Evidence map›Paper›PMID 39003894›Full record

ArticleThe International journal on drug policy2024

Reduction in substance use stigma following a peer-recovery specialist behavioral activation intervention.

Mary B Kleinman, Morgan S Anvari, Julia W Felton, Valerie D Bradley, Annabelle M Belcher, Tolulope M Abidogun, Abigail C Hines, Dwayne Dean, Aaron D Greenblatt, Michael Wagner and 2 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The International journal on drug policy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. 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

12 authors.

Mary B KleinmanDepartment of Psychology, University of Maryland, College Park, College Park, MD, USA. Electronic address: mkleinm@umd.edu.
Morgan S AnvariDepartment of Psychology, University of Maryland, College Park, College Park, MD, USA.
Julia W FeltonCenter for Health Policy and Health Services Research, Henry Ford Health, Detroit, MI, USA.
Valerie D BradleyDepartment of Psychology, University of Maryland, College Park, College Park, MD, USA.
Annabelle M BelcherDepartment of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA.
Tolulope M AbidogunDepartment of Psychology, University of Maryland, College Park, College Park, MD, USA.
Abigail C HinesDepartment of Psychology, University of Maryland, College Park, College Park, MD, USA.
Dwayne DeanDepartment of Psychology, University of Maryland, College Park, College Park, MD, USA.
Aaron D GreenblattDepartment of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA.
Michael WagnerCenter for Substance Use, Addiction & Health Research (CESAR), University of Maryland School of Medicine, College Park, MD, USA.
Valerie A EarnshawDepartment of Human Development and Family Sciences, University of Delaware, Newark, DE, USA.
Jessica F MagidsonDepartment of Psychology, University of Maryland, College Park, College Park, MD, USA; Center for Substance Use, Addiction & Health Research (CESAR), University of Maryland School of Medicine, College Park, MD, USA.

Funding

Understanding the Impact of COVID-19 on Methadone Treatment Retention and Adherence in an Underserved, Minority Population with OUDR61AT010799 · NCCIH · UNIV OF MARYLAND, COLLEGE PARK · PI MAGIDSON, JESSICA F · 2019 to 2020
$1.2M
The Intersecting Effect of Substance Use Stigma, Methadone Treatment Stigma, and Racial Discrimination on Methadone Treatment OutcomesR36DA056761 · NIDA · UNIV OF MARYLAND, COLLEGE PARK · PI KLEINMAN, MARY BUCKLEY · 2022 to 2023
$105k
NCCIH NIH HHS R61 AT010799NCCIH NIH HHS R61AT010799-01S2NIDA NIH HHS R36 DA056761
6 · The paper itself

Abstract

backgroundPatients' perceptions and experiences of stigma related to substance use and methadone treatment are barriers to successful treatment of opioid use disorder, particularly among low-income and medically underserved populations. Interventions led by peer recovery specialists (PRSs) may shift stigma-related barriers. This study sought to evaluate shifts in substance use and methadone treatment stigma in the context of an evidence-based behavioral intervention adapted for PRS delivery to support methadone treatment outcomes.

methodsWe recruited patients who had recently started methadone treatment or demonstrated difficulty with adherence from a community-based program (N = 37) for an open-label pilot study of a 12-session behavioral activation intervention led by a PRS interventionist. Participants completed substance use and methadone treatment stigma assessments and the SIP-R, a brief measure of problems related to substance use, at baseline, mid-point (approximately six weeks), and post-treatment (approximately 12 weeks). Generalized estimating equations assessed change in total stigma scores between baseline and post-treatment as well as change in stigma scores associated with change in SIP-R responses.

resultsThere was a statistically significant decrease in substance use stigma (b(SE)=-0.0304 (0.0149); p = 0.042) from baseline to post-treatment, but not methadone treatment stigma (b(SE)=-0.00531 (0.0131); p = 0.68). Decreases in both substance use stigma (b(SE)=0.5564 (0.0842); p < 0.001) and methadone treatment stigma (b(SE)=0.3744 (0.1098); p < 0.001) were associated with a decrease in SIP-R scores.

conclusionsPRS-led interventions have potential to shift substance use stigma, which may be associated with decrease in problems related to substance use, and therefore merit further testing in the context of randomized controlled trials.

Indexed as

MethadoneOpiate Substitution TreatmentOpioid-Related DisordersPeer GroupSocial StigmaAdultBehavior TherapyFemaleHumansMaleMiddle AgedPilot ProjectsSubstance-Related DisordersTreatment OutcomeMethadoneBehavioral activationMethadoneOpioid use disorderPeer recovery specialistStigma

Identifiers

PMID39003894
PMCPMC11347115

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.