Evidence map›Paper›PMID 36264211›Full record

ArticleThe American journal on addictions2023

Evaluation of real-world outcomes associated with use of a prescription digital therapeutic to treat substance use disorders.

Xiaorui Xiong, Stephen Braun, Maxine Stitzer, Hilary Luderer, Gigi Shafai, Brendan Hare, Michael Stevenson, Yuri Maricich

Open access · hybridAbstract read
In one paragraph

Article in The American journal on addictions, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

16 citing papers in PubMed, 16 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. Observational
  7. Download to heal: navigating the pixelated path of digital therapeutics in psychiatric care.Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999) · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Adoption of Digital Therapeutics in Europe.Therapeutics and clinical risk management · 2024
    Review
  12. Digital therapeutics in the clinic.Bioengineering & translational medicine · 2023
    Review
  13. Article
  14. Article
  15. Article
  16. 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

8 authors at 2 institutions in 1 country.

Xiaorui XiongMedical Affairs, Pear Therapeutics (US), Boston, Massachusetts, USA.ORCID 0000-0001-7838-4524
Stephen BraunMedical Affairs, Pear Therapeutics (US), Boston, Massachusetts, USA.ORCID 0000-0001-9891-3825
Maxine StitzerBehavioral Pharmacology Research Unit, Friends Research Institute, Baltimore, Maryland, USA.
Hilary LudererMedical Affairs, Pear Therapeutics (US), Boston, Massachusetts, USA.ORCID 0000-0002-3737-946X
Gigi ShafaiMedical Affairs, Pear Therapeutics (US), Boston, Massachusetts, USA.
Brendan HareMedical Affairs, Pear Therapeutics (US), Boston, Massachusetts, USA.ORCID 0000-0002-6502-3188
Michael StevensonMedical Affairs, Pear Therapeutics (US), Boston, Massachusetts, USA.
Yuri MaricichMedical Affairs, Pear Therapeutics (US), Boston, Massachusetts, USA.ORCID 0000-0001-8667-5233
Pear Therapeutics (United States) · USBehavioral Pharma (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesDigital therapeutics can expand the reach and fidelity of behavioral treatment for substance use disorders (SUDs). This analysis evaluated real-world engagement and clinical outcomes in patients diagnosed with SUD who were prescribed reSET®, an FDA-authorized prescription digital therapeutic (PDT).

methodsPatients were prescribed a 12-week PDT comprising 61 therapy lessons (31 "core" and 30 "keep learning" lessons) and contingency management rewards (positive reinforcement message or monetary gift cards) based on lesson completion and negative urine drug screens. Engagement (defined as any activity in the PDT), retention (any activity in Weeks 9-12), and substance use data were collected automatically by the PDT and analyzed descriptively. Associations between early lesson completion and end-of-treatment outcomes were assessed.

resultsSix hundred and fifty-eight patients filled their prescription. Evaluated were 602 patients who were exposed to therapeutic content by completing at least one lesson (median age 37 years, 33% female, 41% male, 26% unreported sex). Median lessons completed was 33 (out of 61 possible), and 52% of patients completed all core modules. Retention in treatment during the last 4 weeks of treatment was 74%, and 62% were abstinent (missing data considered positive). [Correction added on 13 December 2022, after first online publication: In the preceding sentence, the treatment percentage values were revised from 74.6% to 74%.] DISCUSSION AND

conclusionsPatients with SUD exhibited robust engagement with a PDT, high rates of retention through 12 weeks, and substantial rates of abstinence at end of treatment when the therapeutic was used in a real-world setting. PDT's hold promise as a new way to access effective SUD treatment. SCIENTIFIC SIGNIFICANCE: This study is the first to report real-world PDT engagement and clinical outcomes data from a large, geographically diverse population of patients with SUDs.

Indexed as

Substance-Related DisordersAdultBehavior TherapyFemaleHumansMalePrescriptionsTreatment Outcome

Identifiers

PMID36264211
PMCPMC10091717
OpenAlexW4306911404

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.