Evidence map›Paper›PMID 33568374›Full record

ArticleBMJ open2021

How do people who use drugs experience treatment? A qualitative analysis of views about opioid substitution treatment in primary care (iCARE study).

Paula Cristina Gomes Alves, Fiona A Stevenson, Sophie Mylan, Nuno Pires, Adam Winstock, Chris Ford

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 11% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Using Behavioural Insights to Improve the Uptake of Services for Drug and Alcohol Misuse.International journal of environmental research and public health · 2021
    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

6 authors at 2 institutions in 2 countries.

Paula Cristina Gomes AlvesInstitute for Lifecourse Development, University of Greenwich, London, UK p.c.gomesalves@gre.ac.uk.ORCID 0000-0002-1406-5724
Fiona A StevensonPrimary Care and Population Health, University College London, London, UK.
Sophie MylanPrimary Care and Population Health, University College London, London, UK.
Nuno PiresHigher Institute of Social Work of Porto, Senhora da Hora, Portugal.
Adam WinstockEpidemiology and Public Health, University College London, London, UK.
Chris FordInternational Doctors for Healthier Drug Policies, London, UK.
University College London · GBLusíada University of Lisbon · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo understand the most significant aspects of care experienced by people in opioid substitution treatment (OST) in primary care settings.

designSemistructured individual interviews were conducted, following the critical incidents technique. Interview transcripts were analysed following a thematic analysis approach.

participantsAdults aged 18 years or older, receiving OST in UK-based primary care services.

resultsTwenty-four people in OST were interviewed between January and March 2019. Participants reported several aspects which were significant for their treatment, when engaging with the primary care service. These were grouped into 10 major themes: (1) humanised care; (2) individual bond/connection with the professional; (3) professionals' experience and knowledge; (4) having holistic care; (5) familiarity; (6) professionals' commitment and availability to help; (7) anonymity; (8) location; (9) collaborative teamwork; and (10) flexibility and changes around the treatment plan.

conclusionsThis study included first-hand accounts of people who use drugs about what supports them in their recovery journey. The key lessons learnt from our findings indicate that people who use drugs value receiving treatment in humanised and destigmatised environments. We also learnt that a good relationship with primary care professionals supports their recovery journey, and that treatment plans should be flexible, tailor-made and collaboratively designed with patients.

Indexed as

Opiate Substitution TreatmentPharmaceutical PreparationsAdolescentAdultHumansPrimary Health CareQualitative ResearchPharmaceutical Preparationsexperiences of careopiate substitution treatmentprimary health carequalitative research

Identifiers

PMID33568374
PMCPMC7878162
OpenAlexW3126588468

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.