Evidence map›Paper›PMID 32727618›Full record

Trial reportAddiction science & clinical practice2020

Integrated stepped alcohol treatment for patients with HIV and at-risk alcohol use: a randomized trial.

E Jennifer Edelman, Stephen A Maisto, Nathan B Hansen, Christopher J Cutter, James Dziura, Yanhong Deng, Lynn E Fiellin, Patrick G O'Connor, Roger Bedimo, Cynthia L Gibert and 8 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Addiction science & clinical practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01410123 (Integrated Stepped Care for Unhealthy Alcohol Use in HIV), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.3field-weighted citation impact, top 30% 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.

NCT01410123 nacompletednot on this map

Integrated Stepped Care for Unhealthy Alcohol Use in HIV

TypeinterventionalSponsorYale UniversityRan2013 to 2018Enrolled319ConditionsLiver Diseases, Alcoholic, Alcoholism, HIV, Hepatitis CArmsIntegrated Stepped Care (ISC), Treatment as Usual
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 15 citations in OpenAlex.

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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

18 authors at 9 institutions in 1 country.

E Jennifer EdelmanYale School of Medicine, 367 Cedar Street, ESH A, New Haven, CT, 06510, USA. ejennifer.edelman@yale.edu.ORCID 0000-0002-9375-0489
Stephen A MaistoSyracuse University, Syracuse, NY, 13244, USA.
Nathan B HansenCenter for Interdisciplinary Research on AIDS, Yale School of Public Health, New Haven, CT, 06510, USA.
Christopher J CutterYale School of Medicine, 367 Cedar Street, ESH A, New Haven, CT, 06510, USA.
James DziuraYale Center for Analytic Sciences, Yale University School of Public Health, New Haven, CT, 06511, USA.
Yanhong DengYale Center for Analytic Sciences, Yale University School of Public Health, New Haven, CT, 06511, USA.
Lynn E FiellinYale School of Medicine, 367 Cedar Street, ESH A, New Haven, CT, 06510, USA.
Patrick G O'ConnorYale School of Medicine, 367 Cedar Street, ESH A, New Haven, CT, 06510, USA.
Roger BedimoVeterans Affairs North Texas Health Care System and UT Southwestern, Dallas, TX, 75216, USA.
Cynthia L GibertD.C. VAMC and George, Washington University School of Medicine and Health Sciences, Washington, D.C, 20422, USA.
Vincent C MarconiAtlanta VAMC and Emory University School of Medicine, Atlanta, GA, 30033, USA.
David RimlandAtlanta VAMC and Emory University School of Medicine, Atlanta, GA, 30033, USA.
Maria C Rodriguez-BarradasMichael E. DeBakey VAMC and Baylor College of Medicine, Texas Houston, Houston, TX, 77030, USA.
Michael S SimberkoffVA NY Harbor Healthcare System and New York University School of Medicine, New York, NY, 10010, USA.
Janet P TateYale School of Medicine, 367 Cedar Street, ESH A, New Haven, CT, 06510, USA.
Amy C JusticeYale School of Medicine, 367 Cedar Street, ESH A, New Haven, CT, 06510, USA.
Kendall J BryantNational Institute On Alcohol Abuse and Alcoholism HIV/AIDS Program, Bethesda, MD, 20892-7003, USA.
David A FiellinYale School of Medicine, 367 Cedar Street, ESH A, New Haven, CT, 06510, USA.
Yale University · USEmory University · USGeorge Washington University · USMichael E. DeBakey VA Medical Center · USNational Institute on Alcohol Abuse and Alcoholism · USSyracuse University · USUniversity of Georgia · USVA North Texas Health Care System · USVA NY Harbor Healthcare System · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Alcohol and Multisubstance Use in the Veterans Aging Cohort StudyU01AA020790 · NIAAA · YALE UNIVERSITY · PI JUSTICE, AMY CAROLINE · 2011 to 2020
$7.7M
Yale Drug use, Addiction and HIV Research Scholars (DAHRS)K12DA033312 · NIDA · YALE UNIVERSITY · PI Gail D'Onofrio, Patrick O'Connor · 2013 to 2026
$7.2M
Sex Disparities in Overall Response to ART Among HIV Infected IndividualsU24AA020794 · NIAAA · YALE UNIVERSITY · PI JUSTICE, AMY CAROLINE · 2011 to 2020
$5.5M
Integrated Stepped Care for Unhealthy Alcohol Use in HIVU01AA020795 · NIAAA · YALE UNIVERSITY · PI FIELLIN, DAVID · 2011 to 2020
$5.2M
NCATS NIH HHS UL1 TR001863NIAAA NIH HHS U01AA020790NIAAA NIH HHS U01AA020795NIAAA NIH HHS U24AA020794NIDA NIH HHS K12DA033312
6 · The paper itself

Abstract

backgroundAt-risk levels of alcohol use threaten the health of patients with HIV (PWH), yet evidence-based strategies to decrease alcohol use and improve HIV-related outcomes in this population are lacking. We examined the effectiveness of integrated stepped alcohol treatment (ISAT) on alcohol use and HIV outcomes among PWH and at-risk alcohol use.

methodsIn this multi-site, randomized trial conducted between January 28, 2013 through July 14, 2017, we enrolled PWH and at-risk alcohol use [defined as alcohol consumption of ≥ 14 drinks per week or ≥ 4 drinks per occasion in men ≤ 65 years old or ≥ 7 drinks per week or ≥ 3 drinks per occasion in women or men > 65 years old]. ISAT (n = 46) involved: Step 1- Brief Negotiated Interview with telephone booster, Step 2- Motivational Enhancement Therapy, and Step 3- Addiction Physician Management. Treatment as usual (TAU) (n = 47) involved receipt of a health handout plus routine care. Analyses were conducted based on intention to treat principles.

resultsDespite a multi-pronged approach, we only recruited 37% of the target population (n = 93/254). Among ISAT participants, 50% advanced to Step 2, among whom 57% advanced to Step 3. Participants randomized to ISAT and TAU had no observed difference in drinks per week over the past 30 days at week 24 (primary outcome) [least square means (Ls mean) (95% CI) = 8.8 vs. 10.6; adjusted mean difference (AMD) (95% CI) =  - 0.4 (- 3.9, 3.0)].

conclusionAn insufficient number of patients were interested in participating in the trial. Efforts to enhance motivation of PWH with at-risk alcohol use to engage in alcohol-related research and build upon ISAT are needed. Trial registration Clinicaltrials.gov: NCT01410123, First posted August 4, 2011.

Indexed as

Delivery of Health Care, IntegratedMotivational InterviewingAgedAlcohol-Related DisordersFemaleHIV InfectionsHumansMaleMiddle AgedPrimary Health CareTelephoneTreatment OutcomeAlcohol-related disordersDelivery of health careHIVIntegrated

Identifiers

PMID32727618
PMCPMC7388231
OpenAlexW3046199497

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.