Evidence map›Paper›PMID 29049282›Full record

Trial reportPloS one2017

Behavioral intervention to reduce opioid overdose among high-risk persons with opioid use disorder: A pilot randomized controlled trial.

Phillip Oliver Coffin, Glenn-Milo Santos, Tim Matheson, Emily Behar, Chris Rowe, Talia Rubin, Janelle Silvis, Eric Vittinghoff

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02093559 (Repeated-dose Brief Intervention to Reduce Overdose and Risk Behaviors Among Naloxone Recipients), which is not on this map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
4.5field-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.

NCT02093559 nacompletednot on this map

Repeated-dose Brief Intervention to Reduce Overdose and Risk Behaviors Among Naloxone Recipients

TypeinterventionalSponsorSan Francisco Department of Public HealthRan2014 to 2016Enrolled63ConditionsOpioid-Related Disorders, Drug OverdoseArmsBrief counseling Intervention
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.

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  17. Direct-Care Staff Perceptions of Patient Engagement and Treatment Planning in Detox.The journal of behavioral health services & research · 2021
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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 2 institutions in 1 country.

Phillip Oliver CoffinSan Francisco Department of Public Health, San Francisco, California, United States of America.ORCID http://orcid.org/0000-0002-3891-6570
Glenn-Milo SantosSan Francisco Department of Public Health, San Francisco, California, United States of America.
Tim MathesonSan Francisco Department of Public Health, San Francisco, California, United States of America.
Emily BeharSan Francisco Department of Public Health, San Francisco, California, United States of America.
Chris RoweSan Francisco Department of Public Health, San Francisco, California, United States of America.
Talia RubinSan Francisco Department of Public Health, San Francisco, California, United States of America.
Janelle SilvisSan Francisco Department of Public Health, San Francisco, California, United States of America.
Eric VittinghoffUniversity of California San Francisco, San Francisco, California, United States of America.
San Francisco Department of Public Health · USUniversity of California, San Francisco · US

Funding

Substance Use and HIV Prevention Research in Minority Communities Training ProgramR25DA028567 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Julia Lechuga, Torsten Brian Neilands · 2009 to 2026
$5.4M
Minority Populations Prevention Researcher TrainingR25HD045810 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI NEILANDS, TORSTEN BRIAN · 2003 to 2018
$4.3M
Repeated-dose Brief Intervention to Reduce Overdose and Risk Behaviors Among NaloR34DA037194 · NIDA · PUBLIC HEALTH FOUNDATION ENTERPRISES · PI COFFIN, PHILLIP O · 2014 to 2016
$501k
NICHD NIH HHS R25 HD045810NIDA NIH HHS R25 DA028567NIDA NIH HHS R34 DA037194
6 · The paper itself

Abstract

objectiveThe United States is amidst an opioid epidemic, including synthetic opioids that may result in rapid death, leaving minimal opportunity for bystander rescue. We pilot tested a behavioral intervention to reduce the occurrence of opioid overdose among opioid dependent persons at high-risk for subsequent overdose. MATERIALS AND

methodsWe conducted a single-blinded randomized-controlled trial of a repeated dose motivational interviewing intervention (REBOOT) to reduce overdose versus treatment as usual, defined as information and referrals, over 16 months at the San Francisco Department of Public Health from 2014-2016. Participants were 18-65 years of age, had opioid use disorder by Structured Clinical Interview, active opioid use, opioid overdose within 5 years, and prior receipt of naloxone kits. The intervention was administered at months 0, 4, 8, and 12, preceded by the assessment which was also administered at month 16. Dual primary outcomes were any overdose event and number of events, collected by computer-assisted personal interview, as well as any fatal overdose events per vital records.

resultsA total of 78 persons were screened and 63 enrolled. Mean age was 43 years, 67% were born male, 65% White, 17% African-American, and 14% Latino. Ninety-two percent of visits and 93% of counseling sessions were completed. At baseline, 33.3% of participants had experienced an overdose in the past four months, with a similar mean number of overdoses in both arms (p = 0.95); 29% overdosed during follow-up. By intention-to-treat, participants assigned to REBOOT were less likely to experience any overdose (incidence rate ratio [IRR] 0.62 [95%CI 0.41-0.92, p = 0.019) and experienced fewer overdose events (IRR 0.46, 95%CI 0.24-0.90, p = 0.023), findings that were robust to sensitivity analyses. There were no differences between arms in days of opioid use, substance use treatment, or naloxone carriage.

conclusionsREBOOT reduced the occurrence of any opioid overdose and the number of overdoses.

trial registrationclinicaltrials.gov NCT02093559.

Indexed as

AdolescentAdultAgedDrug OverdoseFemaleHumansMaleMiddle AgedNarcotic AntagonistsOpioid-Related DisordersPilot ProjectsRisk FactorsSingle-Blind MethodTreatment OutcomeYoung AdultNarcotic Antagonists

Identifiers

PMID29049282
PMCPMC5648110
OpenAlexW2767186288

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.