Evidence map›Paper›PMID 21858956›Full record

ArticleJournal of psychoactive drugs

Redefining retention: recovery from the patient's perspective.

Shannon Gwin Mitchell, Rika Morioka, Heather Schacht Reisinger, James A Peterson, Sharon M Kelly, Michael H Agar, Barry S Brown, Kevin E O'Grady, Robert P Schwartz

Abstract read
In one paragraph

Article in Journal of psychoactive drugs. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
–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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

9 authors.

Shannon Gwin MitchellFriends Research Institute, Inc., 1040 Park Avenue, Suite 103, Baltimore, MD 21201, USA. smitchell@friendsresearch.org
Rika Morioka
Heather Schacht Reisinger
James A Peterson
Sharon M Kelly
Michael H Agar
Barry S Brown
Kevin E O'Grady
Robert P Schwartz

Funding

Re-engineering Methadone Treatment: A Randomized Clinical TrialR01DA015842 · NIDA · FRIENDS RESEARCH INSTITUTE, INC. · PI SCHWARTZ, ROBERT P · 2004 to 2014
$5.7M
NIDA NIH HHS R01 DA015842
6 · The paper itself

Abstract

This study examines the process of discharge and treatment reentry for six participants who entered treatment voluntarily but were administratively discharged from methadone treatment programs. The participants completed semistructured interviews at treatment entry and at four, eight and 12 months post-treatment entry. Grounded theory methodology was used to examine the phenomenon of treatment reentry from the perspective of the patients, who often viewed their recovery as an accumulation of positive changes. Differences in terms of the patients' goals and motivations for seeking treatment from those of the treatment programs, combined with difficulties encountered during the treatment process eventually led to discharge. However, these patients were then able to navigate their way through the treatment system in different ways in order to remain in treatment. The authors conclude that failure to abide by treatment clinic rules do not necessary constitute "treatment failure" from the perspective of patients, who often wish to remain in treatment even if it is not progressing optimally from the program's perspective. As a result, the recovery process can be more fragmented and is often characterized by a series of cyclical treatment episodes rather than continuous time in treatment, thereby impeding their progress towards recovery.

Indexed as

Substance Abuse Treatment CentersAdultBaltimoreBlack or African AmericanFemaleGoalsHumansLongitudinal StudiesMaleMethadoneMotivationNarcoticsOpioid-Related DisordersPatient DischargePatient ReadmissionPatientsMethadoneNarcotics

Identifiers

PMID21858956
PMCPMC3160714

What OpenQuestion holds

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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.