Evidence map›Paper›PMID 30146017›Full record

ArticleThe Journal of the Association of Nurses in AIDS Care : JANAC

Prescribing Opioids as an Incentive to Retain Patients in Medical Care: A Qualitative Investigation into Clinician Awareness and Perceptions.

Kasey R Claborn, Elizabeth R Aston, Jane Champion, Kate M Guthrie

Abstract read
In one paragraph

Article in The Journal of the Association of Nurses in AIDS Care : JANAC. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 34% 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, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Misalignment of Stakeholder Incentives in the Opioid Crisis.International journal of environmental research and public health · 2020
    Review
  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

4 authors at 2 institutions in 1 country.

Kasey R Claborn
Elizabeth R Aston
Jane Champion
Kate M Guthrie
The University of Texas at Austin · USBrown University · US

Funding

Adherence Intervention for HIV-infected Drug UsersK23DA039037 · NIDA · UNIVERSITY OF TEXAS AT AUSTIN · PI CLABORN, KASEY R · 2015 to 2019
$919k
Behavioral Economic Analysis of Demand for MarijuanaK01DA039311 · NIDA · BROWN UNIVERSITY · PI ASTON, ELIZABETH · 2015 to 2019
$902k
Advancing Reproductive Health: Qualitative Methods & Interdisciplinary MentorshipK24HD062645 · NICHD · MIRIAM HOSPITAL · PI GUTHRIE, KATE M · 2012 to 2016
$689k
NICHD NIH HHS K24 HD062645NIDA NIH HHS K01 DA039311NIDA NIH HHS K23 DA039037
6 · The paper itself

Abstract

HIV treatment retention remains a significant public health concern. Our qualitative analysis used emergent data from a larger HIV treatment study to explore clinician perspectives on prescribing opioids to incentivize retention in HIV care. Data from individual interviews with 29 HIV and substance use clinicians were analyzed using thematic analysis. Prescribing opioids as a retention strategy emerged as a theme. Nine of 11 HIV clinicians reported prior knowledge of this practice; only one of 12 substance use clinicians indicated prior knowledge. Positive perceptions included: harm reduction approach, increased appointment attendance, and sustained engagement in HIV care. Negative perceptions included: addiction potential, increased engagement not leading to better health outcomes, and prescriptions becoming the appointment focus. Some clinicians used prescriptions as a strategy to improve treatment retention, which may be particularly problematic in light of the current opioid epidemic. Understanding motives, outcomes, and clinical decision-making processes is needed.

Indexed as

MotivationTreatment Adherence and ComplianceAdolescentAdultAnalgesics, OpioidAttitude of Health PersonnelChronic PainDrug PrescriptionsFemaleHealth PersonnelHIV InfectionsHumansInterviews as TopicMaleMiddle AgedPhysiciansAnalgesics, OpioidaddictionadherenceengagementHIVopioidsprescribing behaviortreatment retention

Identifiers

PMID30146017
PMCPMC6348082
OpenAlexW2806230855

What OpenQuestion holds

Textmetadata
LicenceTDM
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.