Evidence map›Paper›PMID 34427006›Full record

Trial reportAddiction (Abingdon, England)2022

Al-Anon Intensive Referral to facilitate concerned others' participation in Al-Anon Family Groups: a randomized controlled trial.

Christine Timko, Kathleen M Grant, Xiaotong Han, Lance Brendan Young, Michael A Cucciare

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Addiction (Abingdon, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 35% 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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Article
  3. 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

5 authors at 4 institutions in 1 country.

Christine TimkoDepartment of Veterans Affairs Health Care System, Center for Innovation to Implementation, Palo Alto, CA, USA.ORCID 0000-0002-6271-7141
Kathleen M GrantMental Health and Behavioral Science Department, VA Nebraska-Western Iowa Health Care System, Omaha, NE, USA.
Xiaotong HanDepartment of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Lance Brendan YoungDepartment of Preventive & Community Dentistry, The University of Iowa, Iowa City, USA.ORCID 0000-0003-2821-4863
Michael A CucciareDepartment of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, USA.ORCID 0000-0001-5516-609X
Central Arkansas Veterans Healthcare System · USUniversity of Iowa · USVA Nebraska Western Iowa Health Care System · USVA Palo Alto Health Care System · 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

aimsTo test the effectiveness of an intervention, Al-Anon Intensive Referral (AIR), to facilitate participation in Al-Anon Family Groups (Al-Anon). DESIGN, SETTING AND

participantsMulti-site, randomized controlled trial of AIR versus usual care (UC), with follow-up assessments at 3, 6 and 12 months. The 12-month follow-up rate was 74%. Residential alcohol use disorder (AUD) treatment programs in three US locations. Concerned others (COs) of patients in treatment for AUD. COs were mainly women (77%) who were patients' spouses (33%) or parents (25%). INTERVENTION AND COMPARATOR: AIR (n = 128) consisted of four sessions over 3 months with an Al-Anon coach. UC (n = 151) was the treatment program's offer of educational sessions for COs. MEASUREMENTS: Primary outcome: COs' self-reports of any Al-Anon attendance (yes or no) at 3 months. SECONDARY OUTCOMES: number of Al-Anon meetings and the CO-patient relationship (stressors, resources). Potential predictors of outcomes examined in generalized linear mixed models were their baseline value, time, CO-patient relationship type (marital or non-marital), treatment program and condition.

findingsThere was no effect of condition for the primary outcome (28% in AIR, 21% in UC; Bayes factor = 1.86). Relationship stressors at follow-ups were more severe for COs in a marital relationship with the patient than for COs in a non-marital relationship [β = 2.19, 95% confidence interval (CI) = 1.07, 3.32]. For CO-patient relationship resources at follow-ups, the main effect for condition was significant (β = 1.33, 95% CI = 0.04, 2.61). COs assigned to the AIR condition had more resources than COs who were in the UC condition.

conclusionsRelative to usual care, Al-Anon Intensive Referral was not associated with increases in participation of concerned others in Al-Anon, but was associated with more resources in the concerned other-patient relationship.

Indexed as

Alcoholics AnonymousAlcoholismAlcohol DrinkingBayes TheoremFemaleHumansReferral and ConsultationAl-AnonAlcoholConcerned otherintensive referralrelationship resourcesrelationship stressorstreatment

Identifiers

PMID34427006
PMCPMC8844037
OpenAlexW3195871308

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Registered trials

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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.