Evidence map›Paper›PMID 28569525›Full record

Trial reportPsychological trauma : theory, research, practice and policy2018

Web-based alcohol intervention for veterans: PTSD, combat exposure, and alcohol outcomes.

Deborah J Brief, Marika Solhan, Denis Rybin, Justin L Enggasser, Amy Rubin, Monica Roy, Eric Helmuth, Amy Schreiner, Meagan Heilman, Lisa Vittorio and 2 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychological trauma : theory, research, practice and policy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 21% 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

8 citing papers in PubMed, 9 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

12 authors at 2 institutions in 1 country.

Deborah J BriefVA Boston Healthcare System.
Marika SolhanVA Boston Healthcare System.
Denis RybinBoston University School of Public Health.
Justin L EnggasserVA Boston Healthcare System.
Amy RubinNational Center for PTSD at VA Boston Healthcare System.
Monica RoyVA Boston Healthcare System.
Eric HelmuthBoston University School of Public Health.
Amy SchreinerVA Boston Healthcare System.
Meagan HeilmanVA Boston Healthcare System.
Lisa VittorioVA Boston Healthcare System.
David RosenbloomBoston University School of Public Health.
Terence M KeaneNational Center for PTSD at VA Boston Healthcare System.
VA Boston Healthcare System · USBoston University · US

Funding

Web-based Behavioral Intervention for Returning Veterans with Risky Alcohol UseRC1AA019248 · NIAAA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI KEANE, TERENCE M · 2009 to 2010
$909k
National Institute on Alcohol Abuse and AlcoholismNIAAA NIH HHS RC1 AA019248
6 · The paper itself

Abstract

objectiveThe purpose of the current study was to evaluate the relationship between baseline levels of posttraumatic stress disorder (PTSD), combat exposure, and alcohol outcomes in a sample of Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) veterans using a web-based self-management intervention (VetChange) for problem drinking.

methodThe current study focuses on 523 veterans who participated in a larger randomized clinical trial. Analyses in the current study include (a) multivariable linear regression models to assess the relationship between PTSD, combat exposure, and alcohol variables at baseline, and (b) general linear models accounting for correlated data within subjects to analyze change over time for alcohol outcomes as a function of baseline PTSD symptoms, combat exposure, and covariates.

resultsThere was a positive association between PTSD symptom severity and alcohol use and alcohol problem severity at baseline. However, participants with higher baseline PTSD symptoms demonstrated a significantly greater reduction in alcohol use during the intervention and a greater reduction in alcohol problems from baseline to 3-month follow-up. Combat exposure severity was positively associated with alcohol problems at baseline. However, veterans with higher exposure demonstrated a greater reduction in average weekly drinking between end of intervention and follow-up, and otherwise showed changes similar to participants with lower exposure.

conclusionsHigher levels of baseline PTSD symptoms and combat exposure severity did not prevent OEF/OIF veterans from achieving positive alcohol outcomes through participation in a self-management web intervention for problem drinking. (PsycINFO Database Record

Indexed as

Self-ManagementTherapy, Computer-AssistedWar ExposureAdultAfghan Campaign 2001-Alcohol DrinkingAlcohol-Related DisordersFemaleHumansInternetIraq War, 2003-2011Longitudinal StudiesMaleProblem BehaviorStress Disorders, Post-TraumaticTelerehabilitation

Identifiers

PMID28569525
PMCPMC5711610
OpenAlexW2620867530

What OpenQuestion holds

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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.