Evidence map›Paper›PMID 36924646›Full record

Trial reportAddictive behaviors2023

Network analysis of reasons for and against changing alcohol use among veterans engaged in a web-based intervention for hazardous drinking and PTSD symptoms.

Rebecca E Sistad, Nicholas A Livingston, Michael L Crowe, Noam Newberger, Elizabeth Spitzer, Deborah Brief, Scott Litwack, Eric Helmuth, Monica Roy, Marika Solhan and 2 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Addictive behaviors, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

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

1 citing paper in PubMed.

  1. Review
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.

Rebecca E SistadU.S. Department of Veteran Affairs, VA Boston Health Care System, Boston, MA, United States; U.S. Department of Veteran Affairs, Minneapolis VA Health Care System, Minneapolis, MN, United States; Department of Psychiatry, Boston University, School of Medicine, United States. Electronic address: rebecca.sistad@va.gov.
Nicholas A LivingstonU.S. Department of Veteran Affairs, VA Boston Health Care System, Boston, MA, United States; Department of Psychiatry, Boston University, School of Medicine, United States; National Center for PTSD, Behavioral Science Division, VA Boston Healthcare System, Boston, MA, United States. Electronic address: nicholas.livingston@va.gov.
Michael L CroweU.S. Department of Veteran Affairs, VA Boston Health Care System, Boston, MA, United States; National Center for PTSD, Behavioral Science Division, VA Boston Healthcare System, Boston, MA, United States.
Noam NewbergerNational Center for PTSD, Behavioral Science Division, VA Boston Healthcare System, Boston, MA, United States.
Elizabeth SpitzerCenter for Healthcare Organization and Implementation Research, Boston, MA, United States; Harvard Medical School, Harvard University, Boston, MA, United States.
Deborah BriefU.S. Department of Veteran Affairs, VA Boston Health Care System, Boston, MA, United States; Department of Psychiatry, Boston University, School of Medicine, United States.
Scott LitwackU.S. Department of Veteran Affairs, VA Boston Health Care System, Boston, MA, United States; Department of Psychiatry, Boston University, School of Medicine, United States.
Eric HelmuthEducational Development Center, Waltham, MA, United States.
Monica RoyU.S. Department of Veteran Affairs, VA Boston Health Care System, Boston, MA, United States; Department of Psychiatry, Boston University, School of Medicine, United States.
Marika SolhanDepartment of Psychiatry, Boston University, School of Medicine, United States; U.S. Department of Veterans Affairs, Boston Vet Center, Boston, MA, United States.
David RosenbloomBoston University School of Public Health, Boston, MA, United States.
Terence M KeaneU.S. Department of Veteran Affairs, VA Boston Health Care System, Boston, MA, United States; Department of Psychiatry, Boston University, School of Medicine, United States; National Center for PTSD, Behavioral Science Division, VA Boston Healthcare System, Boston, MA, United States.

Funding

Postdoctoral Training Program in Stress and TraumaT32MH019836 · NIMH · TUFTS UNIVERSITY BOSTON · PI DENISE M. SLOAN · 1996 to 2026
$4.7M
Web-based Behavioral Intervention for Returning Veterans with Risky Alcohol UseRC1AA019248 · NIAAA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI KEANE, TERENCE M · 2009 to 2010
$909k
NIAAA NIH HHS RC1 AA019248NIMH NIH HHS T32 MH019836
6 · The paper itself

Abstract

Better understanding of reasons for and against change may be an effective strategy for supporting drinking reduction or abstinence among Iraq and Afghanistan veterans. The current study explored connections between reasons for and against changing hazardous alcohol use, as well as the relative importance of a given reason. Data from 366 veterans (86% male, 77% White) between the ages of 21 and 56 (M = 31.8, SD = 7.3) were obtained from a nationwide web-based alcohol and posttraumatic stress disorder randomized clinical trial. Participant-generated reasons for and against change were used to estimate two separate network models. The network of motives for changing alcohol use was generally well connected with predominately positive associations. Veterans reporting motivation to change alcohol use to improve functioning, enhance self-worth, and decrease alcohol-related consequences tended to have higher than average motivation to reduce or abstain from alcohol use. Alternatively, the network structure of motives against changing alcohol use demonstrated a nearly equal number of positive and negative associations. Whereas reasons to cope and sleep may imply higher than average motivation to continue drinking the same, veterans reporting reasons to reduce anxiety and have fun tended to have lower than average motivation to continue drinking. The current study may inform content modifications to self-help tools to more quickly and effectively target users' motivations from the beginning. Capitalizing on intervention users' motivations early may promote sustained engagement or improve therapeutic impact among those who only use the intervention for a short period of time.

Indexed as

Internet-Based InterventionStress Disorders, Post-TraumaticVeteransAdultAlcohol DrinkingAnxietyAnxiety DisordersFemaleHumansMaleMiddle AgedYoung AdultAlcohol useMotivationNetwork analysisVeterans

Identifiers

PMID36924646
PMCPMC10485876

What OpenQuestion holds

Textmetadata
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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.