ArticleAddictive behaviors2017
Does the implementation of evidence-based and culturally competent practices reduce disparities in addiction treatment outcomes?
Article in Addictive behaviors, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
What it found
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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
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- Substance use disorder, the workforce, and treatment quality for minoritized populations: a systematic review.Substance abuse treatment, prevention, and policy · 2025Pooled it
- The impact of organisational factors on treatment outcomes for those seeking alcohol or other drug treatment: A systematic review.Drug and alcohol review · 2023Pooled it
- Enduring contributions to implementation science: Honoring the legacy of Bryan R. Garner.Frontiers in health services · 2025Article
- Key person-centered care domains for residential substance use disorder treatment facilities: former clients' perspectives.Substance abuse treatment, prevention, and policy · 2023Article
- Using machine learning to advance disparities research: Subgroup analyses of access to opioid treatment.Health services research · 2022Article
- Article
- A Comparison of Substance Use Patterns Among Lifetime Heroin-Injecting Individuals By Racial Groups.Addiction research & theory · 2020Article
- Mini Review: Socio-Cultural Influences on the Link Between ADHD and SUD.Frontiers in public health · 2019Review
- Where Is the Opioid Use Epidemic in Mexico? A Cautionary Tale for Policymakers South of the US-Mexico Border.American journal of public health · 2019Article
- The Temporal Relationship Between Medicaid Payment Acceptance and the Implementation of Medication-Assisted Drug Treatment.Substance abuse : research and treatment · 2018Article
- Advancing theory development: exploring the leadership-climate relationship as a mechanism of the implementation of cultural competence.Implementation science : IS · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 4 institutions in 1 country.
Funding
Abstract
rationaleResearch is limited on the extent to which implementation of evidence-based and culturally responsive practices reduces outcome disparities in substance use disorder treatment. We examined the role of contingency management treatment (CMT), medication-assisted treatment (MAT), and culturally competent practices on Mexican Americans' rate of successful completion of treatment.
methodsWe analyzed a concatenated dataset from 153 publicly funded substance use disorder treatment programs in Los Angeles County, California, in 2011 and 2013. These data were merged with data from 15,412 adult clients in both periods, of whom we selected only Mexican Americans (46.3%) and non-Latino Whites (53.7%). The outcome was successful treatment completion. The main independent variables were client demographics, drug use severity, mental health issues, and program license and professional accreditation.
resultsLess than half of the programs highly implemented CMT, MAT, and culturally competent practices. CMT and cultural competence were not associated with successful treatment completion. However, Mexican Americans in programs with high degree of implementation of MAT had higher odds of successfully completing treatment compared to non-Latino Whites and programs with low MAT (OR=1.389; 95% CI=1.018, 1.897).
conclusionsFindings highlight the role of MAT in reducing the disparity in treatment completion between Mexican Americans and non-Latino Whites. Implications for health policy and the dissemination of MAT are discussed.
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Registered trials
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