Evidence map›Paper›PMID 25825267›Full record

ArticleAlcohol and alcoholism (Oxford, Oxfordshire)2015

Navigating the Alcohol Treatment Pathway: A Qualitative Study from the Service Users' Perspective.

Helen Gilburt, Colin Drummond, Julia Sinclair

Abstract read
In one paragraph

Article in Alcohol and alcoholism (Oxford, Oxfordshire), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed.

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  13. Differential Influence ofPharmaceuticals (Basel, Switzerland) · 2021
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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

3 authors.

Helen GilburtAddictions Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London SE5 8AB, UK helen.gilburt@kcl.ac.uk.
Colin DrummondAddictions Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London SE5 8AB, UK.
Julia SinclairUniversity Department of Psychiatry, Clinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton, UK.

Funding

Department of Health HTA/13/86/03Department of Health RP-PG-0609-10162Medical Research Council G0701681Medical Research Council G0701818
6 · The paper itself

Abstract

aimsProvision of effective treatment for dependent drinkers has been identified as a priority in England yet evidence suggests that access is problematic and there are low levels of retention. This qualitative study explores how the alcohol treatment system is experienced by service users, identifying barriers and facilitators that influence treatment outcomes.

methodsA total of 20 semi-structured face-to-face interviews were conducted with patients from community alcohol treatment services in three London boroughs in 2012. Interviews were undertaken one year after initially entering treatment. A thematic analysis was conducted, with the results further abstracted to relate them to specific aspects of the treatment journey.

resultsPatients journeys were characterized by a perceived lack of control leading to help-seeking, with treatment outcomes influenced by an individuals' self-efficacy and the capabilities and skills of staff in actively engaging and supporting patients on the journey. A focus of services on the detoxification process and fragmented care pathways impacted negatively on engagement.

conclusionsCurrent alcohol care pathways require significant levels of motivation and self-efficacy to navigate that few patients possess. Pathways need to better reflect the capacity and capabilities of patients to be successful in supporting recovery.

Indexed as

Health Services AccessibilityAdultAlcoholismFemaleHumansMaleMiddle AgedMotivationPatient Acceptance of Health CareSelf EfficacyYoung Adult

Identifiers

PMID25825267
PMCPMC4474003

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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.