Evidence map›Paper›PMID 34100708›Full record

ArticleJournal of studies on alcohol and drugs2021

Patients With Alcohol Use Disorders and Their Concerned Others: Concordance of Lived Experience as a Moderator of Treatment Outcomes.

Christine Timko, Michael A Cucciare, Kathleen M Grant, Lance Brendan Young, Fernanda S Rossi, Mai Chee Lor, Erin Woodhead

Open access · greenAbstract read
In one paragraph

Article in Journal of studies on alcohol and drugs, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. 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 6 institutions in 1 country.

Christine TimkoCenter for Innovation to Implementation, Department of Veterans Affairs Health Care System, Palo Alto, California.
Michael A CucciareCenter for Mental Healthcare and Outcomes Research, Central Arkansas Veterans Affairs Healthcare System, North Little Rock, Arkansas.
Kathleen M GrantMental Health and Behavioral Science Department, VA Nebraska-Western Iowa Health Care System, Omaha, Nebraska.
Lance Brendan YoungDepartment of Communication, Western Illinois University-Quad Cities, Moline, Illinois.
Fernanda S RossiCenter for Innovation to Implementation, Department of Veterans Affairs Health Care System, Palo Alto, California.
Mai Chee LorCenter for Innovation to Implementation, Department of Veterans Affairs Health Care System, Palo Alto, California.
Erin WoodheadSan José State University Department of Psychology, San Jose, California.
VA Palo Alto Health Care System · USCenter for Innovation · USCentral Arkansas Veterans Healthcare System · USSan Jose State University · USVA Nebraska Western Iowa Health Care System · USWestern Illinois University · US

Funding

Intensive Referral to Al-Anon: Benefits to Concerned Others and Their DrinkersR01AA024136 · NIAAA · PALO ALTO VETERANS INSTIT FOR RESEARCH · PI CUCCIARE, MICHAEL ANTHONY, TIMKO, CHRISTINE D · 2016 to 2019
$1.5M
HSRD VA RCS 00-001NIAAA NIH HHS R01 AA024136
6 · The paper itself

Abstract

objectiveGrowing up with an adult with an alcohol use disorder (AUD) is common and negatively affects adult functioning. This study examined two questions concerning the lived experience of growing up in a home with AUD. METHOD AND

resultsThe first question asked how adults entering AUD treatment (n = 402) who had this lived experience (58%) compared to those who did not (42%) on indicators of alcohol use severity. Patients with lived experience reported alcohol use at a younger age, more times having been arrested and charged, and greater risk for future substance use. The second question examined concordance between patients and their concerned others on this lived experience (n = 277 dyads) and patients' treatment outcomes 3 months later. The associations between patients' lived experience and better treatment outcomes were stronger when patients' concerned others had a concordant lived experience. When patient-concerned other dyads reported concordant lived experiences at baseline, patients had lower substance use and risk scores at the 3-month follow-up than when the dyads reported discordant lived experiences with regard to growing up in a home with AUD; effect sizes were small.

conclusionsConcordance and discordance on this lived experience could be considered in treatment planning for patients with AUD and their concerned others. Providers could ask about each member's childhood and aim interventions at helping dyads discuss their childhoods in ways that validate each other's needs and provide emotional support, without stigmatization. Delivery may consider relationship type (spousal or other) and be in educational or treatment sessions that include the dyad or one member.

Indexed as

AlcoholismSubstance-Related DisordersAdultChildHumansTreatment Outcome

Identifiers

PMID34100708
PMCPMC8328236
OpenAlexW3166599578

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.