Evidence map›Paper›PMID 30335205›Full record

Trial reportAlcoholism, clinical and experimental research2018

Remote Alcohol Monitoring to Facilitate Incentive-Based Treatment for Alcohol Use Disorder: A Randomized Trial.

Mikhail N Koffarnus, Warren K Bickel, Anita S Kablinger

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Alcoholism, clinical and experimental research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 5 pooled it
5.0field-weighted citation impact, top 4% 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

44 citing papers in PubMed, 5 syntheses or guidelines pooled it, 73 citations in OpenAlex.

  1. Financial Incentives for Substance Abstinence: A Systematic Review and Meta-analysis.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2025
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  18. Barriers to alcohol intervention program: a scoping review.Korean journal of family medicine · 2025
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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

3 authors at 1 institution in 1 country.

Mikhail N KoffarnusVirginia Tech Carilion Research Institute, Virginia Tech, Roanoke, Virginia.ORCID 0000-0002-7923-7734
Warren K BickelVirginia Tech Carilion Research Institute, Virginia Tech, Roanoke, Virginia.ORCID 0000-0002-1048-7372
Anita S KablingerPsychiatry and Behavioral Sciences, Virginia Tech Carilion School of Medicine, Roanoke, Virginia.
Carilion Clinic · US

Funding

Remote Alcohol Monitoring to Facilitate Abstinence Reinforcement: FeasibilityR21AA022727 · NIAAA · VIRGINIA POLYTECHNIC INST AND ST UNIV · PI KOFFARNUS, MIKHAIL NIKOLAAS · 2014 to 2015
$429k
NIAAA NIH HHS R21 AA022727
6 · The paper itself

Abstract

backgroundThe delivery of monetary incentives contingent on verified abstinence is an effective treatment for alcohol use disorder. However, technological barriers to accurate, frequent biochemical verification of alcohol abstinence have limited the dissemination of this technique.

methodsIn the present randomized parallel trial, we employed a breathalyzer that allows remote, user-verified collection of a breath alcohol sample, text messaging, and reloadable debit cards for remote delivery of incentives to evaluate a contingency management treatment for alcohol use disorder that can be delivered with no in-person contact. Treatment-seeking participants with alcohol use disorder (n = 40) were recruited from the community and randomized to either a contingent or a noncontingent group (n = 20 each). The contingent group received nearly immediate monetary incentives each day they remotely provided negative breathalyzer samples. The noncontingent group received matched monetary payments each day they successfully provided samples independent of alcohol content. Groups were not masked as awareness of group contingencies was an essential intervention component.

resultsThe primary outcome of the intent-to-treat analyses (analyzed n = 40) was percent days abstinent as measured by the remote breathalyzer samples. Abstinence rates in the contingent group were 85%, which was significantly higher than the 38% recorded in the noncontingent group, corresponding to an odds ratio of 9.4 (95% CI = 4.0 to 22.2). Breathalyzer collection adherence rates were over 95%, and participant ratings of acceptability were also high.

conclusionsThese results support the efficacy, acceptability, and feasibility of this remotely deliverable abstinence reinforcement incentive intervention for the initiation and near-term maintenance of abstinence from alcohol in adults with alcohol use disorder. Due to low provider and participant burden, this procedure has the potential for broad dissemination.

Indexed as

AdultAlcohol AbstinenceAlcoholismBreath TestsFeasibility StudiesFemaleHumansMaleMiddle AgedMonitoring, PhysiologicMotivationPatient Acceptance of Health CareTreatment OutcomeAlcohol Use DisorderBreathalyzerContingency ManagementEcological Momentary AssessmentIncentives

Identifiers

PMID30335205
PMCPMC6286218
OpenAlexW2896220048

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.