Evidence map›Paper›PMID 38061630›Full record

Trial reportJournal of substance use and addiction treatment2024

The impact of spiritual well-being and social support on substance use treatment outcomes within a sample of predominantly Black/African American adults.

Louisa Kane, Katherine Benson, Zachary J Stewart, Stacey B Daughters

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of substance use and addiction treatment, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.5field-weighted citation impact, top 10% 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

8 citing papers in PubMed, 9 citations in OpenAlex.

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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

4 authors at 1 institution in 1 country.

Louisa KaneDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill, United States of America. Electronic address: louisak@live.unc.edu.
Katherine BensonDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill, United States of America.
Zachary J StewartDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill, United States of America.
Stacey B DaughtersDepartment of Psychology and Neuroscience, University of North Carolina at Chapel Hill, United States of America.
University of North Carolina at Chapel Hill · US

Funding

Training Program for Scientists Conducting Research to Reduce HIV Health DisparitR25MH067127 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Emily A Arnold, Torsten Brian Neilands · 2003 to 2026
$5.4M
Technology Enhanced Behavioral Activation Treatment for Substance UseR01DA026424 · NIDA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DAUGHTERS, STACEY B · 2010 to 2019
$4.4M
NIDA NIH HHS R01 DA026424NIMH NIH HHS R25 MH067127
6 · The paper itself

Abstract

introSubstance use and associated problems often return following treatment for substance use disorder (SUD), which disproportionally impact Black/African American (AA) individuals. Social support and spiritual well-being are sources of recovery capital identified as particularly important among Black/AA adults. Social support and spiritual well-being are also posited mechanisms in 12-step; thus, this study tested the effects of social support and spiritual well-being on substance use outcomes over time, distinct from 12-step involvement, among Black/AA adults post-SUD treatment. The study hypothesized that social support and spiritual well-being would demonstrate significant interactions with time, respectively, on substance use frequency and substance use consequences, above the effect of 12-step involvement.

methodThe study drew data from a study of 262 adults (95.4 % Black/AA) entering residential SUD treatment (NCT#01189552). Assessments were completed at pretreatment and at 3-, 6-, and 12-months posttreatment. Two generalized linear mixed models (GLMM) tested the effects of social support and spiritual well-being, above the effect of 12-step involvement, on substance use frequency and substance use consequences over the course of 12-months posttreatment.

resultsHigher spiritual well-being predicted significantly less frequent substance use during recovery (β = 0.00, p = .03). Greater 12-step involvement predicted significantly fewer substance use consequences during recovery (β = 0.00, p = .02). In post hoc analyses the effect of spiritual well-being and 12-step involvement dissipated by 3.5- and 6.6-months posttreatment, respectively. The study found no significant effects of social support over time. DISCUSSION: Spiritual well-being and 12-step involvement are associated with lower substance use and substance use consequences, respectively, in the early months of posttreatment recovery among Black/AA adults. These findings contribute to the growing recovery capital literature informing paths to recovery and sources of support outside of 12-step affiliation. However, these effects diminish over time.

Indexed as

Black or African AmericanSubstance-Related DisordersAdultHumansSocial SupportTreatment Outcome12-stepRecovery capitalSocial supportSpiritual well-beingSubstance use disorderTreatment outcomes

Identifiers

PMID38061630
PMCPMC10947916
OpenAlexW4389329303

What OpenQuestion holds

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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.