Evidence map›Paper›PMID 29161228›Full record

ArticleSubstance abuse2018

Homelessness predicts attrition but not alcohol abstinence in outpatients experiencing co-occurring alcohol dependence and serious mental illness.

Emily Leickly, Jordan Skalisky, Oladunni Oluwoye, Sterling M McPherson, Debra Srebnik, John M Roll, Richard K Ries, Michael G McDonell

Open access · greenAbstract read
In one paragraph

Article in Substance abuse, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 13% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
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 Leicklya Initiative for Research and Education to Advance Community Health, Washington State University , Spokane , Washington , USA.
Jordan Skaliskya Initiative for Research and Education to Advance Community Health, Washington State University , Spokane , Washington , USA.
Oladunni Oluwoyea Initiative for Research and Education to Advance Community Health, Washington State University , Spokane , Washington , USA.
Sterling M McPhersonb Elson S. Floyd College of Medicine, Washington State University , Spokane , Washington , USA.
Debra Srebnikf Department of Psychiatry and Behavioral Sciences , University of Washington School of Medicine , Seattle , Washington, USA.
John M Rollb Elson S. Floyd College of Medicine, Washington State University , Spokane , Washington , USA.
Richard K Riesb Elson S. Floyd College of Medicine, Washington State University , Spokane , Washington , USA.
Michael G McDonella Initiative for Research and Education to Advance Community Health, Washington State University , Spokane , Washington , USA.ORCID 0000-0002-8372-6469
Washington State University Spokane · USPortland State University · USUniversity of Washington · 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

backgroundAdults experiencing homelessness and serious mental illnesses (SMI) are at an increased risk of poor mental health and treatment outcomes compared with stably housed adults with SMI. The additional issue of alcohol misuse further complicates the difficulties of those living with homelessness and SMI. In this secondary data analysis, the authors investigated the impact of homelessness on attrition and alcohol use in a contingency management (CM) intervention that rewarded alcohol abstinence in outpatients with SMI.

methodsThe associations between housing status and attrition and alcohol abstinence during treatment, as assessed by ethyl glucuronide (EtG) urine tests, were evaluated in 79 adults diagnosed with alcohol dependence and SMI.

resultsThirty-nine percent (n = 31) of participants reported being homeless at baseline. Individuals who were homeless were more likely to drop out of CM (n = 10, 62.5%) than those who were housed (n = 4, 16.7%), χ

conclusionsIndividuals experiencing homelessness and co-occurring alcohol dependence and SMI receiving CM had higher rates of attrition, relative to those who were housed. Homelessness was not associated with differences in biologically assessed alcohol abstinence.

Indexed as

AdultAlcohol AbstinenceAlcoholismBehavior TherapyComorbidityFemaleGlucuronatesHumansIll-Housed PersonsMaleMental DisordersMiddle AgedOutpatientsPatient ComplianceWashingtonethyl glucuronideGlucuronatesAddiction treatmentalcohol use disordercontingency managementhomelessnessserious mental illnesssubstance use

Identifiers

PMID29161228
PMCPMC6146065
OpenAlexW2770873330

What OpenQuestion holds

Textmetadata
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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.