Evidence map›Paper›PMID 32415721›Full record

Trial reportAddiction (Abingdon, England)2021

Effect of screening, brief intervention and referral to treatment for unhealthy alcohol and other drug use in mental health treatment settings: a randomized controlled trial.

Mitchell P Karno, Richard Rawson, Benjamin Rogers, Suzanne Spear, Christine Grella, Larissa J Mooney, Richard Saitz, Bruce Kagan, Suzette Glasner

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Addiction (Abingdon, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
2.9field-weighted citation impact, top 8% 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

23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 44 citations in OpenAlex.

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  17. Training in Substance use Disorders, Part 1: Overview of Clinical Practice Recommendations.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2024
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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

9 authors at 4 institutions in 1 country.

Mitchell P KarnoDepartment of Psychiatry and Biobehavioral Sciences, Integrated Substance Abuse Programs, University of California, Los Angeles, CA, USA.ORCID 0000-0001-5371-6596
Richard RawsonDepartment of Psychiatry and Biobehavioral Sciences, Integrated Substance Abuse Programs, University of California, Los Angeles, CA, USA.
Benjamin RogersDepartment of Biostatistics and School of Nursing, University of California, Los Angeles, CA, USA.
Suzanne SpearDepartment of Health Sciences, California State University, Northridge, CA, USA.
Christine GrellaDepartment of Psychiatry and Biobehavioral Sciences, Integrated Substance Abuse Programs, University of California, Los Angeles, CA, USA.
Larissa J MooneyDepartment of Psychiatry and Biobehavioral Sciences, Integrated Substance Abuse Programs, University of California, Los Angeles, CA, USA.
Richard SaitzDepartment of Community Health Sciences, Boston University School of Public Health, Boston, MA, USA.ORCID 0000-0002-2535-1427
Bruce KaganDepartment of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, CA, USA.
Suzette GlasnerDepartment of Psychiatry and Biobehavioral Sciences, Integrated Substance Abuse Programs, University of California, Los Angeles, CA, USA.
University of California, Los Angeles · USBoston University · USCalifornia State University, Northridge · USUniversity of Vermont · US

Funding

SBIRT for Substance Abuse in Mental Health Treatment SettingsR01DA032733 · NIDA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI GLASNER, SUZETTE V, KARNO, MITCHELL P · 2012 to 2016
$2.6M
NIDA NIH HHS R01 DA032733
6 · The paper itself

Abstract

aimsTo test the efficacy of a brief intervention to reduce alcohol or drug use and to promote use of addiction services among patients seeking mental health treatment. DESIGN AND

settingA multi-centre, longitudinal, two-group randomized controlled trial with randomization within each of two mental health treatment systems located in Ventura County and Los Angeles County in California, USA.

participantsA total of 718 patients (49.2% female) aged 18 and older with a mental health diagnosis and either a heavy drinking day or any use of cannabis or stimulants in the past 90 days. INTERVENTION AND COMPARATOR: A motivation-based brief intervention with personalized feedback (screening, brief intervention and referral to treatment (SBIRT) condition) (n = 354) or a health education session (control condition) (n = 364). MEASUREMENTS: Primary outcomes included frequency of heavy drinking days, days of cannabis use and days of stimulant use at the primary end-point 3 months post-baseline. Secondary outcomes included frequency and abstinence from substance use out to a 12-month follow-up and the use of addiction treatment services.

findingsParticipants in the SBIRT condition had fewer heavy drinking days [odds ratio (OR) = 0.53; 95% credible interval (CrI) = 0.48-0.6] and fewer days of stimulant use (OR = 0.58; 95% CrI = 0.50-0.66) at the 3-month follow-up compared with participants in the health education condition. Participants in the SBIRT condition did not comparatively reduce days of cannabis use at the 3-month follow-up (OR = 0.93; 95% CrI = 0.85-1.01). Secondary outcomes indicated sustained effects of SBIRT on reducing the frequency of heavy drinking days and days of stimulant use. No effects were observed on abstinence rates or use of addiction treatment services.

conclusionsScreening and brief intervention for unhealthy alcohol and drug use in mental health treatment settings were effective at reducing the frequency of heavy drinking and stimulant use.

Indexed as

Crisis InterventionReferral and ConsultationAdultAlcoholismCaliforniaFemaleHumansLongitudinal StudiesMaleMass ScreeningMental DisordersMiddle AgedSubstance-Related DisordersYoung AdultAlcoholbrief interventiondrugmental healthpsychiatryreferral to treatmentscreening

Identifiers

PMID32415721
PMCPMC7666646
OpenAlexW3024921407

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.