Evidence map›Paper›PMID 29277167›Full record

ArticlePrimary health care research & development2018

Physicians' experiences of SBIRT training and implementation for SUD management in primary care in the UAE: a qualitative study.

Christiane Pflanz-Sinclair, Catriona Matheson, Christine M Bond, Amna Almarzouqi, Amanda J Lee, Anwar Batieha, Hamad Al Ghaferi, Ahmed El Kashef

Open access · bronzeAbstract read
In one paragraph

Article in Primary health care research & development, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 41% of its field
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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
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  3. Article
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  5. Article
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

8 authors at 3 institutions in 2 countries.

Christiane Pflanz-Sinclair1PhD Student,Academic Primary Care,University of Aberdeen,Aberdeen,Scotland, UK.
Catriona Matheson2Honorary Professor, Faculty of Social Sciences,University of Stirling,Stirling,UK.
Christine M Bond4Professor,Academic Primary Care,University of Aberdeen,Aberdeen,Scotland/UK.
Amna Almarzouqi5Public Health Specialist,National Rehabilitation Centre,Abu Dhabi,UAE.
Amanda J Lee6Professor of Medical Statistics,Applied Health Sciences,University of Aberdeen,Aberdeen,Scotland/UK.
Anwar Batieha7Professor of Epidemiology and Public Health,Department of Community Medicine,Jordan University of Science and Technology,Irbid,Jordan.
Hamad Al Ghaferi8Director,National Rehabilitation Centre,Abu Dhabi,UAE.
Ahmed El Kashef9Professor and Head of Research,National Rehabilitation Centre,Abu Dhabi,UAE.
University of Aberdeen · GBJordan University of Science and Technology · JOUniversity of Stirling · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AimThe objective of this paper is to present a qualitative study of introducing substance misuse screening using the Screening Brief Intervention and Referral to Treatment (SBIRT) model, in primary care in Abu Dhabi.

backgroundSubstance misuse in the UAE is an increasing problem. However religious beliefs and fear of legal consequences have prevented this topic from being openly discussed, risk levels identified through screening and treatment options offered.

methodsA controlled trial was undertaken which included a qualitative process study which is reported here. Qualitative interviews with primary care physicians from two intervention clinics were undertaken to explore their views, experiences and attitudes towards substance misuse management in their clinic. Physicians were trained on SBIRT and on the research project process and documentation. At completion of the project, 10 months after the training, physicians (n=17) were invited to participate in an interview to explore their experiences of training and implementation of SBIRT. Interviews were recorded and transcribed. Inductive thematic coding was applied.FindingsIn total, 11 physicians were interviewed and three main themes emerged: (1) The SBIRT screening project, (2) cultural issues and (3) patient follow-up. Findings revealed a general willingness toward the concept of screening and delivering brief interventions in primary care although increased workload and uncertainties about remuneration for the service may be a barrier to future implementation. There was a perceived problem of substance misuse that was not currently being met and a strong perception that patients were not willing to reveal substance use due cultural barriers and fear of police involvement. In conclusion this qualitative process evaluation provided essential insight into implementing SBIRT in the Middle East. In conclusion, despite physician willingness and a clinical need for a substance misuse care pathway, the reluctance among patients to admit to substance use in this culture needs to be addressed to enable successful implementation.

Indexed as

Attitude of Health PersonnelAdultFemaleHumansInternational CooperationMaleMiddle AgedPhysicians, Primary CarePrimary Health CarePsychotherapy, BriefQualitative ResearchSubstance-Related DisordersUnited Arab EmiratesUnited KingdomimplementationMiddle Eastprimary carequalitativeSBIRTsubstance use

Identifiers

PMID29277167
PMCPMC6452946
OpenAlexW2777513083

What OpenQuestion holds

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Registered trials

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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.