Evidence map›Paper›PMID 41237599›Full record

Trial reportAddictive behaviors2026

Witnessed overdose history and response among overdose survivors who use non-prescribed opioids in an overdose prevention trial.

Nicole C McCann, Shapei Yan, Vanessa M McMahan, Zachary C Rich, Emily Pope, Andrew Rolles, Sarah Brennan, Xochitl Luna Marti, Sarah Kosakowski, Tim Matheson and 2 more

Abstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Addictive behaviors, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Nicole C McCannDepartment of Health Law, Policy, and Management, Boston University School of Public Health, Boston, MA, USA. Electronic address: ncmccann@bu.edu.
Shapei YanGrayken Center for Addiction and Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Boston Medical Center, Boston, MA, USA.
Vanessa M McMahanCenter on Substance Use and Health, San Francisco Department of Public Health, San Francisco, CA, USA; Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA, USA.
Zachary C RichGrayken Center for Addiction and Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Boston Medical Center, Boston, MA, USA.
Emily PopeCenter on Substance Use and Health, San Francisco Department of Public Health, San Francisco, CA, USA.
Andrew RollesGrayken Center for Addiction and Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Boston Medical Center, Boston, MA, USA.
Sarah BrennanCenter on Substance Use and Health, San Francisco Department of Public Health, San Francisco, CA, USA.
Xochitl Luna MartiCenter on Substance Use and Health, San Francisco Department of Public Health, San Francisco, CA, USA.
Sarah KosakowskiGrayken Center for Addiction and Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Boston Medical Center, Boston, MA, USA.
Tim MathesonCenter on Substance Use and Health, San Francisco Department of Public Health, San Francisco, CA, USA; HIV Prevention Section, San Francisco Department of Public Health, San Francisco, CA, USA.
Phillip O CoffinCenter on Substance Use and Health, San Francisco Department of Public Health, San Francisco, CA, USA; University of California San Francisco, San Francisco, CA, USA.
Alexander Y WalleyGrayken Center for Addiction and Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Boston Medical Center, Boston, MA, USA; Boston University Chobanian & Avedisian School of Medicine, Boson, MA, USA.

Funding

Repeated-dose behavioral intervention to reduce opioid overdose: a two-site randomized-controlled efficacy trialR01DA045690 · NIDA · PUBLIC HEALTH FOUNDATION ENTERPRISES · PI COFFIN, PHILLIP O · 2018 to 2022
$4.0M
Integrated Care for Addiction, HIV and HCV Research and Education (ICAHRE)T32DA041898 · NIDA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI Rachel Sayko Adams, Michael D Stein · 2017 to 2026
$3.8M
NIDA NIH HHS R01 DA045690NIDA NIH HHS T32 DA041898
6 · The paper itself

Abstract

backgroundThe REpeated-dose Behavioral intervention to reduce Opioid Overdose Trial (REBOOT) evaluated motivational interviewing for overdose prevention, focusing partly on witnessed overdose response. We assessed participants' witnessed overdose history and REBOOT's impact on overdose response among opioid overdose survivors using non-prescribed opioids in Boston and San Francisco.

methodsWe described participants' witnessed overdose and naloxone administration history over the four months preceding enrollment and the number and characteristics of witnessed overdoses reported during the study. We then used generalized estimating equations to test if the intervention affected if participants responded "me" to who, if anyone, responded to a witnessed overdose by assessing responsiveness, calling 911, performing rescue breathing, doing chest compressions, or administering naloxone during 16-month follow-up.

resultsOf 265 participants, most (83 %) witnessed at least one overdose in the four months preceding enrollment; 68 % of these participants had administered naloxone. In the 16-month post-enrollment follow-up, 250 (94 %) participants witnessed 597 overdoses. In 94 % of these, participants reported that somebody (themselves or others) responded. REBOOT had no significant impact on whether participants personally responded to overdoses: 67 % of control and 72 % of intervention participants personally responded pre-enrollment (p = 0.39), versus 63 % and 62 % post-enrollment (p = 0.97).

conclusionMost REBOOT participants witnessed a recent opioid overdose preceding enrollment. After enrollment, nearly all witnessed overdoses were responded to; the intervention had no effect on whether the participant personally responded. Given near-universal response, there was little room for improving overdose response. Future research should test similar interventions in communities with less prior overdose prevention exposure.

Indexed as

Analgesics, OpioidDrug OverdoseMotivational InterviewingOpiate OverdoseOpioid-Related DisordersSurvivorsAdultBostonFemaleHumansMaleMiddle AgedNaloxoneNarcotic AntagonistsSan FranciscoAnalgesics, OpioidNaloxoneNarcotic AntagonistsNaloxone (MeSH)Opioid (MeSH)Opioid-related disorders (MeSH)Overdose (MeSH)Overdose responseWitnessed overdose

Identifiers

PMID41237599
PMCPMC12751120

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.