ArticleFamily medicine2013
Patient and provider comfort discussing substance use.
Article in Family medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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.
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.
Who cites it
16 citing papers in PubMed, 28 citations in OpenAlex.
- Psychosocial Factors Associated with Problem Drinking Among Substance Users with Poorly Controlled HIV Infection.Alcohol and alcoholism (Oxford, Oxfordshire) · 2018Trial
- Patterns of Health Care Use 5 Years After an Intervention Linking Patients in Addiction Treatment With a Primary Care Practitioner.JAMA network open · 2022Article
- What constitutes "behavioral health"? Perceptions of substance-related problems and their treatment in primary care.Addiction science & clinical practice · 2020Article
- A chart review of substance use screening and related documentation among adolescents in outpatient pediatric clinics: implications for practice.Substance abuse treatment, prevention, and policy · 2020Article
- Mitigating the Risk of Infectious Diseases Among Rural Drug Users in Western North Carolina: Results of the Southern Appalachia Test, Link, Care (SA-TLC) Health Care Provider Survey.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2020Article
- HIV care provider perceptions and approaches to managing unhealthy alcohol use in primary HIV care settings: a qualitative study.Addiction science & clinical practice · 2019Article
- Adolescent Experiences of Clinician-Patient HIV/STI Communication in Primary Care.Health communication · 2018Article
- Attitude of Health Care Workers (HCWs) toward Patients Affected by HIV/AIDS and Drug Users: A Cross-Sectional Study.International journal of environmental research and public health · 2017Article
- Article
- Assessing Problematic Substance Use in HIV Care: Which Questions Elicit Accurate Patient Disclosures?Journal of general internal medicine · 2016Article
- HIV Patients' Preference for Integrated Models of Addiction and HIV Treatment in Vietnam.Journal of substance abuse treatment · 2016Article
- Stigma, substance use and sexual risk behaviors among HIV-infected men who have sex with men: A qualitative study.Preventive medicine reports · 2016Article
- Respecting patients is associated with more patient-centered communication behaviors in clinical encounters.Patient education and counseling · 2016Article
- 'I feel like they're actually listening to me': a pilot study of a hospital discharge decision-making conversation guide for patients with injection drug use-associated infections.Therapeutic advances in infectious diseaseArticle
- Assessment of community pharmacists' communication and comfort levels when interacting with Deaf and hard of hearing patients.Pharmacy practiceArticle
- Advising depression patients to reduce alcohol and drug use: factors associated with provider intervention in outpatient psychiatry.The American journal on addictionsArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
BACKGROUND AND
objectivesSubstance use is a prevalent issue in primary care with wide-reaching implications, particularly for the care of HIV-infected patients. This analysis identified patient and provider characteristics associated with high comfort discussing substance use in HIV primary care clinics using multivariable logistic regression.
methodsA total of 413 patients and 44 providers completed surveys on their comfort discussing substance use. Additional independent variables from surveys included demographics, drug and alcohol use, self-efficacy, and activation for patients. Provider-level data included demographics, training, practice descriptors, and stress levels.
resultsThe majority of patients (76%) and providers (73%) reported high comfort. In multivariable analysis, patients with current problematic alcohol use or current drug use were half as likely to report high comfort compared to their non-substance-using peers. Higher patient self-efficacy and high levels of patient activation were independently associated with increased odds of high patient comfort. While provider-level characteristics were not associated with provider comfort, the types of patients a provider saw were. Namely, the proportion of patients on antiretroviral therapy was inversely associated with the odds of high provider comfort, whereas the proportion of patients with high patient activation was positively associated.
conclusionsPatients likely to benefit from a discussion of substance use, those with current use, are the least likely to report comfort discussing that use. Interventions that increase patient activation or self-efficacy may also increase their comfort. This research guides future interventions to increase the prevalence of discussions on substance use.
Indexed as
Identifiers
23378078PMC3608897W2117431179What OpenQuestion holds
Registered trials
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.