Evidence map›Paper›PMID 30081338›Full record

Trial reportDrug and alcohol dependence2018

Predictors of treatment initiation for alcohol use disorders in primary care.

Katherine E Watkins, Allison Ober, Colleen McCullough, Claude Setodji, Karen Lamp, Mimi Lind, Sarah B Hunter, Karen Chan Osilla

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Drug and alcohol dependence, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 8% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. An ethical analysis of endoscopic therapy decision-making in patients with refractory substance use disorder and chronic pancreatitis.Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] · 2022
    Review
  8. Review
  9. Article
  10. Article
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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.

Katherine E WatkinsRAND Corporation, 1776 Main Street, Santa Monica, CA, 90407, USA. Electronic address: kwatkins@rand.org.
Allison OberRAND Corporation, 1776 Main Street, Santa Monica, CA, 90407, USA. Electronic address: ober@rand.org.
Colleen McCulloughRAND Corporation, 1776 Main Street, Santa Monica, CA, 90407, USA. Electronic address: cmccullo@rand.org.
Claude SetodjiRAND Corporation, 4570 Fifth Avenue, Suite 600, Pittsburgh, PA, 15213, USA. Electronic address: setodji@rand.org.
Karen LampVenice Family Clinic, 604 Rose Avenue, Venice, CA, 90291, USA. Electronic address: KLamp@mednet.ucla.edu.
Mimi LindVenice Family Clinic, 604 Rose Avenue, Venice, CA, 90291, USA. Electronic address: MLind@mednet.ucla.edu.
Sarah B HunterRAND Corporation, 1776 Main Street, Santa Monica, CA, 90407, USA. Electronic address: shunter@rand.org.
Karen Chan OsillaRAND Corporation, 1776 Main Street, Santa Monica, CA, 90407, USA. Electronic address: karenc@rand.org.
RAND Corporation · USVenice Family Clinic · US

Funding

Integrated Collaborative Care for Substance Use DisordersR01DA034266 · NIDA · RAND CORPORATION · PI WATKINS, KATHERINE E · 2012 to 2016
$4.0M
NIDA NIH HHS R01 DA034266
6 · The paper itself

Abstract

backgroundWe identified predictors of receiving treatment (brief therapy [BT] and/or extended-release injectable naltrexone [XR-NTX]) for the treatment of alcohol use disorders (AUDs) in primary care. We also examined the relationship between receiving BT and XR-NTX.

methodsSecondary data analysis of SUMMIT, a randomized controlled trial of collaborative care. Participants were 290 individuals with AUDs who reported no past 30-day opioid use and who were receiving primary care at a multi-site Federally Qualified Health Center. Bivariate and multivariate analyses examined predictors of BT and/or XR-NTX.

resultsThirty-two percent (N = 93) received either BT or XR-NTX, 28% (N = 82) received BT and 13% (N = 37) received XR-NTX; 9% (N = 26) received both BT and XR-NTX. Older age, white race, talking with a professional about alcohol use and having more negative consequences all predicted receipt of evidence-based treatment; being homeless was a negative predictor. The predictors of receiving BT included not being homeless and previously talking with a professional; the predictors of receiving XR-NTX included older age, white race and experiencing more negative consequences. In 80% of those who received both BT and XR-NTX, receipt of BT preceded XR-NTX.

conclusionsPatient factors were important predictors of receiving primary-care based AUD treatment and differed by type of treatment received. Receiving BT was associated with subsequent use of XR-NTX and may be associated with a longer duration of XR-NTX treatment. Providers should consider these findings when considering ways to increase primary-care based AUD treatment.

Indexed as

AdultAlcohol DeterrentsAlcoholismFemaleHumansMaleMiddle AgedMultivariate AnalysisNaltrexonePatient Acceptance of Health CarePrimary Health CarePsychotherapy, BriefTime FactorsAlcohol DeterrentsNaltrexoneAlcohol use disorderBrief treatmentExtended-Release injectable naltrexonePrimary careTreatment utilization

Identifiers

PMID30081338
PMCPMC6141324
OpenAlexW2884044062

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.