Evidence map›Paper›PMID 28756030›Full record

ArticlePatient education and counseling2018

Intensive referral to mutual-help groups: A field trial of adaptations for rural veterans.

Kathleen M Grant, Lance Brendan Young, Kimberly A Tyler, Jamie L Simpson, R Dario Pulido, Christine Timko

Abstract readControlled Clinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Article in Patient education and counseling, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Alcoholics Anonymous and other 12-step programs for alcohol use disorder.The Cochrane database of systematic reviews · 2020
    Pooled it
  3. Trial
  4. Trial
  5. Review
  6. Article
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

6 authors.

Kathleen M GrantVA Nebraska-Western Iowa Health Care System, Omaha, NE, USA; Department of Internal Medicine, University of Nebraska Medical Center, Omaha, NE, USA.
Lance Brendan YoungCommunication Department, Western Illinois University-Quad Cities,Moline, IL, USA. Electronic address: LB-Young@wiu.edu.
Kimberly A TylerSociology Department, University of Nebraska-Lincoln, Lincoln, NE, USA.
Jamie L SimpsonPsychology Department, Midland University, Fremont, NE, USA.
R Dario PulidoVA Nebraska-Western Iowa Health Care System, Omaha, NE, USA.
Christine TimkoCenter for Innovation to Implementation, VA Palo Alto Health Care System, Menlo Park, CA, USA; Stanford University School of Medicine, Stanford, CA, USA.

Funding

HSRD VA RCS 00-001
6 · The paper itself

Abstract

objectiveA multisite field trial testing whether improved outcomes associated with intensive referral to mutual help groups (MHGs) could be maintained after the intervention was adapted for the circumstances and needs of rural veterans in treatment for substance use disorder (SUD).

methodsIn three Veterans Affairs treatment programs in the Midwest, patients (N=195) received standard referral (SR) or rural-adapted intensive referral (RAIR) and were measured at baseline and 6-month follow-up.

resultsBoth groups reported significant improvement at 6-months, but no significant differences between SR and RAIR groups in MHG participation, substance use, addiction severity, and posttraumatic stress symptoms. Inconsistent delivery of the intervention resulted in only one-third of the RAIR group receiving the full three sessions, but this group reported significantly greater 6-month abstinence from alcohol than those receiving no sessions.

conclusionFurther research should explore implementation problems and determine whether consistent delivery of the intervention enhances 12-step facilitation. PRACTICE IMPLICATIONS: The addition of rural-specific elements to the original intensive referral intervention has not been shown to increase its effectiveness among rural veterans.

Indexed as

AdultFollow-Up StudiesHumansMaleMiddle AgedProgram EvaluationReferral and ConsultationRural PopulationSelf-Help GroupsSubstance-Related DisordersSurveys and QuestionnairesTreatment OutcomeUnited StatesUnited States Department of Veterans AffairsVeteransControlled field trialMutual-helpRuralSubstance use disorderVeteran

Identifiers

PMID28756030
PMCPMC6430564

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.