Evidence map›Paper›PMID 36674280›Full record

ArticleInternational journal of environmental research and public health2023

Should I Stay or Should I Go? A Qualitative Exploration of Stigma and Other Factors Influencing Opioid Agonist Treatment Journeys.

Victoria Rice Carlisle, Olivia M Maynard, Darren Bagnall, Matthew Hickman, Jon Shorrock, Kyla Thomas, Joanna Kesten

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. The Socioeconomic Impact of Long-Acting Injectable Buprenorphine.ClinicoEconomics and outcomes research : CEOR · 2026
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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

7 authors.

Victoria Rice CarlislePopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol BS8 1TL, UK.ORCID 0000-0003-0452-8729
Olivia M MaynardSchool of Psychological Sciences, University of Bristol, Bristol BS8 1TU, UK.
Darren BagnallPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol BS8 1TL, UK.
Matthew HickmanPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol BS8 1TL, UK.
Jon ShorrockAvon & Wiltshire NHS Mental Health Trust, Specialist Drug and Alcohol Services, Colston Fort, Montague Place, Bristol BS6 5UB, UK.
Kyla ThomasPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol BS8 1TL, UK.
Joanna KestenPopulation Health Sciences, Bristol Medical School, University of Bristol, Bristol BS8 1TL, UK.

Funding

Medical Research Council MR/N00616X/1Wellcome TrustWellcome Trust 204813/Z/16/Z
6 · The paper itself

Abstract

(1) The harm-reduction benefits of opioid agonist treatment (OAT) are well-established; however, the UK government's emphasis on "recovery" may be contributing to a high proportion of people leaving treatment and low retention rates. We wanted to develop a rich and nuanced understanding of the factors that might influence the treatment journeys of people who use OAT. (2) We explored factors at each level of the socioecological system and considered the ways these interact to influence treatment journeys in OAT. We carried out semi-structured interviews with people who use OAT (n = 12) and service providers (n = 13) and analysed data using reflexive thematic analysis. (3) We developed three themes representing participant perceptions of treatment journeys in OAT. These were: (1) The System is Broken; (2) Power Struggles; and (3) Filling the Void. (4) Conclusions: The data suggest that prioritisation of treatment retention is important to preserve the harm-reduction benefits of OAT. Stigma is a systemic issue which presents multiple barriers to people who use OAT living fulfilling lives. There is an urgent need to develop targeted interventions to address stigma towards people who use OAT.

Indexed as

Analgesics, OpioidOpioid-Related DisordersHumansMethadoneOpiate Substitution TreatmentSocial StigmaAnalgesics, OpioidMethadonedrug treatmentmethadoneopioid agonist treatmentqualitativesocioecological modelstigma

Identifiers

PMID36674280
PMCPMC9865602

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.