Evidence map›Paper›PMID 28505488›Full record

ArticleAddictive behaviors2017

Predictors of buprenorphine treatment success of opioid dependence in two Baltimore City grassroots recovery programs.

April Joy Damian, Tamar Mendelson, Deborah Agus

Open access · greenAbstract readMulticenter Study
In one paragraph

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 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 8% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

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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

3 authors at 1 institution in 1 country.

April Joy DamianJohns Hopkins Bloomberg School of Public Health, Department of Mental Health, 624 North Broadway Street, Room 798, Baltimore, MD 21205, United States. Electronic address: adamian2@jhu.edu.
Tamar MendelsonJohns Hopkins Bloomberg School of Public Health, Department of Mental Health, 624 North Broadway Street, Room 853, Baltimore, MD 21205, United States. Electronic address: tmendel1@jhu.edu.
Deborah AgusJohns Hopkins Bloomberg School of Public Health, Department of Mental Health, 624 North Broadway Street, 8th Floor, Baltimore, MD 21205, United States. Electronic address: dagus2@jhu.edu.
Johns Hopkins University · US

Funding

PSYCHIATRIC EPIDEMIOLOGY TRAINING PROGRAMT32MH014592 · NIMH · JOHNS HOPKINS UNIVERSITY · PI HEATHER E VOLK, Peter P. Zandi · 1985 to 2026
$8.5M
Addressing Trauma in Urban Youth: Evaluating the Implementation of Baltimore City Health Departments Citywide Trauma Informed Care Training InterventionF31HD090851 · NICHD · JOHNS HOPKINS UNIVERSITY · PI DAMIAN, APRIL JOY G · 2017 to 2018
$62k
NICHD NIH HHS F31 HD090851NIMH NIH HHS T32 MH014592
6 · The paper itself

Abstract

introductionDespite evidence for the efficacy of buprenorphine treatment in primary care, few studies have identified factors associated with treatment success, nor have such factors been evaluated in community settings. Identifying correlates of treatment success can facilitate the development of treatment models tailored for distinct populations, including low-income communities of color. The current study examined client-level socio-demographic factors associated with treatment success in community-based buprenorphine programs serving vulnerable populations.

methodsData were abstracted from client records for participants (N=445) who met DSM-IV criteria for opioid dependence and sought treatment at one of Behavioral Health Leadership Institute's two community-based recovery programs in Baltimore City from 2010 to 2015. Logistic regression estimated the odds ratios of treatment success (defined as retention in treatment for ≥90days) by sociodemographic predictors including age, race, gender, housing, legal issues and incarceration.

resultsThe odds of being retained in treatment ≥90days increased with age (5% increase with each year of age; p<0.001), adjusting for other sociodemographic factors. Clients who reported unstable housing had a 41% decreased odds of remaining in treatment for 90 or more days compared to clients who lived independently at intake. Treatment success did not significantly differ by several other client-level characteristics including gender, race, employment, legal issues and incarceration.

conclusionsIn vulnerable populations, the age factor appears sufficiently significant to justify creating models formulated for younger populations. The data also support attention to housing needs for people in treatment. Findings from this paper can inform future research and program development.

Indexed as

AdultAgedBaltimoreBuprenorphineCommunity Mental Health ServicesEmploymentFemaleHousingHumansLength of StayMaleMiddle AgedNarcotic AntagonistsOpiate Substitution TreatmentOpioid-Related DisordersTreatment OutcomeBuprenorphineNarcotic AntagonistsBuprenorphineCommunity-based treatmentOpioid abuse and dependenceUrban

Identifiers

PMID28505488
PMCPMC5789789
OpenAlexW2613384516

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.