Evidence map›Paper›PMID 37267179›Full record

Trial reportJournal of addiction medicine

Investigating Secondary Alcohol Outcomes in a Contingency Management Intervention among American Indian and Alaska Native Adults.

Katherine A Hirchak, Gordon Kordas, Abram J Lyons, Jalene Herron, Kelley Jansen, Jennifer Shaw, Sterling M McPherson, John Roll, Dedra Buchwald, Michael G McDonell and 1 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of addiction medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

11 authors at 2 institutions in 1 country.

Katherine A HirchakFrom the Department of Community and Behavioral Health, Elson S. Floyd College of Medicine, Washington State University, Spokane, WA (KAH, GK, AJL, SMM, JR, MGM); Program of Excellence in Addictions Research, Washington State University, Spokane, WA (KAH, GK, AJL, SMM, JR, MGM); School of Social Policy and Practice, University of Pennsylvania, Philadelphia, PA (AJL); Center on Alcohol, Substance Use and Addictions, University of New Mexico, Albuquerque, NM (JH); Department of Psychology, University of New Mexico, Albuquerque, NM (JH); Southcentral Foundation, Anchorage, AK (KJ, JS); University of Montana, Missoula, MT (KJ); and Institute for Research and Education to Advance Community Health, Washington State University, Spokane, WA (SMM, DB, MGM).
Gordon Kordas
Abram J Lyons
Jalene Herron
Kelley Jansen
Jennifer Shaw
Sterling M McPherson
John Roll
Dedra Buchwald
Michael G McDonell
HONOR Study Team
Association for Jewish Studies · USWashington State University Spokane · US

Funding

Transition to RecoveryP60AA026112 · NIAAA · WASHINGTON STATE UNIVERSITY · PI Sterling M McPherson · 2018 to 2026
$10.7M
Alcohol Research Training: Methods & MechanismsT32AA018108 · NIAAA · UNIVERSITY OF NEW MEXICO · PI Katie A Witkiewitz · 2010 to 2026
$5.6M
Contingency Management Treatment of Alcohol Abuse American Indian PeopleR01AA022070 · NIAAA · WASHINGTON STATE UNIVERSITY · PI BUCHWALD, DEDRA S, MCDONELL, MICHAEL G · 2013 to 2017
$3.5M
Culturally Re-Centering Contingency Management and Behavioral Economics to Increase Engagement with American Indian Young AdultsK01AA028831 · NIAAA · WASHINGTON STATE UNIVERSITY · PI HIRCHAK, KATHERINE · 2020 to 2024
$889k
NIAAA NIH HHS K01 AA028831NIAAA NIH HHS P60 AA026112NIAAA NIH HHS R01 AA022070NIAAA NIH HHS T32 AA018108
6 · The paper itself

Abstract

objectiveThe aim of the study is to investigate clinically meaningful, secondary outcomes in a randomized trial of a culturally adapted contingency management (CM) intervention for alcohol use in 3 diverse American Indian and Alaska Native communities.

methodsThree American Indian and Alaska Native communities located in the Northern Plains, Alaska, and the Inland Northwest were partnering sites. A total of 158 individuals were randomized to either a 12-week CM intervention or a noncontingent (NC) control group. The CM group received reinforcers for providing alcohol-negative ethyl glucuronide (EtG < 150 ng/mL) urine samples, while the NC group received reinforcers unconditionally. Outcomes included EtG as a continuous measure (range, 0-2,000 ng/mL), EtG > 499 ng/mL (a measure of higher levels of recent alcohol use), longest duration of abstinence, and time-to-first alcohol-positive EtG during the trial. Generalized estimating equations along with Cox proportional hazard and negative binomial regressions were used.

resultsParticipants randomized to the CM group had lower mean EtG levels (-241.9 ng/mL; 95% confidence interval [CI], -379.0 to -104.8 ng/mL) and 45.7% lower odds (95% CI, 0.31 to 0.95) of providing an EtG sample indicating higher levels of alcohol use during the intervention. Longest duration of abstinence was 43% longer for the CM group than the NC group (95% CI, 1.0 to 1.9). Risk of time-to-first drink during treatment did not differ significantly.

conclusionsThese secondary outcome analyses provide evidence that CM is associated with reductions in alcohol use and longer durations of abstinence (as assessed by EtG), both clinically meaningful endpoints and analyses that differ from the primary study outcome.

Indexed as

Alcohol DrinkingAmerican Indian or Alaska NativeAdultBiomarkersEthanolGlucuronatesGlucuronidesHumansBiomarkersEthanolGlucuronatesGlucuronides

Identifiers

PMID37267179
PMCPMC10248190
OpenAlexW4318915827

What OpenQuestion holds

Textmetadata
LicenceTDM
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.