Evidence map›Paper›PMID 29382367›Full record

ArticleTrials2018

Effects of automated smartphone mobile recovery support and telephone continuing care in the treatment of alcohol use disorder: study protocol for a randomized controlled trial.

James R McKay, David H Gustafson, Megan Ivey, Fiona McTavish, Klaren Pe-Romashko, Brenda Curtis, David A Oslin, Daniel Polsky, Andrew Quanbeck, Kevin G Lynch

Registry-linked trialAbstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in Trials, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02681406 (Impact of Enhancements to Smartphone Based Continuing Care for Alcohol Dependence), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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.

NCT02681406 nacompletednot on this map

Impact of Enhancements to Smartphone Based Continuing Care for Alcohol Dependence

TypeinterventionalSponsorUniversity of PennsylvaniaRan2014 to 2020Enrolled262ConditionsAlcohol AbuseArmsACHESS, TMC
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. U.S. National 90-Day Readmissions After Opioid Overdose Discharge.American journal of preventive medicine · 2019
    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

10 authors.

James R McKayCenter on Continuum of Care in Addictions, Perelman School of Medicine, University of Pennsylvania, Philadelphia VAMC, Philadelphia, PA, 19104, USA. jimrache@pennmedicine.upenn.edu.
David H GustafsonCenter for Health Enhancement System Studies, University of Wisconsin-Madison, Madison, WI, 53706, USA.
Megan IveyCenter on Continuum of Care in Addictions, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Fiona McTavishCenter for Health Enhancement System Studies, University of Wisconsin-Madison, Madison, WI, 53706, USA.
Klaren Pe-RomashkoCenter for Health Enhancement System Studies, University of Wisconsin-Madison, Madison, WI, 53706, USA.
Brenda CurtisCenter on Continuum of Care in Addictions, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, 19104, USA.
David A OslinCenter for the Study of Addictions, Perelman School of Medicine, University of Pennsylvania, Philadelphia VAMC, Philadelphia, PA, 19104, USA.
Daniel PolskyLeonard Davis Institute of Health Economics and Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Andrew QuanbeckDepartment of Family Medicine & Community Health, and Center for Health Enhancement Systems Studies, University of Wisconsin-Madison, Madison, WI, 53706, USA.
Kevin G LynchCenter on Continuum of Care in Addictions, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, 19104, USA.

Funding

Impact of enhancements to smartphone-based continuing care for alcohol dependenceR01AA022595 · NIAAA · UNIVERSITY OF PENNSYLVANIA · PI GUSTAFSON, DAVID H, MCKAY, JAMES R. · 2014 to 2018
$3.3M
Adaptive Treatment Models for the Management of Drug Use DisordersK24DA029062 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI MCKAY, JAMES R. · 2010 to 2021
$1.6M
NIAAA NIH HHS R01 AA022595NIAAA NIH HHS R01 AA 02259501NIDA NIH HHS K24 DA029062
6 · The paper itself

Abstract

backgroundNew smartphone communication technology provides a novel way to provide personalized continuing care support following alcohol treatment. One such system is the Addiction version of the Comprehensive Health Enhancement Support System (A-CHESS), which provides a range of automated functions that support patients. A-CHESS improved drinking outcomes over standard continuing care when provided to patients leaving inpatient treatment. Effective continuing care can also be delivered via telephone calls with a counselor. Telephone Monitoring and Counseling (TMC) has demonstrated efficacy in two randomized trials with alcohol-dependent patients. A-CHESS and TMC have complementary strengths. A-CHESS provides automated 24/7 recovery support services and frequent assessment of symptoms and status, but does not involve regular contact with a counselor. TMC provides regular and sustained contact with the same counselor, but no ongoing support between calls. The future of continuing care for alcohol use disorders is likely to involve automated mobile technology and counselor contact, but little is known about how best to integrate these services. METHODS/

designTo address this question, the study will feature a 2 × 2 design (A-CHESS for 12 months [yes/no] × TMC for 12 months [yes/no]), in which 280 alcohol-dependent patients in intensive outpatient programs (IOPs) will be randomized to one of the four conditions and followed for 18 months. We will determine whether adding TMC to A-CHESS produces fewer heavy drinking days than TMC or A-CHESS alone and test for TMC and A-CHESS main effects. We will determine the costs of each of the four conditions and the incremental cost-effectiveness of the three active conditions. Analyses will also examine secondary outcomes, including a biological measure of alcohol use, and hypothesized moderation and mediation effects. DISCUSSION: The results of the study will yield important information on improving patient alcohol use outcomes by integrating mobile automated recovery support and counselor contact.

trial registrationClinicalTrials.gov, NCT02681406 . Registered on 2 September 2016.

Indexed as

Continuity of Patient CareSmartphoneTelephoneAdolescentAdultAgedAlcohol AbstinenceAlcohol DrinkingAlcoholismAutomationCounselingFemaleHealth Services AccessibilityHumansInterpersonal RelationsMaleA-CHESSAlcohol use disorderAlcohol use outcomesAutomated recovery supportContinuing careCost-effectivenessDrug use outcomesIntervention costsMobile healthSmartphoneTelephone counseling

Identifiers

PMID29382367
PMCPMC5791199

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.