Evidence map›Paper›PMID 29499393›Full record

Trial reportAddictive behaviors2018

Using ecological momentary assessments to predict relapse after adult substance use treatment.

Christy K Scott, Michael L Dennis, David H Gustafson

Open access · greenAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Addictive behaviors, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
4.6field-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.

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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Pooled it
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  13. Application of Digital Medicine in Addiction.Journal of Shanghai Jiaotong University (science) · 2022
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  16. Daily associations among craving, affect, and social interactions in the lives of patients during residential opioid use disorder treatment.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Christy K ScottLighthouse Institute, Chestnut Health Systems, 221 W. Walton, Chicago, IL 60610, USA.
Michael L DennisLighthouse Institute, Chestnut Health Systems, 448 Wylie Dr., Normal, IL 61761, USA. Electronic address: mdennis@chestnut.org.
David H GustafsonCenter for Health Enhancement Systems Studies, Industrial and Systems Engineering, Department, University of Wisconsin-Madison, Madison, WI 53706, USA.
Chestnut Health Systems · USUniversity of Wisconsin–Madison · US

Funding

Using Smartphones to Provide Recovery Support ServicesR01DA035879 · NIDA · CHESTNUT HEALTH SYSTEMS, INC. · PI SCOTT, CHRISTY K · 2014 to 2018
$3.0M
NIDA NIH HHS R01 DA035879
6 · The paper itself

Abstract

backgroundA key component of relapse prevention is to self-monitor the internal (feelings or cravings) and external (people, places, activities) factors associated with relapse. Smartphones can deliver ecological momentary assessments (EMA) to help individuals self-monitor. The purpose of this exploratory study was to develop a model for predicting an individual's risk of future substance use after each EMA and validate it using a multi-level model controlling for repeated measures on persons.

methodsData are from 21,897 observations from 43 adults following their initial episode of substance use treatment in Chicago from 2015 to 2016. Participants were provided smartphones for six months and asked to complete two to three minute EMAs at five random times per day (81% completion). In any given EMA, 2.7% reported substance use and 8% reported any use in the next five completed EMA. Chi-square Automatic Interaction Detector (CHAID) was used to classify EMAs into six levels of risk and then validated with a hierarchical linear model (HLM).

resultsThe major predictors of substance use in the next five completed EMAs were substance use pattern over the current and prior five EMAs (no recent/current use, either recent or current use [but not both], continued use [both recent and current]), negative affect (feelings), and craving (rating). Negative affect was important for EMAs with no current or recent use reported; craving was important for EMAs with either recent or current use; and neither mattered for EMAs with continued use. The CHAID gradated EMA risk from 0.7% to 36.6% of the next five completed EMAs with substance use reported. It also gradated risk of "any" use in the next five completed EMAs from 3% to 82%.

conclusionsThis study demonstrated the potential of using smartphone-based EMAs to monitor and provide feedback for relapse prevention in future studies.

Indexed as

Ecological Momentary AssessmentAdultAffective SymptomsAmbulatory CareChicagoCravingFemaleHumansInternal-External ControlMaleMethadoneMiddle AgedRecurrenceResidential TreatmentRisk FactorsSmartphoneMethadoneEcological momentary assessmentEMARecoveryRelapse preventionSubstance use disorder

Identifiers

PMID29499393
PMCPMC8237687
OpenAlexW2793764309

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.