Evidence map›Paper›PMID 35390535›Full record

Trial reportBehaviour research and therapy2022

Being at work improves stress, craving, and mood for people with opioid use disorder: Ecological momentary assessment during a randomized trial of experimental employment in a contingency-management-based therapeutic workplace.

Jeremiah W Bertz, Leigh V Panlilio, Samuel W Stull, Kirsten E Smith, David Reamer, August F Holtyn, Forrest Toegel, William J Kowalczyk, Karran A Phillips, David H Epstein and 2 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Behaviour research and therapy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

10 citing papers in PubMed, 17 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
  6. Observational
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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

12 authors at 2 institutions in 1 country.

Jeremiah W BertzIntramural Research Program, National Institute on Drug Abuse, Baltimore, MD, USA. Electronic address: jeremiah.bertz@nih.gov.
Leigh V PanlilioIntramural Research Program, National Institute on Drug Abuse, Baltimore, MD, USA.
Samuel W StullIntramural Research Program, National Institute on Drug Abuse, Baltimore, MD, USA.
Kirsten E SmithIntramural Research Program, National Institute on Drug Abuse, Baltimore, MD, USA.
David ReamerIntramural Research Program, National Institute on Drug Abuse, Baltimore, MD, USA.
August F HoltynDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Forrest ToegelDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
William J KowalczykIntramural Research Program, National Institute on Drug Abuse, Baltimore, MD, USA.
Karran A PhillipsIntramural Research Program, National Institute on Drug Abuse, Baltimore, MD, USA.
David H EpsteinIntramural Research Program, National Institute on Drug Abuse, Baltimore, MD, USA.
Kenneth SilvermanDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Kenzie L PrestonIntramural Research Program, National Institute on Drug Abuse, Baltimore, MD, USA.
National Institute on Drug Abuse · USJohns Hopkins University · US

Funding

Real-Time Assessment of Drug Use, Along with Mental States and EnvironmentsZIADA000499 · NIDA · NATIONAL INSTITUTE ON DRUG ABUSE · PI EPSTEIN, DAVID · 2009 to 2025
$19.9M
New approaches to addiction treatmentZIADA000624 · NIDA · NATIONAL INSTITUTE ON DRUG ABUSE · PI EPSTEIN, DAVID · 2018 to 2025
$9.6M
Abstinence-Contingent Wage Supplements for Long-Term Treatment of Drug AddictionR01DA037314 · NIDA · JOHNS HOPKINS UNIVERSITY · PI SILVERMAN, KENNETH · 2015 to 2019
$3.4M
Intramural NIH HHS ZIA DA000499NIDA NIH HHS R01 DA037314
6 · The paper itself

Abstract

Employment problems are common among people with substance use disorders (SUDs), and improving vocational functioning is an important aspect of SUD treatment. More detailed understanding of the psychosocial benefits of employment may help refine vocational interventions for people with SUDs. Here, we used ecological momentary assessment to measure possible affective improvements associated with work. Participants (n = 161) with opioid use disorder were randomized to work (job-skills training) in a contingency-management-based Therapeutic Workplace either immediately or after a waitlist delay. Throughout, participants responded via smartphone to randomly scheduled questionnaires. In linear mixed models comparing responses made at work vs. all other locations, being at work was associated with: less stress, less craving for opioids and cocaine, less negative mood, more positive mood, and more flow-like states. Some of these differences were also observed on workdays vs. non-workdays outside of work hours. These results indicate that benefits associated with work may not be restricted to being actually in the workplace; however, randomization did not reveal clear changes coinciding with the onset of work access. Overall, in contrast to work-associated negative moods measured by experience-sampling in the general population, Therapeutic Workplace participants experienced several types of affective improvements associated with work.

Indexed as

CravingOpioid-Related DisordersEcological Momentary AssessmentEmploymentHumansOpiate Substitution TreatmentWorkplace

Identifiers

PMID35390535
PMCPMC9206864
OpenAlexW4220945353

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.