Evidence map›Paper›PMID 33372122›Full record

Trial reportPediatrics2021

Three-Year Outcomes After Brief Treatment of Substance Use and Mood Symptoms.

Sujaya Parthasarathy, Andrea H Kline-Simon, Ashley Jones, Lauren Hartman, Katrina Saba, Constance Weisner, Stacy Sterling

Open access · greenAbstract readComparative StudyPragmatic Clinical TrialRandomized Controlled Trial
In one paragraph

Trial report in Pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 16% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Article
  8. Emergency Department Issues.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2022
    Article
  9. 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 at 2 institutions in 1 country.

Sujaya ParthasarathyDivision of Research, Kaiser Permanente Northern California, Oakland, California; and sujaya.parthasarathy@kp.org.
Andrea H Kline-SimonDivision of Research, Kaiser Permanente Northern California, Oakland, California; and.
Ashley JonesDivision of Research, Kaiser Permanente Northern California, Oakland, California; and.
Lauren HartmanThe Permanente Medical Group, Oakland, California.
Katrina SabaThe Permanente Medical Group, Oakland, California.
Constance WeisnerDivision of Research, Kaiser Permanente Northern California, Oakland, California; and.
Stacy SterlingDivision of Research, Kaiser Permanente Northern California, Oakland, California; and.
Kaiser Permanente · USColorado Permanente Medical Group · US

Funding

Screening for Youth Alcohol and Drug Use: A Study of Primary Care ProvidersR01AA016204 · NIAAA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI WEISNER, CONSTANCE M. · 2007 to 2014
$3.3M
NIAAA NIH HHS R01 AA016204
6 · The paper itself

Abstract

backgroundScreening, brief intervention, and referral to treatment (SBIRT) for adolescents exhibiting co-occurring substance use and mental health problems may improve outcomes and have long-lasting effects. This study examined the relationship between access to SBIRT and substance use, depression and medical diagnoses, and health services use at 1 and 3 years postscreening for such adolescents.

methodsThe study draws from a cluster-randomized trial comparing SBIRT to usual care (UC) for adolescents endorsing past-year substance use and recent mood symptoms during visits to a general pediatrics clinic between November 1, 2011, and October 31, 2013, in a large, integrated health system (

resultsThe SBIRT group had lower odds of depression diagnoses at 1 (odds ratio [OR] = 0.31; confidence interval [CI] = 0.11-0.87) and 3 years (OR = 0.51; CI = 0.28-0.94) compared with the UC group. At 3 years, the SBIRT group had lower odds of a substance use diagnosis (OR = 0.46; CI = 0.23-0.92), and fewer emergency department visits (rate ratio = 0.65; CI = 0.44-0.97) than UC group.

conclusionsThe findings suggest that SBIRT may prevent health complications and avert costly services use among adolescents with both mental health and substance use problems. As SBIRT is implemented widely in pediatric primary care, training pediatricians to discuss substance use and mental health problems can translate to positive outcomes for these vulnerable adolescents.

Indexed as

Adolescent Health ServicesMental Health ServicesAdolescentCaliforniaChildCrisis InterventionDepressionDiagnosis, Dual (Psychiatry)Facilities and Services UtilizationFemaleFollow-Up StudiesHumansMaleMass ScreeningPrevalencePsychiatric Status Rating Scales

Identifiers

PMID33372122
PMCPMC7786828
OpenAlexW3114319790

What OpenQuestion holds

Textmetadata
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.