Evidence map›Paper›PMID 29245022›Full record

Trial reportPublic health2018

Cost-effective way to reduce stimulant-abuse among gay/bisexual men and transgender women: a randomized clinical trial with a cost comparison.

S X Zhang, S Shoptaw, C J Reback, K Yadav, A M Nyamathi

Open access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Public health, 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
1.2field-weighted citation impact, top 17% 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, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
  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

5 authors at 4 institutions in 1 country.

S X ZhangSan Diego State University, Department of Sociology, San Diego, CA, USA. Electronic address: szhang@mail.sdsu.edu.
S ShoptawUniversity of California at Los Angeles, David Geffen School of Medicine, Los Angeles, CA, USA. Electronic address: sshoptaw@mednet.ucla.edu.
C J RebackFriends Research Institute, Inc., University of California at Los Angeles, Integrated Substance Abuse Programs, Semel Institute for Neuroscience and Human Behavior, Los Angeles, CA, USA. Electronic address: reback@friendsresearch.org.
K YadavUniversity of California at Irvine, Sue & Bill Gross School of Nursing, Irvine, CA, USA.
A M NyamathiUniversity of California at Irvine, Sue & Bill Gross School of Nursing, Irvine, CA, USA. Electronic address: anyamath@uci.edu.
University of California, Irvine · USFriends Research Institute · USSan Diego State University · USUniversity of California, Los Angeles · US

Funding

UCLA Rapid, Relevant, Rigorous Implementation Science HubP30MH058107 · NIMH · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI RAPHAEL J LANDOVITZ · 1997 to 2026
$53.5M
HBV Prevention for Homeless At-Risk for HBV/HCV/HIVR01DA016147 · NIDA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI NYAMATHI, ADELINE M · 2003 to 2013
$6.7M
NIDA NIH HHS R01 DA016147NIMH NIH HHS P30 MH058107
6 · The paper itself

Abstract

objectivesA randomized controlled study was conducted with 422 homeless, stimulant-using gay/bisexual (G/B) men and 29 transgender women (n = 451) to assess two community-based interventions to reduce substance abuse and improve health: (a) a nurse case-managed program combined with contingency management (NCM + CM) versus (b) standard education plus contingency management (SE + CM). STUDY

designHypotheses tested included: a) completion of hepatitis A/B vaccination series; b) reduction in stimulant use; and c) reduction in number of sexual partners.

methodsA deconstructive cost analysis approach was utilized to capture direct costs associated with the delivery of both interventions. Based on an analysis of activity logs and staff interviews, specific activities and the time required to complete each were analyzed as follows: a) NCM + CM only; b) SE + CM only; c) time to administer/record vaccines; and d) time to receive and record CM visits. Cost comparison of the interventions included only staffing costs and direct cash expenditures.

resultsThe study outcomes showed significant over time reductions in all measures of drug use and multiple sex partners, compared to baseline, although no significant between-group differences were detected. Cost analysis favored the simpler SE + CM intervention over the more labor-intensive NCM + CM approach. Because of the high levels of staffing required for the NCM relative to SE, costs associated with it were significantly higher.

conclusionsFindings suggest that while both intervention strategies were equally effective in achieving desired health outcomes, the brief SE + CM appeared less expensive to deliver.

Indexed as

Cost-Benefit AnalysisAdultBisexualityCentral Nervous System StimulantsFemaleHealth PromotionHomosexuality, MaleHumansIll-Housed PersonsMaleSexual and Gender MinoritiesSubstance-Related DisordersTransgender PersonsCentral Nervous System StimulantsCommunity participatory researchGayHomelessnessSubstance use/abuse

Identifiers

PMID29245022
PMCPMC5745270
OpenAlexW2777207540

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.