Evidence map›Paper›PMID 28554608›Full record

ArticleJournal of substance abuse treatment2017

Documented brief intervention not associated with resolution of unhealthy alcohol use one year later among VA patients living with HIV.

Emily C Williams, Gwen T Lapham, Jennifer F Bobb, Anna D Rubinsky, Sheryl L Catz, Susan M Shortreed, Kara M Bensley, Katharine A Bradley

Open access · greenAbstract read
In one paragraph

Article 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 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
5.4field-weighted citation impact, top 5% 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

15 citing papers in PubMed, 18 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

8 authors at 3 institutions in 1 country.

Emily C WilliamsHealth Services Research & Development (HSR&D), Center of Innovation for Veteran-Centered Value-Driven Care (COIN), Veterans Affairs (VA) Puget Sound Health Care System, Seattle, WA, United States; Department of Health Services, University of Washington, Seattle, WA, United States; Kaiser Permanente Washington Health Research Institute, Seattle, WA, United States. Electronic address: Williams3@va.gov.
Gwen T LaphamHealth Services Research & Development (HSR&D), Center of Innovation for Veteran-Centered Value-Driven Care (COIN), Veterans Affairs (VA) Puget Sound Health Care System, Seattle, WA, United States; Kaiser Permanente Washington Health Research Institute, Seattle, WA, United States. Electronic address: Lapham.g@ghc.org.
Jennifer F BobbKaiser Permanente Washington Health Research Institute, Seattle, WA, United States. Electronic address: bobb.j@ghc.org.
Anna D RubinskyHealth Services Research & Development (HSR&D), Center of Innovation for Veteran-Centered Value-Driven Care (COIN), Veterans Affairs (VA) Puget Sound Health Care System, Seattle, WA, United States; Kidney Health Research Collaborative, University of California, San Francisco, San Francisco VA Medical Center, San Francisco, CA, United States. Electronic address: Anna.Rubinsky@va.gov.
Sheryl L CatzBetty Irene Moore School of Nursing, University of California at Davis, Sacramento, CA, United States; Kaiser Permanente Washington Health Research Institute, Seattle, WA, United States. Electronic address: scatz@ucdavis.edu.
Susan M ShortreedKaiser Permanente Washington Health Research Institute, Seattle, WA, United States; Department of Biostatistics, University of Washington; Seattle, WA, United States. Electronic address: shortreed.s@ghc.org.
Kara M BensleyHealth Services Research & Development (HSR&D), Center of Innovation for Veteran-Centered Value-Driven Care (COIN), Veterans Affairs (VA) Puget Sound Health Care System, Seattle, WA, United States; Department of Health Services, University of Washington, Seattle, WA, United States. Electronic address: kbensley@uw.edu.
Katharine A BradleyHealth Services Research & Development (HSR&D), Center of Innovation for Veteran-Centered Value-Driven Care (COIN), Veterans Affairs (VA) Puget Sound Health Care System, Seattle, WA, United States; Center of Excellence in Substance Abuse Treatment and Education (CESATE), VA Puget Sound Health Care System - Seattle Division, Seattle, WA, United States; Department of Health Services, University of Washington, Seattle, WA, United States; Department of Medicine, University of Washington, Seattle, WA, United States; Kaiser Permanente Washington Health Research Institute, Seattle, WA, United States. Electronic address: Bradley.k@ghc.org.
Kaiser Permanente Washington Health Research Institute · USSan Francisco VA Medical Center · USUniversity of Washington · US

Funding

Training Clinicians in Implementation Research to Improve Alcohol-related CareK24AA022128 · NIAAA · KAISER FOUNDATION RESEARCH INSTITUTE · PI BRADLEY, KATHARINE ANTHONY · 2016 to 2020
$876k
Alcohol-related Care & Outcomes for Outpatients with HIV in a National VA CohortR21AA022866 · NIAAA · KAISER FOUNDATION HEALTH PLAN OF WASHINGTON · PI BRADLEY, KATHARINE ANTHONY, WILLIAMS, EMILY CATERINA · 2015 to 2016
$434k
Evaluation of the AUDIT-C in a Primary Care PopulationR21AA014672 · NIAAA · UNIVERSITY OF WASHINGTON · PI BRADLEY, KATHARINE ANTHONY · 2005 to 2006
$214k
Implementation Research for Evidence-based Care for Alcohol DependenceIK2HX001161 · VA · VA PUGET SOUND HEALTHCARE SYSTEM · PI WILLIAMS, EMILY CATERINA · 2015 to 2015
–
HSRD VA IK2 HX001161NIAAA NIH HHS K24 AA022128NIAAA NIH HHS R21 AA014672NIAAA NIH HHS R21 AA022866
6 · The paper itself

Abstract

objectiveUnhealthy alcohol use is particularly risky for patients living with HIV (PLWH). Brief interventions reduce drinking among patients with unhealthy alcohol use, but whether its receipt in routine outpatient settings is associated with reduced drinking among PLWH with unhealthy alcohol use is unknown. We assessed whether PLWH who screened positive for unhealthy alcohol use were more likely to resolve unhealthy drinking one year later if they had brief alcohol intervention (BI) documented in their electronic health record in a national sample of PLWH from the Veterans Health Administration.

methodsSecondary VA clinical and administrative data from the electronic medical record (EMR) were used to identify all positive alcohol screens (AUDIT-C score≥5) documented among PLWH (10/01/09-5/30/13) followed by another alcohol screen documented 9-15months later. Unadjusted and adjusted Poisson regression models assessed the association between brief intervention (advice to reduce drinking or abstain documented in EMR) and resolution of unhealthy alcohol use (follow-up AUDIT-C<5 with ≥2 point reduction).

resultsOverall 2101 PLWH with unhealthy drinking (10/01/09-5/30/13) had repeat alcohol screens 9-15months later. Of those, 77% had brief intervention documented after their first screen, and 61% resolved unhealthy alcohol use at follow-up. Documented brief intervention was not associated with resolution [Adjusted incidence rate ratio 0.96, (95% CI 0.90-1.02)].

conclusionsDocumented brief intervention was not associated with resolving unhealthy alcohol use at follow-up screening among VA PLWH with unhealthy alcohol use. Effective methods of resolving unhealthy alcohol use in this vulnerable population are needed.

Indexed as

HIV InfectionsAdultAgedAlcoholismFemaleHumansMaleMiddle AgedUnited StatesUnited States Department of Veterans AffairsVeteransAlcoholBrief interventionHIVUnhealthy alcohol use

Identifiers

PMID28554608
PMCPMC5674978
OpenAlexW2606609355

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.