Evidence map›Paper›PMID 36776723›Full record

ArticleSSM. Mental health2022

Application of the COM-B model to patient barriers and facilitators of retention in medication treatment for opioid use disorder in rural Northeastern United States: A qualitative study.

Melissa N Poulsen, Patrick B Asdell, Wade Berrettini, Kortney McBryan, Alanna K Rahm

Abstract read
In one paragraph

Article in SSM. Mental health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

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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

5 authors.

Melissa N PoulsenDepartment of Population Health Sciences, Geisinger, Danville, PA, 17822, USA.
Patrick B AsdellDepartment of Population Health Sciences, Geisinger, Danville, PA, 17822, USA.
Wade BerrettiniDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, 19104, USA.
Kortney McBryanAutism & Developmental Medicine Institute, Geisinger, Danville, PA, 17822, USA.
Alanna K RahmGenomic Medicine Institute, Geisinger, Danville, PA, 17822, USA.

Funding

Understanding the role of community determinants in opioid use disorder and program implementation factors influencing patient adherence to opioid agonist therapyK01DA049903 · NIDA · GEISINGER CLINIC · PI POULSEN, MELISSA · 2020 to 2024
$810k
NIDA NIH HHS K01 DA049903
6 · The paper itself

Abstract

Introduction: Medications for opioid use disorder (MOUD) reduce illicit opioid use and overdose mortality, but effectiveness remains limited by poor treatment retention. Understanding multilevel barriers and facilitators to retention from the patient perspective can guide intervention strategies to improve retention. Methods: We conducted semi-structured telephone interviews to elicit perspectives of individuals with opioid use disorder (OUD) currently (n = 19) and formerly (n = 16) receiving treatment from a multi-clinic outpatient MOUD program in Pennsylvania in July 2020 to January 2021. The Capability, Opportunity, Motivation, Behavior model provided a theoretical framework for analysis. Results: Based on interview themes, physical, rather than psychological, Conclusions: Factors at the individual, interpersonal, clinical, community, and societal levels influenced patients' capability, opportunity, and motivation to engage in MOUD. Understanding such factors can inform implementation strategies to improve retention.

Indexed as

AddictionBuprenorphineOpioid-related disordersQualitative researchRural health

Identifiers

PMID36776723
PMCPMC9912293

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.