Evidence map›Paper›PMID 37635913›Full record

ArticlePublic health in practice (Oxford, England)2023

The use of patient navigation to transition detoxification patients to substance use treatment in the Alaska Interior.

Ursula Running Bear, Erin M Poole, Clemma Muller, Jessica D Hanson, Carolyn Noonan, Jodi Trojan, Robert Rosenman, Spero M Manson

Registry-linked trialOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Public health in practice (Oxford, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03737864 (Native Center for Alcohol Research and Education), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 32% 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.

NCT03737864 nacompletednot on this map

Native Center for Alcohol Research and Education (NCARE), Transition to Recovery

TypeinterventionalSponsorUniversity of Colorado, DenverRan2019 to 2024Enrolled206ConditionsAlcohol Withdrawal, Substance Use DisordersArmsPatient navigation, Motivational interviewing (MI)
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. 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 4 institutions in 1 country.

Ursula Running BearDepartment of Population Health, School of Medicine and Health Sciences, University of North Dakota, 1301 North Columbia Rd., Grand Forks, ND, USA.
Erin M PooleUniversity of Colorado Anschutz Medical Campus, Colorado School of Public Health, Centers for American Indian and Alaska Native Health, Aurora, CO, USA.
Clemma MullerInitiative for Research and Education to Advance Community Health, Washington State University, Seattle, WA, USA.
Jessica D HansonDepartment of Applied Human Sciences, University of Minnesota Duluth, Duluth, MN, USA.
Carolyn NoonanInitiative for Research and Education to Advance Community Health, Washington State University, Seattle, WA, USA.
Jodi TrojanSideTracks LLC, Fairbanks, AK, USA.
Robert RosenmanInitiative for Research and Education to Advance Community Health, Washington State University, Seattle, WA, USA.
Spero M MansonUniversity of Colorado Anschutz Medical Campus, Colorado School of Public Health, Centers for American Indian and Alaska Native Health, Aurora, CO, USA.
Washington State University · USColorado School of Public Health · USUniversity of Minnesota, Duluth · USUniversity of North Dakota · US

Funding

Transition to RecoveryP60AA026112 · NIAAA · WASHINGTON STATE UNIVERSITY · PI Denise A Dillard, Michael G McDonell · 2018 to 2026
$10.7M
NIAAA NIH HHS P60 AA026112
6 · The paper itself

Abstract

Objectives: Detoxification clinics manage acute intoxication and withdrawal from alcohol and other drugs. At discharge, patients are referred to treatment, yet many are readmitted to detoxification, creating a "revolving door" of discharges and admissions. This pattern disproportionately affects some groups such as Alaska Native and American Indian (AN/AI) people. The primary goals of this study are to: 1) test the effectiveness of a patient navigation intervention to increase rates of transition to alcohol treatment following detoxification, and 2) prevent readmission to detoxification within 12-months. The secondary goal is a cost-effectiveness and cost-benefit evaluation of patient navigation. Study design: This randomized controlled comparative effectiveness trial plans to recruit 440 patients (∼70% AN/AI) admitted to alcohol detoxification. We collaborated with Fairbanks Native Association (FNA) to select an appropriate intervention, control condition, and other study-related decisions. Here, we describe intervention development, study design, challenges encountered during implementation, and collaborative processes to identify solutions. Methods: Participants are equally randomized to the control (one motivational interviewing session) or intervention (one motivational interviewing session plus up to four weeks of patient navigation). The primary outcomes are successful transition to alcohol treatment within 30-days after discharge and detoxification readmission within 12-months. The secondary outcome is health-related quality of life. Conclusion: Patient navigation is successful in other settings and for other health conditions. It may assist in overcoming barriers to successful transition to substance use treatment and may augment interventions, such as motivational interviewing, that are less resource-intensive but may not be optimally effective by themselves. ClinicalTrialsgov Identifier: NCT03737864.

Indexed as

AlaskaAlaska NativeAlcoholDetoxificationMotivational interviewingOpioidPatient navigationSubstance use treatment

Identifiers

PMID37635913
PMCPMC10448195
OpenAlexW4385614614

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.