Evidence map›Paper›PMID 38286518›Full record

Trial reportBMJ open gastroenterology2024

Mental Imagery to Reduce Alcohol-related harm in patients with alcohol use disorder and alcohol-related liver damaGE: the MIRAGE randomised pilot trial results.

Ashwin Dhanda, Jackie Andrade, Hannah Allende, Victoria Allgar, Matthew Bailey, Lynne Callaghan, Laura Cocking, Elizabeth Goodwin, Annie Hawton, Christopher Hayward and 12 more

Open access · goldAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in BMJ open gastroenterology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
0.8field-weighted citation impact, top 29% 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, 2 syntheses or guidelines pooled it, 2 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  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

22 authors at 7 institutions in 1 country.

Ashwin DhandaFaculty of Health, University of Plymouth, Plymouth, UK ashwin.dhanda@plymouth.ac.uk.ORCID 0000-0002-0523-0193
Jackie AndradeFaculty of Health, University of Plymouth, Plymouth, UK.
Hannah AllendeResearch, Development and Innovation, University Hospitals Plymouth NHS Trust, Plymouth, UK.
Victoria AllgarFaculty of Health, University of Plymouth, Plymouth, UK.
Matthew BaileyFaculty of Health, University of Plymouth, Plymouth, UK.
Lynne CallaghanFaculty of Health, University of Plymouth, Plymouth, UK.
Laura CockingFaculty of Health, University of Plymouth, Plymouth, UK.
Elizabeth GoodwinMedical School, University of Exeter, Exeter, UK.
Annie HawtonMedical School, University of Exeter, Exeter, UK.
Christopher HaywardMedical School, University of Exeter, Exeter, UK.
Ben HudsonRoyal Devon University Hospital Foundation NHS Trust, Exeter, UK.ORCID 0000-0002-3674-9078
Wendy IngramFaculty of Health, University of Plymouth, Plymouth, UK.
Alison JefferyFaculty of Health, University of Plymouth, Plymouth, UK.
Angela KingFaculty of Health, University of Plymouth, Plymouth, UK.
Victoria LaversPatient Representative, Plymouth, UK.
Joe LomaxFaculty of Health, University of Plymouth, Plymouth, UK.
C Anne McCuneDepartment of Liver Medicine, University Hospitals Bristol and Weston NHS Foundation Trust, Bristol, UK.
Crispin MusichaFaculty of Health, University of Plymouth, Plymouth, UK.
Richard ParkerLeeds Liver Unit, Leeds Teaching Hospitals NHS Trust, Leeds, UK.ORCID 0000-0003-4888-8670
Christopher RollinsonResearch, Development and Innovation, University Hospitals Plymouth NHS Trust, Plymouth, UK.
Jonny WilksFaculty of Health, University of Plymouth, Plymouth, UK.
E Siobhan CreanorMedical School, University of Exeter, Exeter, UK.
University of Plymouth · GBUniversity of Exeter · GBUniversity Hospitals Plymouth NHS Trust · GBLeeds Teaching Hospitals NHS Trust · GBPlymouth Hospital · GBRoyal Devon & Exeter NHS Foundation Trust · GBUniversity Hospitals Bristol NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe healthcare burden of alcohol-related liver disease (ARLD) is increasing. ARLD and alcohol use disorder (AUD) is best managed by reduction or cessation of alcohol use, but effective treatments are lacking. We tested whether people with ARLD and AUD admitted to hospital could be recruited to and retained in a trial of Functional Imagery Training (FIT), a psychological therapy that uses mental imagery to reduce alcohol craving. We conducted a multicentre randomised pilot trial of treatment as usual (TAU) versus FIT+TAU in people admitted to hospital with ARLD and AUD.

designParticipants were randomised to TAU (a single session of brief intervention) or FIT+TAU (TAU with one hospital-based FIT session then eight telephone sessions over 6 months). Pilot outcomes included recruitment rate and retention at day 180. Secondary outcomes included fidelity of FIT delivery, alcohol use, and severity of alcohol dependence.

resultsFifty-four participants (mean age 49; 63% male) were recruited and randomised, 28 to TAU and 26 to FIT+TAU. The retention rate at day 180 was 43%. FIT was delivered adequately by most alcohol nurses. 50% of intervention participants completed FIT sessions 1 and 2. There were no differences in alcohol use or severity of alcohol dependence between treatment groups at day 180.

conclusionParticipants with ARLD and AUD could be recruited to a trial of FIT versus FIT+TAU. However, retention at day 180 was suboptimal. Before conducting a definitive trial of FIT in this patient group, modifications in the intervention and recruitment/retention strategy must be tested. TRIAL REGISTRATION NUMBER: ISRCTN41353774.

Indexed as

AlcoholismFemaleHumansLiverMaleMiddle AgedPilot ProjectsTreatment OutcomeALCOHOLIC LIVER DISEASEHEALTH ECONOMICSLIVER CIRRHOSISPSYCHOTHERAPY

Identifiers

PMID38286518
PMCPMC10870787
OpenAlexW4391326461

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.