, Madison, WI, USA.
Amy K AtwoodCenter for Health Enhancement Systems Studies, College of Engineering, University of Wisconsin-Madison, Madison, WI, USA.
Andrew IshamCenter for Health Enhancement Systems Studies, College of Engineering, University of Wisconsin-Madison, Madison, WI, USA.
Andrew QuanbeckCenter for Health Enhancement Systems Studies, College of Engineering, University of Wisconsin-Madison, Madison, WI, USA.
Dhavan ShahMass Communication Research Center, School of Journalism and Mass Communication, University of Wisconsin-Madison, Madison, WI, USA.
University of Wisconsin–Madison · USKaiser Permanente Washington Health Research Institute · USUniversity of Pennsylvania · US

Funding

Institutional Clinical and Translational Science AwardUL1TR000427 · NCATS · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2012 to 2016
$32.2M
Impact on opioid use of bundling medication-assisted treatment with mHealthR01DA040449 · NIDA · UNIVERSITY OF WISCONSIN-MADISON · PI GUSTAFSON, DAVID H · 2015 to 2019
$3.4M
Developing and Testing a Computer-Based Alcohol Use Disorder Recovery SystemR01AA017192 · NIAAA · UNIVERSITY OF WISCONSIN-MADISON · PI GUSTAFSON, DAVID H · 2008 to 2012
$2.9M
Adaptive Treatment Models for the Management of Drug Use DisordersK24DA029062 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI MCKAY, JAMES R. · 2010 to 2021
$1.6M
NCATS NIH HHS UL1 TR000427NIAAA NIH HHS R01 AA017192NIDA NIH HHS K24 DA029062NIDA NIH HHS R01 DA040449
6 · The paper itself

Abstract

backgroundWe estimated the efficacy of the Addiction-Comprehensive Health Enhancement Support System (A-CHESS) in increasing the use of services for addiction and examined the extent to which this use of services mediated the effects of A-CHESS on risky drinking days and abstinence from drinking.

methodsWe conducted secondary data analyses of the A-CHESS randomized controlled trial. Recruitment occurred in five residential treatment programs operated by two addiction treatment organizations. Participants were 349 adults with alcohol use disorders recruited two weeks before discharge from residential treatment. We provided intervention arm participants with a smartphone, the A-CHESS application, and an 8-month service plan. Control arm participants received treatment as usual. Telephone interviews at 4, 8, and 12-month follow-ups assessed past-month risky drinking days, past-month abstinence, and post-discharge service utilization (past-month outpatient addiction treatment and past-week mutual help including Alcoholics Anonymous and Narcotics Anonymous). Using mixed effects latent variable models, we estimated the indirect effects of A-CHESS on drinking outcomes, as mediated by post-discharge service utilization.

resultsApproximately 50.5% of participants reported outpatient addiction treatment and 75.5% reported mutual help at any follow-up interview in the year following randomization. Assignment to the A-CHESS intervention was associated with an increased odds of outpatient addiction treatment across follow-ups, but not mutual help. This use of outpatient addiction treatment mediated the effect of A-CHESS on risky drinking days, but not abstinence. The effect of A-CHESS through outpatient addiction treatment appeared to reduce the expected number of risky drinking days across follow-ups by 11%.

conclusionsThe mobile health (mHealth) intervention promoted the use of outpatient addiction treatment, which appeared to contribute to its efficacy in reducing risky drinking. Future research should investigate how mHealth interventions could link patients to needed treatment services and promote the sustained use of these services.

Indexed as

Patient Acceptance of Health CareTelemedicineAdultAlcohol DrinkingAlcoholismAmbulatory CareCell PhoneFemaleFollow-Up StudiesHumansInterviews as TopicMaleMiddle AgedMobile ApplicationsResidential TreatmentSelf-Help GroupsAftercareContinuing careMediationMobile healthRandomized controlled trialSmartphoneTreatment utilization

Identifiers

PMID28476273
PMCPMC5880274
OpenAlexW2602381490

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.