Evidence map›Paper›PMID 31318231›Full record

ArticlePsychological methods2020

SMART longitudinal analysis: A tutorial for using repeated outcome measures from SMART studies to compare adaptive interventions.

Inbal Nahum-Shani, Daniel Almirall, Jamie R T Yap, James R McKay, Kevin G Lynch, Elizabeth A Freiheit, John J Dziak

Registry-linked trialAbstract readComparative Study
In one paragraph

Article in Psychological methods, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06957067 (Reducing Dropout and Improving Outcomes From PTSD Therapy), which is not on this map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing 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.

NCT06957067 narecruitingnot on this mapstarted 2025, after this paper: background citation

Reducing Dropout and Improving Outcomes From PTSD Therapy: When to Switch Therapies or Stay the Course

TypeinterventionalSponsorUnited States Department of DefenseRan2025 to 2028Enrolled280ConditionsPost Traumatic Stress DisorderArmsCPT Skills, Cognitive Processing Therapy, Present Centered Therapy, Shared Decision Making, Measurement Based Care
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Just-in-Time Adaptive Interventions for Adolescent and Young Adult Substance Use: A Systematic Review.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025
    Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Deeply Tailored Adaptive Interventions to Reduce College Student Drinking: a Real-World Application of Q-Learning for SMART Studies.Prevention science : the official journal of the Society for Prevention Research · 2022
    Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Article
  12. How and when do work stressors and peer norms impact career entrants' alcohol-related behavior and its consequences?Human relations; studies towards the integration of the social sciences · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. 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

7 authors.

Inbal Nahum-ShaniInstitute for Social Research.
Daniel AlmirallInstitute for Social Research.
Jamie R T YapInstitute for Social Research.
James R McKayDepartment of Psychiatry.
Kevin G LynchDepartment of Psychiatry.
Elizabeth A FreiheitInstitute for Social Research.
John J DziakMethodology Center.ORCID 0000-0003-0762-5495

Funding

TREATMENT STRATEGIES FOR METHODONE NONRESPONDERSP60DA005186 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI O'BRIEN, CHARLES P · 1997 to 2012
$28.1M
Pilot, Mentoring, and Professional Development CoreP50DA039838 · NIDA · PENNSYLVANIA STATE UNIVERSITY, THE · PI LANZA, STEPHANIE T · 2015 to 2019
$13.9M
Novel Methods for Intensive Longitudinal Data in SMART Studies of Drug Abuse and HIVR01DA039901 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ALMIRALL, DANIEL, NAHUM-SHANI, INBAL BILLIE · 2015 to 2024
$5.4M
Research Methods CoreP01AA016821 · NIAAA · UNIVERSITY OF PENNSYLVANIA · PI MCKAY, JAMES R. · 2008 to 2012
$2.7M
Adaptive Treatment Models for the Management of Drug Use DisordersK24DA029062 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI MCKAY, JAMES R. · 2010 to 2021
$1.6M
NIAAA NIH HHS P01 AA016821NIDA NIH HHS K24 DA029062NIDA NIH HHS P50 DA039838NIDA NIH HHS P60 DA005186NIDA NIH HHS R01 DA039901NIH HHS
6 · The paper itself

Abstract

In recent years, there has been increased interest in the development of adaptive interventions across various domains of health and psychological research. An adaptive intervention is a protocolized sequence of individualized treatments that seeks to address the unique and changing needs of individuals as they progress through an intervention program. The sequential, multiple assignment, randomized trial (SMART) is an experimental study design that can be used to build the empirical basis for the construction of effective adaptive interventions. A SMART involves multiple stages of randomizations; each stage of randomization is designed to address scientific questions concerning the best intervention option to employ at that point in the intervention. Several adaptive interventions are embedded in a SMART by design; many SMARTs are motivated by scientific questions that concern the comparison of these embedded adaptive interventions. Until recently, analysis methods available for the comparison of adaptive interventions were limited to end-of-study outcomes. The current article provides an accessible and comprehensive tutorial to a new methodology for using repeated outcome data from SMART studies to compare adaptive interventions. We discuss how existing methods for comparing adaptive interventions in terms of end-of-study outcome data from a SMART can be extended for use with longitudinal outcome data. We also highlight the scientific utility of using longitudinal data from a SMART to compare adaptive interventions. A SMART study aiming to develop an adaptive intervention to engage alcohol- and cocaine-dependent individuals in treatment is used to demonstrate the application of this new methodology. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

Indexed as

Data Interpretation, StatisticalResearch DesignHumansLongitudinal StudiesOutcome Assessment, Health CarePsychologyRandomized Controlled Trials as TopicSubstance-Related Disorders

Identifiers

PMID31318231
PMCPMC7480232

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.