Evidence map›Paper›PMID 28833832›Full record

Trial reportThe American journal on addictions2017

Pretreatment ethyl glucuronide levels predict response to a contingency management intervention for alcohol use disorders among adults with serious mental illness.

Michael Gerard McDonell, Emily Leickly, Sterling McPherson, Jordan Skalisky, Katherine Hirchak, Oladunni Oluwoye, Debra Srebnik, John Michael Roll, Richard Kirkland Ries

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal on addictions, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 28% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
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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

9 authors at 3 institutions in 1 country.

Michael Gerard McDonellInitiative for Research and Education to Advance Community Health, Washington State University, Spokane, Washington.ORCID http://orcid.org/0000-0002-8372-6469
Emily LeicklyInitiative for Research and Education to Advance Community Health, Washington State University, Spokane, Washington.
Sterling McPhersonDepartment of Clinical Sciences, Washington State University Elson S. Floyd College of Medicine, Spokane, Washington.
Jordan SkaliskyInitiative for Research and Education to Advance Community Health, Washington State University, Spokane, Washington.
Katherine HirchakInitiative for Research and Education to Advance Community Health, Washington State University, Spokane, Washington.
Oladunni OluwoyeInitiative for Research and Education to Advance Community Health, Washington State University, Spokane, Washington.
Debra SrebnikDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington.
John Michael RollDepartment of Clinical Sciences, Washington State University Elson S. Floyd College of Medicine, Spokane, Washington.
Richard Kirkland RiesDepartment of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington.
Washington State University Spokane · USUniversity of Washington · USProvidence Regional Medical Center Everett · US

Funding

Novel EtG BasedContingency Management for Alcohol in the Severely Mentally IllR01AA020248 · NIAAA · WASHINGTON STATE UNIVERSITY · PI MCDONELL, MICHAEL G · 2012 to 2021
$4.6M
NIAAA NIH HHS R01 AA020248
6 · The paper itself

Abstract

BACKGROUND AND

objectivesThis study investigated if pretreatment ethyl glucuronide (EtG) levels corresponding to light (100 ng/mL), heavy (500 ng/mL), and very heavy (1,000 ng/mL) drinking predicted longest duration of alcohol abstinence (LDA) and proportion of EtG-negative urine tests in outpatients receiving a 12-week EtG-based contingency management (CM) intervention for alcohol dependence.

methodsParticipants were 40 adults diagnosed with alcohol use disorders and serious mental illness who submitted up to 12 urine samples for EtG analysis during a 4-week observation period and were then randomized to 12-weeks of CM for alcohol abstinence and addiction treatment attendance. Alcohol use outcomes during CM as assessed by EtG and self-report were compared across those who did and did not attain a pre-treatment average EtG level of 500 ng/mL-a level that equates to frequent heavy drinking.

resultsOnly the 500 ng/mL cutoff was associated with significant differences in LDA and proportion of EtG-negative samples during CM. Those with a pre-treatment EtG < 500 ng/mL attained a LDA 2.3 (alcohol) to 2.9 (drugs) weeks longer than pre-treatment heavy drinkers. DISCUSSION AND

conclusionsThe EtG biomarker can be used to determine who will respond to a CM intervention for alcohol use disorders and could inform future trials that are designed to be tailored to individual patients. SCIENTIFIC SIGNIFICANCE: Results suggest pre-treatment EtG cutoffs equivalent to heavy and very heavy drinking predict outcomes in CM. (Am J Addict 2017;26:673-675).

Indexed as

GlucuronatesMental DisordersAdultAlcoholismBehavior TherapyBiomarkersDiagnosis, Dual (Psychiatry)Diagnostic and Statistical Manual of Mental DisordersFemaleHumansMaleMiddle AgedOutpatientsPredictive Value of TestsSelf ReportTreatment OutcomeBiomarkersethyl glucuronideGlucuronatesalcohol treatmentcontingency managementethyl glucuronidepredicting treatment outcomesserious mental illness

Identifiers

PMID28833832
PMCPMC5610611
OpenAlexW2747539140

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.