Evidence map›Paper›PMID 36905290›Full record

ArticleAddiction (Abingdon, England)2023

Community member perspectives on adapting the cascade of care for opioid use disorder for a tribal nation in the United States.

Frank Johnson, Amy RedCloud, Jennifer Mootz, Kevin A Hallgren, Kaisa Elliott, Clinton Alexander, Aanji'bide Community Action Board, Brenna L Greenfield

Abstract read
In one paragraph

Article in Addiction (Abingdon, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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.

Frank JohnsonTribal Partner, MN, USA.ORCID 0000-0002-1558-274X
Amy RedCloudTribal Partner, MN, USA.
Jennifer MootzNew York State Psychiatric Institute, Columbia University, New York, NY, USA.ORCID 0000-0001-8201-4518
Kevin A HallgrenDepartment of Psychiatry and Behavioral Sciences, University of Washington, Seattle, Washington, USA.ORCID 0000-0001-8386-3984
Kaisa ElliottUniversity of Minnesota Medical School, Duluth, MN, USA.ORCID 0000-0003-0237-0526
Clinton AlexanderTribal Partner, MN, USA.ORCID 0000-0002-5199-4338
Aanji'bide Community Action BoardTribal Partner, MN, USA.
Brenna L GreenfieldUniversity of Minnesota Medical School, Duluth, MN, USA.ORCID 0000-0003-4173-939X

Funding

Changing our paths: Well-being and recovery among American Indians with opioid use disorderR33DA049386 · NIDA · UNIVERSITY OF MINNESOTA · PI GREENFIELD, BRENNA · 2022 to 2024
$2.2M
Changing our paths: Well-being and recovery among American Indians with opioid use disorderR61DA049386 · NIDA · UNIVERSITY OF MINNESOTA · PI GREENFIELD, BRENNA · 2019 to 2020
$1.5M
NIDA NIH HHS R33 DA049386NIDA NIH HHS R61 DA049386
6 · The paper itself

Abstract

BACKGROUND AND

aimsThe Opioid Use Disorder (OUD) Cascade of Care is a public health model that has been used to measure population-level OUD risk, treatment engagement, retention, service and outcome indicators. However, no studies have examined its relevance for American Indian and Alaska Native (AI/AN) communities. Thus, we aimed to understand (1) the utility of existing stages and (2) the relative 'fit' of the OUD Cascade of Care from a tribal perspective. DESIGN, SETTING, PARTICIPANTS AND MEASUREMENTS: Qualitative analysis of in-depth interviews with 20 individuals who were knowledgeable regarding the treatment of OUD in an Anishinaabe tribal setting in Minnesota, USA. Community member roles included clinicians, peer support specialists and cultural practitioners, among others. Thematic analysis was used to analyze the data.

findingsParticipants identified the key transition points of prevention, assessment, inpatient/outpatient pathways and recovery as relevant to their community. They re-imagined an Aanji'bide (Changing our Paths) model of opioid recovery and change that was non-linear; included developmental stage and individual pathways; and demonstrated resilience through connection to culture/spirituality, community and others.

conclusionsCommunity members living/working in a rural tribal nation in Minnesota, USA identified non-linearity and cultural connection as key elements to include in an Anishinaabe-centered model of opioid recovery and change.

Indexed as

Culturally Competent CareIndians, North AmericanOpioid-Related DisordersPatient-Centered CareHumansMinnesotaRural PopulationUnited StatesAanji-bimaadiziaddiction treatmentAmerican Indian and Alaska NativeCascade of Carecommunity-based participatory researchcultureopioid use disorderqualitative research

Identifiers

PMID36905290
PMCPMC10330092

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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.