Evidence map›Paper›PMID 31090968›Full record

Trial reportThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2020

Rural Clients' Continuity Into Follow-Up Substance Use Disorder Treatment: Impacts of Travel Time, Incentives, and Alerts.

Deborah W Garnick, Constance M Horgan, Andrea Acevedo, Margaret T Lee, Lee Panas, Grant A Ritter, Kevin Campbell

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–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

13 citing papers in PubMed, 1 synthesis or guideline 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

7 authors.

Deborah W GarnickThe Heller School for Social Policy and Management, Institute for Behavioral Health, Brandeis University, Waltham, Massachusetts.
Constance M HorganThe Heller School for Social Policy and Management, Institute for Behavioral Health, Brandeis University, Waltham, Massachusetts.
Andrea AcevedoDepartment of Community Health, Tufts University, Medford, Massachusetts.
Margaret T LeeThe Heller School for Social Policy and Management, Institute for Behavioral Health, Brandeis University, Waltham, Massachusetts.
Lee PanasThe Heller School for Social Policy and Management, Institute for Behavioral Health, Brandeis University, Waltham, Massachusetts.
Grant A RitterThe Heller School for Social Policy and Management, Institute for Behavioral Health, Brandeis University, Waltham, Massachusetts.
Kevin CampbellResearch and Data Analysis, Washington State Department of Social and Health Services, Olympia, Washington.

Funding

Research Support CoreP30DA035772 · NIDA · BRANDEIS UNIVERSITY · PI Haiden A Huskamp, SHARON REIF · 2015 to 2026
$11.3M
Incentives and Alerts for Improving Performance in Washington StateR01DA033468 · NIDA · BRANDEIS UNIVERSITY · PI GARNICK, DEBORAH W. · 2012 to 2016
$2.0M
NIDA NIH HHS P30 DA035772NIDA NIH HHS R01 DA033468
6 · The paper itself

Abstract

purposeTreatment after discharge from detoxification or residential treatment is associated with improved outcomes. We examined the influence of travel time on continuity into follow-up treatment and whether financial incentives and weekly alerts have a modifying effect.

methodsFor a research intervention during October 2013 to December 2015, detoxification and residential substance use disorder treatment programs in Washington State were randomized into 4 groups: potential financial incentives for meeting performance goals, weekly alerts to providers, both interventions, and control. Travel time was used as both a main effect and interacted with other variables to explore its modifying impact on continuity of care in conjunction with incentives or alerts. Continuity was defined as follow-up care occurring within 14 days of discharge from detoxification or residential treatment programs. Travel time was estimated as driving time from clients' home ZIP Code to treatment agency ZIP Code.

findingsTravel times to the original treatment agency were in some cases significant with longer travel times predicting lower likelihood of continuity. For detoxification clients, those with longer travel times (over 91 minutes from their residence) are more likely to have timely continuity. Conversely, residential clients with travel times of more than 1 hour are less likely to have timely continuity. Interventions such as alerts or incentives for performance had some mitigating effects on these results. Travel times to the closest agency for potential further treatment were not significant.

conclusionsAmong rural clients discharged from detoxification and residential treatment, travel time can be an important factor in predicting timely continuity.

Indexed as

MotivationSubstance-Related DisordersContinuity of Patient CareFollow-Up StudiesHumansResidential Treatmentcontinuity of careincentivepay-for-performancesubstance use disordertravel time

Identifiers

PMID31090968
PMCPMC6856385

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.