Evidence map›Paper›PMID 34134871›Full record

SynthesisJournal of substance abuse treatment2021

The role of social network support in treatment outcomes for medication for opioid use disorder: A systematic review.

Navin Kumar, William Oles, Benjamin A Howell, Kamila Janmohamed, Selena T Lee, Melissa C Funaro, Patrick G O'Connor, Marcus Alexander

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of substance abuse treatment, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 2 pooled it
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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

47 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

8 authors.

Navin KumarDepartment of Sociology and Yale Institute for Network Science, Yale University, 17 Hillhouse Ave, New Haven, CT 06520, United States of America. Electronic address: navin.kumar@yale.edu.
William OlesYale Institute for Network Science, Yale University, United States of America.
Benjamin A HowellNational Clinician Scholars Program and Section of General Internal Medicine, Yale University School of Medicine and Yale-New Haven Hospital, and VA Connecticut Healthcare System, United States of America.
Kamila JanmohamedYale Institute for Network Science, Yale University, United States of America.
Selena T LeeYale Institute for Network Science, Yale University, United States of America.
Melissa C FunaroHarvey Cushing/John Hay Whitney Medical Library, Yale University, United States of America.
Patrick G O'ConnorSection of Internal Medicine, Yale University School of Medicine and Yale-New Haven Hospital, United States of America.
Marcus AlexanderYale Institute for Network Science, Yale University, United States of America; Frank H. Netter MD School of Medicine, United States of America.

Funding

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
NIDA NIH HHS K12 DA033312
6 · The paper itself

Abstract

backgroundSocial connections can lead to contagion of healthy behaviors. Successful treatment of patients with opioid use disorder may lay in rebuilding social networks. Strong social networks of support can reinforce the benefits of medication treatments that are the current standard of care and the most effective tool physicians have to fight the opioid epidemic.

methodsThe research team conducted a systematic review of electronic research databases, specialist journals and grey literature up to August 2020 to identify randomized controlled trials of social network support in patient populations receiving medication for opioid use disorder (MOUD). The research team placed the studies into a framework of dynamic social networks, examining the role of networks before MOUD treatment is initiated, during the treatment, and in the long-term following the treatment. The research team analyzed the results across three sources of social network support: partner relationships, family, and peer networks.

resultsOf 5193 articles screened, eight studies were identified as meeting inclusion criteria. Five studies indicated that social network support had a statistically significant effect on improved MOUD treatment outcomes. We find the strongest support for the positive impact of family social network support.

conclusionsSocial networks significantly shape effectiveness of opioid use disorder treatments. While negative social ties reinforce addiction, positive social support networks can amplify the benefits of medication treatments. Targeted interventions to improve treatment outcomes can be designed and added to MOUD treatment with their effects evaluated in improving patients' odds of recovery from opioid use disorder and reversing the rising trend in opioid deaths.

Indexed as

Opioid-Related DisordersAnalgesics, OpioidHumansSocial NetworkingSocial SupportTreatment OutcomeAnalgesics, OpioidMedication-assisted treatmentOpioid use disorderSocial networkSocial supportTreatment access

Identifiers

PMID34134871
PMCPMC9022048

What OpenQuestion holds

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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.