James R. McKay
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View article: Feasibility and acceptability of a contingency management program for stimulant use disorder in a pallet shelter community for homeless-experienced veterans
Feasibility and acceptability of a contingency management program for stimulant use disorder in a pallet shelter community for homeless-experienced veterans Open
This pilot showed initial Veteran engagement and positive Veteran and staff attitudes toward implementing CM at CTRS, though feasibility and acceptability may be enhanced by addressing concerns regarding privacy, stigma, accessibility, rew…
View article: Changes in the trajectories of drug-free friendships and substance use among a cohort of individuals with multiple substance use disorders
Changes in the trajectories of drug-free friendships and substance use among a cohort of individuals with multiple substance use disorders Open
Aims: We used reports ( n = 208) of drug-free friendships and alcohol and drug use by people diagnosed with substance use disorder in order to investigate their annual change trajectories across 4 years after treatment and the association …
View article: The continuing care project: A multi-arm randomised controlled trial of a continuing care telephone intervention following residential substance use treatment
The continuing care project: A multi-arm randomised controlled trial of a continuing care telephone intervention following residential substance use treatment Open
The results suggest that the residential programs are associated with positive long-term impacts among participants who complete at least 4 weeks of treatment. Further continuing care research should include those who do not remain in trea…
View article: Access to Firearms and Opioids Among Veterans at Risk for Suicide
Access to Firearms and Opioids Among Veterans at Risk for Suicide Open
Importance Firearm injury and poisoning, often by drug or medication overdose, account for most suicides among the general population and US veterans. In the Veterans Health Administration, the largest integrated health care system in the …
View article: Sensitivity analysis for constructing optimal regimes in the presence of treatment non-compliance and two active treatments
Sensitivity analysis for constructing optimal regimes in the presence of treatment non-compliance and two active treatments Open
View article: Leaving the Norwegian opioid maintenance treatment program - patient experiences
Leaving the Norwegian opioid maintenance treatment program - patient experiences Open
Background Opioid maintenance treatment (OMT) saves lives and makes it possible to start a process of health and social rehabilitation. Previous research shows that those who leave OMT after years of a drug free life and a reasonable level…
View article: Examining the role of reinforcing activities and time horizon in recovery: Commentary on Bickel, Witkiewitz, Athamneh, Kuhlemeier—“Recovery from alcohol use disorder: Reinforcer pathology theory, measurement, and methods”
Examining the role of reinforcing activities and time horizon in recovery: Commentary on Bickel, Witkiewitz, Athamneh, Kuhlemeier—“Recovery from alcohol use disorder: Reinforcer pathology theory, measurement, and methods” Open
View article: Research is needed to guide contingency management implementation across populations and settings
Research is needed to guide contingency management implementation across populations and settings Open
There is enough research showing that contingency management (CM) is an effective treatment for stimulant use disorder. We now need research to ensure that CM is implemented effectively and equitably across populations and settings. We str…
View article: Tapping into alcohol use during COVID: Drinking correlates among bartenders and servers
Tapping into alcohol use during COVID: Drinking correlates among bartenders and servers Open
The COVID pandemic placed a spotlight on alcohol use and the hardships of working within the food and beverage industry, with millions left jobless. Following previous studies that have found elevated rates of alcohol problems among barten…
View article: Should contingency management protocols and dissemination practices be modified to accommodate rising stimulant use and harm reduction frameworks?
Should contingency management protocols and dissemination practices be modified to accommodate rising stimulant use and harm reduction frameworks? Open
Background Stimulant‐related overdoses have increased dramatically, with almost 50% of overdoses in the United States now involving stimulants. Additionally, harm‐reduction approaches are increasingly seen as key to reducing the negative i…
View article: A marginal structural model for partial compliance in SMARTs
A marginal structural model for partial compliance in SMARTs Open
The cyclical and heterogeneous nature of many substance use disorders highlights the need to adapt the type and/or the dose of treatment to accommodate the specific and changing needs of individuals. The Adaptive Treatment for Alcohol and …
View article: Using causal mediation to examine self-efficacy as a mechanism through which continuing care interventions reduce alcohol use.
Using causal mediation to examine self-efficacy as a mechanism through which continuing care interventions reduce alcohol use. Open
Based on our findings, self-efficacy is an important mechanism through which telephone continuing care interventions affect alcohol use. Future research to identify which components of TMC influence self-efficacy and factors that mediate A…
View article: Acceptability and feasibility of a mobile behavioral economic health intervention to reduce alcohol use in adults in rural areas
Acceptability and feasibility of a mobile behavioral economic health intervention to reduce alcohol use in adults in rural areas Open
View article: Language-based EMA assessments help understand problematic alcohol consumption
Language-based EMA assessments help understand problematic alcohol consumption Open
Background Unhealthy alcohol consumption is a severe public health problem. But low to moderate alcohol consumption is associated with high subjective well-being, possibly because alcohol is commonly consumed socially together with friends…
View article: Tools to implement measurement-based care (MBC) in the treatment of opioid use disorder (OUD): toward a consensus
Tools to implement measurement-based care (MBC) in the treatment of opioid use disorder (OUD): toward a consensus Open
Background The prevalence and associated overdose death rates from opioid use disorder (OUD) have dramatically increased in the last decade. Despite more available treatments than 20 years ago, treatment access and high discontinuation rat…
View article: Study protocol for a sequential multiple assignment randomized trial to reduce risky drinking among service members and their partners
Study protocol for a sequential multiple assignment randomized trial to reduce risky drinking among service members and their partners Open
gov Identifier: NCT05619185.
View article: Towards shortening the Brief Addiction Monitor-Revised (BAM-R)
Towards shortening the Brief Addiction Monitor-Revised (BAM-R) Open
Although additional research is recommended before a shortened BAM-R can be implemented in non-specialty MBC settings, we identified 5 BAM-R items with perceived clinical utility and scores that demonstrated evidence of sensitivity to chan…
View article: Nonparametric Bayesian Q-learning for optimization of dynamic treatment regimes in the presence of partial compliance
Nonparametric Bayesian Q-learning for optimization of dynamic treatment regimes in the presence of partial compliance Open
Existing methods for estimation of dynamic treatment regimes are mostly limited to intention-to-treat analyses—which estimate the effect of randomization to a particular treatment regime without considering the compliance behavior of patie…
View article: Prevalence and predictors of suicidality among adults initiating office-based buprenorphine
Prevalence and predictors of suicidality among adults initiating office-based buprenorphine Open
View article: Feasibility and preliminary results of a call centre delivered continuing care intervention following residential alcohol and other drug treatment
Feasibility and preliminary results of a call centre delivered continuing care intervention following residential alcohol and other drug treatment Open
Introduction To help reduce relapse rates following alcohol and other drug (AOD) treatment, continuing care interventions have been recommended. Previous continuing care interventions have incorporated telephone and face‐to‐face sessions t…
View article: Adapting psychotherapy in collaborative care for treating opioid use disorder and co-occurring psychiatric conditions in primary care.
Adapting psychotherapy in collaborative care for treating opioid use disorder and co-occurring psychiatric conditions in primary care. Open
Novel, integrated treatments are needed to advance service delivery for individuals with OUD and psychiatric conditions and these programs must be rigorously evaluated. We describe our team's efforts to test our psychotherapy program in a …
View article: Sample size estimation for comparing dynamic treatment regimens in a SMART: A Monte Carlo-based approach and case study with longitudinal overdispersed count outcomes
Sample size estimation for comparing dynamic treatment regimens in a SMART: A Monte Carlo-based approach and case study with longitudinal overdispersed count outcomes Open
Dynamic treatment regimens (DTRs), also known as treatment algorithms or adaptive interventions, play an increasingly important role in many health domains. DTRs are motivated to address the unique and changing needs of individuals by deli…
View article: Nonopioid Substance Use among Patients Who Recently Initiated Office-based Buprenorphine Treatment
Nonopioid Substance Use among Patients Who Recently Initiated Office-based Buprenorphine Treatment Open
Objectives Medications for opioid use disorder (MOUDs) like buprenorphine are a first-line treatment for individuals who have opioid use disorder (OUD); however, these medications are not designed to impact the use of other classes of drug…
View article: A non‐parametric Bayesian approach for adjusting partial compliance in sequential decision making
A non‐parametric Bayesian approach for adjusting partial compliance in sequential decision making Open
Existing methods for estimating the mean outcome under a given sequential treatment rule often rely on intention‐to‐treat analyses, which estimate the effect of following a certain treatment rule regardless of compliance behavior of patien…
View article: Study Protocol for a Sequential Multiple Assignment Randomized Trial to Reduce Risky Drinking Among Service Members and Their Partners
Study Protocol for a Sequential Multiple Assignment Randomized Trial to Reduce Risky Drinking Among Service Members and Their Partners Open
View article: A systematic review of brief, freely accessible, and valid self-report measures for substance use disorders and treatment
A systematic review of brief, freely accessible, and valid self-report measures for substance use disorders and treatment Open
View article: Digital approaches to continuing care
Digital approaches to continuing care Open
Purpose of review To provide an update of studies on the effectiveness of digital and telephonic approaches to providing remote continuing care for substance use disorders. Recent findings Effective continuing care can be provided via smar…
View article: Do financial incentives increase mental health treatment engagement? A meta-analysis.
Do financial incentives increase mental health treatment engagement? A meta-analysis. Open
Financial incentives increase treatment engagement with medium to large effect sizes. We provide strong evidence for their effectiveness in increasing substance use treatment engagement and preliminary evidence for their effectiveness in i…
View article: Persistent sleep problems among people in recovery from substance use disorders: a mixed methods study
Persistent sleep problems among people in recovery from substance use disorders: a mixed methods study Open
Background The aims of this study are to examine the one-year trajectory of sleep problems, identify clinical correlates, and describe subjective experiences related to persistent sleep problems during recovery from substance use disorders…
View article: Developing Strategic Lieutenants in the Canadian Army
Developing Strategic Lieutenants in the Canadian Army Open
This Canadian contribution to Parameters’ Strategic Lieutenant series shows how domestic context creates the conditions for professional military education reform to a greater extent than the global strategic context. The article assesses …