Evidence map›Paper›PMID 30797391›Full record

Trial reportJournal of substance abuse treatment2019

Randomized controlled trial of enhanced telephone monitoring with detoxification patients: 3- and 6-month outcomes.

Christine Timko, Maureen Below, Lisa Vittorio, Emmeline Taylor, Grace Chang, Steven Lash, Fe Erlita D Festin, Deborah Brief

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of substance abuse treatment, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
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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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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.

Christine TimkoCenter for Innovation to Implementation, Department of Veterans Affairs Health Care System, Palo Alto, CA 94304, USA; Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, CA 94305, USA. Electronic address: ctimko@stanford.edu.
Maureen BelowVA Boston Health Care System, 150 South Huntington Ave. (116b), Boston, MA 02130, USA; Boston University School of Medicine, 72 East Concord St., Boston, MA 02118, USA. Electronic address: Maureen.Below@va.gov.
Lisa VittorioVA Boston Health Care System, 150 South Huntington Ave. (116b), Boston, MA 02130, USA. Electronic address: Lisa.Vittorio@va.gov.
Emmeline TaylorCenter for Innovation to Implementation, Department of Veterans Affairs Health Care System, Palo Alto, CA 94304, USA. Electronic address: Emmeline.Taylor@va.gov.
Grace ChangVA Boston Health Care System, 940 Belmont St., Brockton, MA 02301, USA; Department of Psychiatry, Harvard Medical School, 25 Shattuck St., Boston, MA 02115, USA. Electronic address: Grace.Chang2@va.gov.
Steven LashVA Medical Center, 1970 Roanoke Blvd, Salem, VA 24153, USA; Department of Psychiatry and Neurobehavioral Sciences, University of Virginia, Charlottesville, VA 22094, USA; Virgina Tech Carillon School of Medicine and Research Institute, 2 Riverside Circle, Roanoke, VA 24016, USA. Electronic address: Steven.Lash@va.gov.
Fe Erlita D FestinVA Boston Health Care System, 940 Belmont St., Brockton, MA 02301, USA; Department of Psychiatry, Harvard Medical School, 25 Shattuck St., Boston, MA 02115, USA. Electronic address: fe.festin@va.gov.
Deborah BriefVA Boston Health Care System, 150 South Huntington Ave. (116b), Boston, MA 02130, USA; Boston University School of Medicine, 72 East Concord St., Boston, MA 02118, USA. Electronic address: Deborah.Brief@va.gov.

Funding

TeleMonitoring to Improve Substance Use Disorder Treatment After DetoxificationI01HX000895 · VA · VETERANS ADMIN PALO ALTO HEALTH CARE SYS · PI TIMKO, CHRISTINE D · 2014 to 2014
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HSRD VA I01 HX000895HSRD VA RCS 00-001
6 · The paper itself

Abstract

Telehealth interventions have the potential to deter repeated detoxification episodes and improve outcomes. Using a sample of 298 detoxification inpatients, this randomized controlled trial compared Enhanced Telephone Monitoring (ETM) to usual care (UC) on the primary outcome of reducing subsequent detoxification, and secondary outcomes of linking patients to addiction treatment and mutual-help, and patients' experience of improved substance use and mental health outcomes. At the 3-month follow-up (i.e., at the end of the ETM intervention), compared to UC patients, ETM patients were significantly less likely to have received additional inpatient detoxification, but no more likely to have participated in 12-step groups or received outpatient addiction treatment. Even so, ETM patients had better alcohol, drug, and mental health outcomes. In contrast, at the 6-month follow-up, patients in ETM and UC generally did not differ on primary or secondary outcomes. Findings suggest that ETM deters additional detoxification episodes while the intervention is ongoing, but not after the intervention ends. Because telephone monitoring is low-intensity and low-cost, its extension over time may help reduce repeated detoxifications.

Indexed as

Patient Outcome AssessmentTelemedicineTelephoneAlcohol-Related DisordersContinuity of Patient CareFemaleHumansInpatientsLongitudinal StudiesMaleMiddle AgedPrimary Health CareSubstance-Related DisordersSubstance Withdrawal SyndromeAlcoholDetoxificationMutual-helpOpioidsTelephone monitoringTreatment

Identifiers

PMID30797391
PMCPMC6568005

What OpenQuestion holds

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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.