Evidence map›Paper›PMID 31088277›Full record

ArticleJournal of psychoactive drugs

Treatment Retention and Outcomes with the Adolescent Community Reinforcement Approach in Emerging Adults with Opioid Use.

Justine W Welsh, Lora L Passetti, Rodney R Funk, Jane Ellen Smith, Robert J Meyers, Mark D Godley

Open access · greenAbstract readComparative Study
In one paragraph

Article in Journal of psychoactive drugs. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 27% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Article
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 at 3 institutions in 1 country.

Justine W WelshEmory Adolescent Substance Use Treatment Services (EAST), Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA.ORCID 0000-0001-6418-744X
Lora L PassettiChestnut Health Systems, Normal, IL, USA.
Rodney R FunkChestnut Health Systems, Normal, IL, USA.
Jane Ellen SmithDepartment Chair, Department of Psychology, University of New Mexico, Albuquerque, NM, USA.
Robert J MeyersDepartment of Psychology, University of New Mexico, Albuquerque, NM, USA.
Mark D GodleyChestnut Health Systems, Normal, IL, USA.
Chestnut Health Systems · USUniversity of New Mexico · USEmory Healthcare · US

Funding

Volunteer Telephone Continuing Care for Adolescents with AOD Use DisordersR01AA021118 · NIAAA · CHESTNUT HEALTH SYSTEMS, INC. · PI GODLEY, MARK D · 2013 to 2017
$2.2M
Evaluating the combination of the Adolescent Community Reinforcement Approach and medication-assisted treatment in young adults with severe opioid use disorderR21DA046738 · NIDA · EMORY UNIVERSITY · PI WELSH, JUSTINE WITTENAUER · 2018 to 2019
$390k
NIAAA NIH HHS R01 AA021118NIDA NIH HHS R21 DA046738
6 · The paper itself

Abstract

Treatment retention and engagement of emerging adults with opioid use disorders can be particularly challenging. This study compares treatment outcomes of young adults with primary opioid use (OU) to those with primary marijuana or alcohol use (MAU), who received the Adolescent Community Reinforcement Approach (A-CRA), an evidence-based therapy for the treatment of substance use. The MAU and OU groups were comprised of an outcome sample of 419 young adults ages 18-25. Groups were compared on intake demographics, clinical characteristics, and measures of treatment retention and other associated factors, including treatment initiation and engagement. Outcome measures were administered at A-CRA intake and at 3, 6, and 12 months post-intake. Both groups were similar in treatment retention, initiation, and engagement. Both groups showed a similar decrease in alcohol (p < .001) and marijuana use (p < .001). The OU group had significantly less opioid use at 3 months (p < .001) and maintained this decrease, but did not improve to the level observed in the MAU group at the 12-month follow-up. The Adolescent Community Reinforcement Approach merits further study as a behavioral treatment for young adults with opioid use.

Indexed as

Outcome Assessment, Health CareAdolescentAdultAlcoholismBehavior TherapyFemaleFollow-Up StudiesHumansMaleMarijuana AbuseOpioid-Related DisordersPatient ComplianceYoung AdultAdolescent community reinforcement approachemerging adultsopioidsubstance usetreatment retentionyoung adults

Identifiers

PMID31088277
PMCPMC6823127
OpenAlexW2945402017

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.