Evidence map›Paper›PMID 33733921›Full record

ArticleJournal of primary care & community health

"I Felt I Was Reaching a Point with My Health": Understanding Reasons for Engagement and Acceptability of Treatment Services for Unhealthy Alcohol Use in Primary Care.

Megan A O'Grady, Joseph Conigliaro, Svetlana Levak, Jeanne Morley, Sandeep Kapoor, Melanie Ritter, Christina Marini, Jon Morgenstern

Abstract read
In one paragraph

Article in Journal of primary care & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Trial
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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

8 authors.

Megan A O'GradyUniversity of Connecticut School of Medicine, Farmington, CT, USA.ORCID 0000-0002-1121-734X
Joseph ConigliaroNorthwell Health, Manhasset, NY, USA.
Svetlana LevakNorthwell Health, Manhasset, NY, USA.
Jeanne MorleyNorthwell Health, Manhasset, NY, USA.
Sandeep KapoorNorthwell Health, Manhasset, NY, USA.
Melanie RitterNorthwell Health, Manhasset, NY, USA.
Christina MariniPartnership to End Addiction, New York, NY, USA.
Jon MorgensternNorthwell Health, Manhasset, NY, USA.

Funding

Collaborative care for alcohol use disorders in the patient-centered medical homeR34AA024589 · NIAAA · FEINSTEIN INSTITUTE FOR MEDICAL RESEARCH · PI CONIGLIARO, JOSEPH, MORGENSTERN, JON · 2016 to 2018
$732k
NIAAA NIH HHS R34 AA024589
6 · The paper itself

Abstract

INTRODUCTION/

objectivesDespite increasing need, there are large gaps in provision of care for unhealthy alcohol use. Primary care practices have become increasingly important in providing services for unhealthy alcohol use, yet little is known about the reasons patients engage in these services and their views on acceptability of such programs. The purpose of this study was to examine primary care patients' reasons for engagement, experiences with, and acceptability of a primary care practice-based program for treating unhealthy alcohol use.

methodsThis qualitative study was conducted in a primary care practice that was developing a collaborative care model for treating unhealthy alcohol use in primary care. Semi-structured interviews were conducted with 24 primary care patients. Data were analyzed using conventional qualitative content analysis.

resultsFindings suggest that patients engaged for both internal (concerns about drinking and health) and external reasons (family or provider concern). Patient experiences in the program were shaped by their affective responses (enjoyable, enlightening), as well as therapeutic benefits (gaining new insights about drinking; staff/provider support). Acceptability was driven by core program elements (medication, therapy, integration) as well as positive impacts on drinking cognition and behavior and flexible, patient-centered approaches.

conclusionsOffering flexible and comprehensive programs with mutiple elements and both abstinence and moderation goals could also improve patient engagement and views on acceptability. Primary care practices will need to be thoughtful about the resources needed to implement these programs in terms of staffing, training, and program support.

Indexed as

Alcohol DrinkingPrimary Health CareHumansQualitative Researchcollaborative carehazardous drinkingprimary carequalitative methodsscreening and intervention

Identifiers

PMID33733921
PMCPMC7983431

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.