Evidence map›Paper›PMID 30898323›Full record

Trial reportJournal of substance abuse treatment2019

Cost-effectiveness of individual versus group female-specific cognitive behavioral therapy for alcohol use disorder.

Todd A Olmstead, Fiona S Graff, Alyssa Ames-Sikora, Barbara S McCrady, Ayorkor Gaba, Elizabeth E Epstein

Abstract readRandomized Controlled Trial
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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

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

6 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Treatment Interventions for Women With Alcohol Use Disorder.Alcohol research : current reviews · 2020
    Review
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

6 authors.

Todd A OlmsteadLyndon B. Johnson School of Public Affairs, The University of Texas at Austin, 2300 Red River Street, Austin, TX 78713, United States of America. Electronic address: tolmstead@austin.utexas.edu.
Fiona S GraffWar Related Illness and Injury Study Center, VA NJ Healthcare System, 385 Tremont Ave., East Orange, NJ 07018, United States of America.
Alyssa Ames-SikoraDepartment of Psychology, Georgia State University, 140 Decatur Street SE, Atlanta, GA 30302, United States of America. Electronic address: aames3@gsu.edu.
Barbara S McCradyCenter of Alcohol Studies, Rutgers University, 607 Allison Road, Piscataway, NJ 08854, United States of America; Center on Alcoholism, Substance Abuse, and Addictions, University of New Mexico, 2650 Yale Blvd. SE, Albuquerque, NM 87106, United States of America. Electronic address: bmccrady@unm.edu.
Ayorkor GabaCenter of Alcohol Studies, Rutgers University, 607 Allison Road, Piscataway, NJ 08854, United States of America; Department of Psychiatry, University of Massachusetts Medical School, 365 Plantation Street, Worcester, MA 01605, United States of America. Electronic address: ayorkor.gaba@umassmed.edu.
Elizabeth E EpsteinCenter of Alcohol Studies, Rutgers University, 607 Allison Road, Piscataway, NJ 08854, United States of America; Department of Psychiatry, University of Massachusetts Medical School, 365 Plantation Street, Worcester, MA 01605, United States of America. Electronic address: Elizabeth.Epstein@umassmed.edu.

Funding

Testing CBT models and change mechanisms for Alcohol Dependent WomenR01AA017163 · NIAAA · RUTGERS, THE STATE UNIV OF N.J. · PI EPSTEIN, ELIZABETH ELLEN · 2008 to 2012
$3.5M
NIAAA NIH HHS R01 AA017163
6 · The paper itself

Abstract

objectiveTo determine the relative cost-effectiveness of individual female-specific cognitive behavioral therapy (I-FS-CBT) versus group female-specific cognitive behavioral therapy (G-FS-CBT).

methodsThis cost-effectiveness study is based on a randomized controlled trial in which 155 women seeking treatment for alcohol use disorder at an academic outpatient clinic were randomized to 12 manual-guided sessions of I-FS-CBT (n = 75) or G-FS-CBT (n = 80). The primary patient outcomes were the number of drinking days and the number of heavy drinking days during the 12-week treatment and 1-year follow-up periods. All cost data (including resource utilizations) were collected prospectively alongside the trial. Incremental cost-effectiveness ratios and cost-effectiveness acceptability curves were used to determine the cost-effectiveness of I-FS-CBT relative to G-FS-CBT. Results are presented from the provider perspective.

resultsDuring the 12-week treatment period, G-FS-CBT is likely to be cost-effective when the threshold value to decision-makers of one fewer drinking day (or one fewer day of heavy drinking) is less than $141 (or $258), and I-FS-CBT is likely to be cost-effective if the threshold is greater than $141 (or $258). During the 1-year follow-up period, G-FS-CBT is likely to be cost-effective when the threshold value to decision-makers of one fewer drinking day (or one fewer day of heavy drinking) is less than $54 (or $169), and I-FS-CBT is likely to be cost-effective if the threshold is greater than $54 (or $169). The results are robust to sensitivity analyses on several key cost parameters.

conclusionsCompared to I-FS-CBT, G-FS-CBT holds promise as a cost-effective approach, in both the short run and the long run, for improving drinking outcomes of women with alcohol use disorder.

Indexed as

Cognitive Behavioral TherapyCost-Benefit AnalysisOutcome Assessment, Health CarePsychotherapy, GroupWomenAdultAlcoholismFemaleFollow-Up StudiesHumansAlcohol use disorderCognitive behavioral therapyCost effectivenessFemale specific therapyWomen

Identifiers

PMID30898323
PMCPMC6432929

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.