Evidence map›Paper›PMID 35296984›Full record

Trial reportJournal of general internal medicine2022

Acute Care Utilization After Recovery Coaching Linkage During Substance-Related Inpatient Admission: Results of Two Randomized Controlled Trials.

Julia A Cupp, Kaileigh A Byrne, Kristin Herbert, Prerana J Roth

2 registry-linked trialsAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of general internal medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT04098601 nacompletednot on this map

Inpatient Link to Addiction Recovery- a Pilot Program

TypeinterventionalSponsorPrisma Health-UpstateRan2018 to 2019Enrolled103ConditionsSubstance Use DisordersArmsRecovery Coach Intervention
NCT04098614 nacompletednot on this map

Barriers to Substance Use Disorder Recovery

TypeinterventionalSponsorPrisma Health-UpstateRan2019 to 2020Enrolled99ConditionsSubstance Use DisordersArmsRecovery Coach Intervention
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Peer support for patients with opioid use disorder in the emergency department: A narrative review.Journal of the American College of Emergency Physicians open · 2024
    Review
  11. 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

4 authors.

Julia A CuppPrisma Health-Upstate, Greenville, USA. Julia.Cupp@Prismahealth.org.ORCID http://orcid.org/0000-0001-8042-4011
Kaileigh A ByrneClemson University, Clemson, USA.
Kristin HerbertUniversity of South Carolina School of Medicine-Greenville, Greenville, USA.
Prerana J RothPrisma Health-Upstate, Greenville, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFor patients with substance use disorder (SUD), a peer recovery coach (PRC) intervention increases engagement in recovery services; effective support services interventions have occasionally demonstrated cost savings through decreased acute care utilization.

objectiveExamine effect of PRCs on acute care utilization.

designCombined results of 2 parallel 1:1 randomized controlled trials.

participantsInpatient adults with substance use disorder

interventionsInpatient PRC linkage and follow-up contact for 6 months vs usual care (providing contact information for SUD resources and PRCs) MAIN MEASURES: Acute care encounters (emergency and inpatient) 6 months before and after enrollment; encounter type by primary diagnosis code category (mental/behavioral vs medical); 30-day readmissions with Lace+ readmission risk scores. KEY

resultsA total of 193 patients were randomized: 95 PRC; 98 control. In the PRC intervention, 66 patients had a pre-enrollment acute care encounter and 56 had an encounter post-enrollment, compared to the control group with 59 pre- and 62 post-enrollment (odds ratio [OR] = -0.79, P = 0.11); there was no significant effect for sub-groups by encounter location (emergency vs inpatient). There was a significant decrease in mental/behavioral ED visits (PRC: pre-enrollment 17 vs post-enrollment 10; control: pre-enrollment 13 vs post-enrollment 16 (OR = -2.62, P = 0.02)) but not mental/behavioral inpatient encounters or medical emergency or inpatient encounters. There was no significant difference in 30-day readmissions corrected for Lace+ scores (15.8% PRC vs 17.3% control, OR = 0.19, P = 0.65).

conclusionsPRCs did not decrease overall acute care utilization but may decrease emergency encounters related to substance use.

trial registrationClinicalTrials.gov (NCT04098601, NCT04098614).

Indexed as

MentoringSubstance-Related DisordersAdultEmergency Service, HospitalHumansInpatientsadmissionspeer recovery coachingrandomized controlled trialsubstance use disorders

Identifiers

PMID35296984
PMCPMC8926086

What OpenQuestion holds

Textmetadata
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.