Evidence map›Paper›PMID 36208061›Full record

Trial reportAddiction (Abingdon, England)2023

Using recovery management checkups for primary care to improve linkage to alcohol and other drug use treatment: a randomized controlled trial three month findings.

Christy K Scott, Michael L Dennis, Christine E Grella, Dennis P Watson, Jordan P Davis, M Kate Hart

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Addiction (Abingdon, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

9 citing papers in PubMed, 10 citations in OpenAlex.

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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

6 authors at 2 institutions in 2 countries.

Christy K ScottChestnut Health Systems, Chicago, IL, USA.ORCID 0000-0002-5233-4702
Michael L DennisChestnut Health Systems, Normal, IL, USA.
Christine E GrellaChestnut Health Systems, Chicago, IL, USA.
Dennis P WatsonChestnut Health Systems, Chicago, IL, USA.
Jordan P DavisSuzanne Dworak-Peck School of Social Work, USC Center for Artificial Intelligence in Society, USC Center for Mindfulness Science, University of Southern California, Los Angeles, CA, USA.ORCID 0000-0002-6108-4936
M Kate HartChestnut Health Systems, Normal, IL, USA.
Chestnut Health Systems · USUniversity of Southern California · US

Funding

Recovery Management Checkups for Primary Care (RMC-PC): Replication and Sustainability within FQHC PracticeR01AA024440 · NIAAA · CHESTNUT HEALTH SYSTEMS, INC. · PI Dennis Paul Watson · 2017 to 2026
$3.2M
NIAAA NIH HHS R01 AA024440
6 · The paper itself

Abstract

BACKGROUND AND

aimsRecovery management checkups (RMC) have established efficacy for linking patients to substance use disorder (SUD) treatment. This study tested whether using RMC in combination with screening, brief intervention, and referral to treatment (SBIRT), versus SBIRT alone, can improve linkage of primary care patients referred to SUD treatment.

designA randomized controlled trial of SBIRT as usual (n = 132) versus SBIRT plus recovery management checkups for primary care (RMC-PC) (n = 134) with follow-up assessments at 3 months post-baseline.

settingFour federally qualified health centers in the United States serving low-income populations.

participantsPrimary care patients (n = 266, 64% male, 80% Black, mean age, 48.3 [range, 19-53]) who were referred to SUD treatment after SBIRT.

interventionsSBIRT alone (control condition) compared with SBIRT + RMC-PC (experimental condition). MEASUREMENT: The primary outcome was any days of SUD treatment in the past 3 months. Key secondary outcomes were days of SUD treatment overall and by level of care, days of alcohol and other drug (AOD) abstinence, and days of using specific substances, all based on self-report.

findingsAt 3-month follow-up, those assigned to SBIRT + RMC-PC (n = 134) had higher odds of receiving any SUD treatment (46% vs 20%; adjusted odds ratio = 4.50 [2.49, 8.48]) compared with SBIRT only, including higher rates of entering residential and intensive outpatient treatment. They also reported more days of treatment (14.45, vs 7.13; d = +0.26), more days abstinent (41.3 vs 31.9; d = +0.22), and fewer days of using alcohol (27.14, vs 36.31; d = -0.25) and cannabis (19.49, vs 28.6; d = -0.20).

conclusionsRecovery management checkups in combination with screening, brief intervention, and referral to treatment are an effective strategy for improving linkage of primary care patients in need to substance use disorder treatment over 3 months.

Indexed as

Substance-Related DisordersAmbulatory CareData CollectionEthanolFemaleHumansMaleMass ScreeningMiddle AgedPrimary Health CareReferral and ConsultationUnited StatesEthanolFederally qualified health centers (FQHC)Linkage to treatmentPimary Carerecovery management checkups (RMC)screening brief intervention and referral to treatment (SBIRT)substance use disorders

Identifiers

PMID36208061
PMCPMC10015976
OpenAlexW4303644398

What OpenQuestion holds

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LicenceCC BY-NC
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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.