Evidence map›Paper›PMID 29972869›Full record

ArticleAlcoholism, clinical and experimental research2018

"But Problems Dwell so the Urge Is Constant…" Qualitative Data Analysis of the OST CHOICES Program.

Umit Shrestha, Tess L Weber, Jessica D Hanson

Abstract read
In one paragraph

Article in Alcoholism, clinical and experimental research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.1field-weighted citation impact, top 18% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Health Promotion and Support Grounded in Interconnected Influences on Alcohol Use in Pregnancy.International journal of environmental research and public health · 2025
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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 at 1 institution in 1 country.

Umit ShresthaSanford Research (US, TLW, JDH), Sioux Falls, South Dakota.ORCID 0000-0001-5067-5880
Tess L WeberSanford Research (US, TLW, JDH), Sioux Falls, South Dakota.
Jessica D HansonSanford Research (US, TLW, JDH), Sioux Falls, South Dakota.ORCID 0000-0002-0824-1920
Sanford USD Medical Center · US

Funding

Transdisciplinary approaches to American Indian and rural population health researchP20GM121341 · NIGMS · SANFORD RESEARCH/USD · PI PUUMALA, SUSAN E · 2017 to 2022
$11.8M
Tribal Collaborative in the Preventive or Alcohol-Exposed PregnanciesR24MD008087 · NIMHD · SANFORD RESEARCH/USD · PI HANSON, JESSICA D · 2013 to 2015
$1.1M
NIGMS NIH HHS P20 GM121341NIMHD NIH HHS R24 MD008087
6 · The paper itself

Abstract

backgroundFetal alcohol spectrum disorders are a major public health concern including among American Indian (AI)/Alaska Native (AN) communities. Various studies have demonstrated higher alcohol consumption among AI/AN women during pregnancy compared with other groups. This study intends to understand the milieu within which such consumption patterns flourish. The study utilizes qualitative and quantitative data from the Oglala Sioux Tribe (OST) CHOICES Program, a tribally run public health program that aims to reduce alcohol-exposed pregnancy preconceptually in AI women.

methodsAlcohol consumption pattern (n = 264) is analyzed using descriptive statistics. Consumption patterns included average drinks consumed daily, their choice of drinks (beer, whiskey, wine, etc.), how much money participants were spending on alcohol and amount of calories consumed from alcohol. Qualitative data analysis included open coding of data from decisional balance exercise of the CHOICES program that looked at good things and not so good things about participants' drinking.

resultsWomen reported drinking an average of 12 drinks daily, ranging between 1 and 86. Women drinking at home spent a median of $4,320 and $12,960 if drinking at a bar. A median of 1,200 calories per day from alcohol was reported. More women reported drinking beer compared with other types of alcohol within a domestic setting. Qualitative data analysis identified positive and negative aspects of drinking among the participants of OST CHOICES Program. Positive aspects included escaping from problems, socializing, and relaxation. Negative aspects included impact on families and domestic violence.

conclusionsWhile understanding their milieu, our study also unraveled different struggles (such as violence, peer pressure, financial burden, and depression) encountered by Native women in their daily lives. According to the participants, positive aspects of drinking outweigh the negative aspects and they viewed their drinking as a solution and not a problem.

Indexed as

Data AnalysisAdolescentAdultAlcohol DrinkingFemaleFetal Alcohol Spectrum DisordersHumansIndians, North AmericanMaleMiddle AgedUnited StatesYoung AdultAlaska NativeAlcoholAmerican IndianCHOICES InterventionFetal Alcohol Syndrome DisorderQualitativeWomen

Identifiers

PMID29972869
PMCPMC6120777
OpenAlexW2810007803

What OpenQuestion holds

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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.