Evidence map›Paper›PMID 37016394›Full record

ArticleTrials2023

Smartphone intervention to optimize medication-assisted treatment outcomes for opioid use disorder: study protocol for a randomized controlled trial.

Ronald G Thompson, Mary Bollinger, Michael J Mancino, Deborah Hasin, Xiaotong Han, Keith A Bush, Clint D Kilts, G Andrew James

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05336188 (Neurocognitive Mechanisms Underlying Smartphone-Assisted Prevention of Relapse in Opioid Use Disorder), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 27% 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.

NCT05336188 naenrolling by invitationnot on this map

Neurocognitive Mechanisms Underlying Smartphone-Assisted Prevention of Relapse in Opioid Use Disorder

TypeinterventionalSponsorUniversity of ArkansasRan2023 to 2028Enrolled336ConditionsOpioid-Related Disorders, Mobile Applications, Opiate Substitution Treatment, Magnetic Resonance ImagingArmsSmartphone
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Ronald G ThompsonDepartment of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Mary BollingerDepartment of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Michael J MancinoDepartment of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Deborah HasinDepartment of Epidemiology, Columbia University, New York City, NY, USA.
Xiaotong HanDepartment of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Keith A BushDepartment of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Clint D KiltsDepartment of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
G Andrew JamesDepartment of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, USA. GAJames@uams.edu.ORCID http://orcid.org/0000-0002-2940-2746
University of Arkansas for Medical Sciences · USColumbia University · USUniversity of Arkansas Medical Center · US

Funding

Neurocognitive Mechanisms Underlying Smartphone-Assisted Prevention of Relapse in Opioid Use DisorderR01DA048022 · NIDA · UNIV OF ARKANSAS FOR MED SCIS · PI George Andrew James · 2021 to 2026
$2.6M
NIDA NIH HHS R01 DA048022NIDA NIH HHS R01DA048022NIGMS NIH HHS R01DA048022
6 · The paper itself

Abstract

backgroundOpioids accounted for 75% of drug overdoses in the USA in 2020, with rural states particularly impacted by the opioid crisis. While medication-assisted treatment (MAT) with Suboxone remains one of the more efficacious treatments for opioid use disorder (OUD), approximately 40% of people receiving Suboxone for outpatient MAT for OUD (MOUD) relapse within the first 6 months of treatment. We developed the smartphone app-based intervention OptiMAT as an adjunctive intervention to improve MOUD outcomes. The aims of this study are to (1) evaluate the efficacy of adjunctive OptiMAT use in reducing opioid misuse among people receiving MOUD and (2) evaluate the role of specific OptiMAT features in reducing opioid misuse, including the use of GPS-driven just-in-time intervention.

methodsWe will conduct a two-arm, single-blind, randomized controlled trial of adults receiving outpatient MOUD in the greater Little Rock AR area. Participants are English-speaking adults ages 18 or older recently enrolled in outpatient MOUD at one of our participating study clinics. Participants will be allocated via 1:1 randomized block design to (1) MOUD with adjunctive use of OptiMAT (MOUD+OptiMAT) or (2) MOUD without OptiMAT (MOUD-only). Our blinded research statistician will evaluate differences between the two groups in opioid misuse (as determined by quantitative urinalysis conducted by clinical lab staff blinded to group membership) during the 6-months following study enrolment. Secondary analyses will evaluate if OptiMAT-usage patterns within the MOUD+OptiMAT group predict opioid misuse or continued abstinence. DISCUSSION: This study will test if adjunctive use of OptiMAT improve MOUD outcomes. Study findings could lead to expansion of OptiMAT into rural clinical settings, and the identification of OptiMAT features which best predict positive clinical outcome could lead to refinement of this and similar smartphone app-based interventions.

trial registrationClinicalTrials.gov identifier: NCT05336188 , registered March 21, 2022.

Indexed as

Opioid-Related DisordersSmartphoneAdultAnalgesics, OpioidBuprenorphine, Naloxone Drug CombinationHumansOpiate Substitution TreatmentRandomized Controlled Trials as TopicSingle-Blind MethodTreatment OutcomeAnalgesics, OpioidBuprenorphine, Naloxone Drug CombinationBehavioral therapy (D001521)Mobile applications (D063731)Opiate substitution treatment (D058850)Opioid-related disorders (D009293)Smartphone (D000068997)

Identifiers

PMID37016394
PMCPMC10071730
OpenAlexW4362559108

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.