Evidence map›Paper›PMID 35324352›Full record

ArticleQualitative health research2022

"The Drug Use Unfortunately isn't all Bad": Chronic Disease Self-Management Complexity and Strategy Among Marginalized People Who Use Drugs.

Lisa M Boucher, Esther S Shoemaker, Clare E Liddy, Lynne Leonard, Paul A MacPherson, Justin Presseau, Alana Martin, Dave Pineau, Christine Lalonde, Nic Diliso and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Qualitative health research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.7field-weighted citation impact, top 9% 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, 21 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Loneliness partially mediates the relation between substance use and suicidality in Veterans.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2025
    Article
  5. Article
  6. Article
  7. Observational
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

13 authors at 3 institutions in 2 countries.

Lisa M BoucherSchool of Epidemiology and Public Health, Faculty of Medicine, 6363University of Ottawa, Ottawa, ON, Canada.ORCID 0000-0002-1543-0965
Esther S ShoemakerC.T. Lamont Primary Health Care Research Centre, 152971Bruyère Research Institute, Ottawa, ON, Canada.
Clare E LiddySchool of Epidemiology and Public Health, Faculty of Medicine, 6363University of Ottawa, Ottawa, ON, Canada.
Lynne LeonardSchool of Epidemiology and Public Health, Faculty of Medicine, 6363University of Ottawa, Ottawa, ON, Canada.
Paul A MacPhersonSchool of Epidemiology and Public Health, Faculty of Medicine, 6363University of Ottawa, Ottawa, ON, Canada.
Justin PresseauSchool of Epidemiology and Public Health, Faculty of Medicine, 6363University of Ottawa, Ottawa, ON, Canada.
Alana MartinSomerset West Community Health Centre, Ottawa, ON, Canada.
Dave PineauThe CDSM Among PWUD Study's Community Advisory Committee, 152971Bruyère Research Institute, Ottawa, ON, Canada.
Christine LalondeCentretown Community Health Centre, Ottawa, ON, Canada.
Nic DilisoThe CDSM Among PWUD Study's Community Advisory Committee, 152971Bruyère Research Institute, Ottawa, ON, Canada.
Terry LaflecheThe CDSM Among PWUD Study's Community Advisory Committee, 152971Bruyère Research Institute, Ottawa, ON, Canada.
Michael FitzgeraldC.T. Lamont Primary Health Care Research Centre, 152971Bruyère Research Institute, Ottawa, ON, Canada.ORCID 0000-0001-6554-172X
Claire E KendallSchool of Epidemiology and Public Health, Faculty of Medicine, 6363University of Ottawa, Ottawa, ON, Canada.
University of Ottawa · CABruyère · CARegent Park Community Health Centre · CA

Funding

CIHR AID-157822CIHR SMN-139150
6 · The paper itself

Abstract

Self-management programs improve health outcomes and self-management is recommended for chronic conditions. Yet chronic disease self-management supports have rarely been applied to people who use drugs (PWUD). Thus, our objective was to explore self-management experiences among marginalized PWUD. We used community-based participatory methods and conducted qualitative interviews. Participants self-identified as having long-term and past year experience using non-prescribed drugs, one other chronic condition, and socioeconomic marginalization. We analyzed the data using reflexive thematic analysis. Although many participants considered drug use a chronic health issue, self-medicating with non-prescribed drugs was also a key self-management strategy to address other health issues. Participants also described numerous other strategies, including cognitive and behavioral tactics. These findings highlight the need for a safe supply of pharmaceutical-grade drugs to support self-management among marginalized PWUD. Self-management supports should also be tailored to address relevant topics (e.g., harm reduction, withdrawal), include creative activities, and not hinder PWUD's agency.

Indexed as

Drug UsersSelf-ManagementSubstance-Related DisordersChronic DiseaseHarm ReductionHumanschronic disease managementcommunity-based researchdrug usequalitativeself-careself-medication

Identifiers

PMID35324352
PMCPMC9189593
OpenAlexW4220977062

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.