Evidence map›Paper›PMID 35246113›Full record

ArticleBMC health services research2022

Provider perceptions of challenges to identifying women Veterans with hazardous substance use.

Karleen F Giannitrapani, Jesse R Holliday, Andrew W Dawson, Alexis K Huynh, Alison B Hamilton, Christine Timko, Katherine J Hoggatt

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 21% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
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

7 authors at 5 institutions in 1 country.

Karleen F GiannitrapaniCenter for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Palo Alto, CA, United States of America. Karleen@stanford.edu.ORCID http://orcid.org/0000-0003-0987-6204
Jesse R HollidayCenter for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Palo Alto, CA, United States of America.
Andrew W DawsonCenter for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Palo Alto, CA, United States of America.
Alexis K HuynhCenter for the Study of Healthcare Innovation, Implementation & Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, United States of America.
Alison B HamiltonCenter for the Study of Healthcare Innovation, Implementation & Policy, VA Greater Los Angeles Healthcare System, Los Angeles, CA, United States of America.
Christine TimkoCenter for Innovation to Implementation (Ci2i), VA Palo Alto Health Care System, Palo Alto, CA, United States of America.
Katherine J HoggattSan Francisco VA Health Care System, San Francisco, CA, United States of America.
VA Palo Alto Health Care System · USCenter for the Study of Healthcare Provider Behavior · USUniversity of California, Los Angeles · USUniversity of California, San Francisco · USUniversity of Southern California · US

Funding

HSRD VA IK2 HX003077
6 · The paper itself

Abstract

backgroundApproximately one-third of women Veterans Health Administration (VHA) users have substance use disorders (SUD). Early identification of hazardous substance use in this population is critical for the prevention and treatment of SUD. We aimed to understand challenges to identifying women Veterans with hazardous substance use to improve future referral, evaluation, and treatment efforts.

methodsDesign: We conducted a secondary analysis of semi-structured interviews conducted with VHA interdisciplinary women's SUD providers at VA Greater Los Angeles Healthcare System.

participantsUsing purposive and snowball sampling we interviewed 17 VHA providers from psychology, social work, women's health, primary care, and psychiatry. APPROACH: Our analytic approach was content analysis of provider perceptions of identifying hazardous substance use in women Veterans.

resultsProviders noted limitations across an array of existing identification methodologies employed to identify women with hazardous substance use and believed these limitations were abated through trusting provider-patient communication. Providers emphasized the need to have a process in place to respond to hazardous use when identified. Provider level factors, including provider bias, and patient level factors such as how they self-identify, may impact identification of women Veterans with hazardous substance use. Tailoring language to be sensitive to patient identity may help with identification in women Veterans with hazardous substance use or SUD who are not getting care in VHA but are eligible as well as those who are not eligible for care in VHA.

conclusionsTo overcome limitations of existing screening tools and processes of identifying and referring women Veterans with hazardous substance use to appropriate care, future efforts should focus on minimizing provider bias, building trust in patient-provider relationships, and accommodating patient identities.

Indexed as

Substance-Related DisordersVeteransFemaleHazardous SubstancesHumansUnited StatesUnited States Department of Veterans AffairsVeterans HealthHazardous SubstancesHazardous substance useIdentificationWomen veterans

Identifiers

PMID35246113
PMCPMC8895644
OpenAlexW4214892809

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.