Evidence map›Paper›PMID 31582894›Full record

ArticleJournal of substance use2019

What motivates people with substance use disorders to pursue treatment? A patient-centered approach to understanding patient experiences and patient-provider interactions.

Laura E Gressler, Nabil M Natafgi, Bruce R DeForge, Barbarajean Shaneman-Robinson, Christopher Welsh, Fadia T Shaya

Abstract read
In one paragraph

Article in Journal of substance use, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Patient Centered Outcomes Research in Medical Toxicology.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 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

6 authors.

Laura E GresslerUniversity of Maryland, School of Pharmacy, Department of Pharmaceutical Health Services Research, Baltimore, MD 21201.
Nabil M NatafgiUniversity of Maryland, School of Pharmacy, Department of Pharmaceutical Health Services Research, Baltimore, MD 21201.
Bruce R DeForgeUniversity of Maryland School of Social Work, Baltimore, MD 21201.
Barbarajean Shaneman-RobinsonUniversity of Maryland, School of Pharmacy, Department of Pharmaceutical Health Services Research, Baltimore, MD 21201.
Christopher WelshDepartment of Psychiatry, University of Maryland School of Medicine, Baltimore, MD 21201.
Fadia T ShayaUniversity of Maryland, School of Pharmacy Department of Pharmaceutical Health Services Research,Baltimore, MD 21201.

Funding

PATIENTS: PATient-centered Involvement in Evaluating effectivNess of TreatmentR24HS022135 · AHRQ · UNIVERSITY OF MARYLAND BALTIMORE · PI MULLINS, C. DANIEL · 2013 to 2017
$4.9M
AHRQ HHS R24 HS022135
6 · The paper itself

Abstract

objectivesTo identify and define potential positive and negative factors in patient experiences and patient-provider interactions that are associated with the pursuit and maintenance of treatment by those suffering from substance use disorders (SUD).

methodsTwo focus groups with patients in treatment for SUD were performed. The focus groups focused on questions aimed at mapping factors associated with initiating and maintaining treatment along the transtheoretical model of change. Four in-depth interviews with healthcare providers involved in the treatment of patients with SUD were also conducted to understand providers' perspective on similar factors.

resultsFourteen patients were included in the focus groups. Patients identified their life prior to treatment as chaotic and further identified internal and external factors that influenced seeking treatment. The four healthcare providers identified primarily social issues such as lack of housing as an external barrier. Both patients and providers cited the importance of a trusting and empathetic relationship between the patient and providers, as well as the patient's willingness to change as primary motivating factors for the initiation and maintenance of treatment.

conclusionsFrom a patient and provider perspective, facilitators and barriers for initiating and maintaining may vary by person and are multifactorial.

Indexed as

initiating treatmentmaintaining treatmentMotivational factorsqualitativesubstance use disorder

Identifiers

PMID31582894
PMCPMC6776437

What OpenQuestion holds

Textmetadata
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.