Evidence map›Paper›PMID 38032728›Full record

ArticleJMIR formative research2023

User-Guided Enhancements to a Technology-Facilitated Resilience Program to Address Opioid Risks Following Traumatic Injury in Youth: Qualitative Interview Study.

Zachary W Adams, Brigid R Marriott, Swathi Karra, Elizabeth Linhart-Musikant, Jodi L Raymond, Lydia J Fischer, Kristina A Bixler, Teresa M Bell, Eric A Bryan, Leslie A Hulvershorn

Open access · goldAbstract read
In one paragraph

Article in JMIR formative research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 34% 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, 2 citations in OpenAlex.

  1. Leveraging Trauma Informed Care for Digital Health Intervention Development in Opioid Use Disorder.Journal of medical toxicology : official journal of the American College of Medical Toxicology · 2025
    Review
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

10 authors at 3 institutions in 1 country.

Zachary W AdamsDepartment of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, United States.ORCID https://orcid.org/0000-0002-0044-4926
Brigid R MarriottDepartment of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, United States.ORCID https://orcid.org/0000-0001-5241-8159
Swathi KarraDepartment of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, United States.ORCID https://orcid.org/0000-0002-0218-6289
Elizabeth Linhart-MusikantDepartment of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, United States.ORCID https://orcid.org/0009-0004-1261-4752
Jodi L RaymondRiley Hospital for Children at Indiana University Health, Indianapolis, IN, United States.ORCID https://orcid.org/0000-0001-5218-6327
Lydia J FischerDepartment of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, United States.ORCID https://orcid.org/0009-0008-8582-5365
Kristina A BixlerDepartment of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, United States.ORCID https://orcid.org/0000-0002-3741-7681
Teresa M BellDepartment of Surgery, University of Utah School of Medicine, Salt Lake City, UT, United States.ORCID https://orcid.org/0000-0002-6519-4358
Eric A BryanDepartment of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, United States.ORCID https://orcid.org/0009-0001-3959-3427
Leslie A HulvershornDepartment of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, United States.ORCID https://orcid.org/0000-0001-5827-4889
Indiana University School of MedicineIndiana University Health · USUniversity of Utah · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundYouth with traumatic injury experience elevated risk for behavioral health disorders, yet posthospital monitoring of patients' behavioral health is rare. The Telehealth Resilience and Recovery Program (TRRP), a technology-facilitated and stepped access-to-care program initiated in hospitals and designed to be integrated seamlessly into trauma center operations, is a program that can potentially address this treatment gap. However, the TRRP was originally developed to address this gap for mental health recovery but not substance use. Given the high rates of substance and opioid use disorders among youth with traumatic injury, there is a need to monitor substance use and related symptoms alongside other mental health concerns.

objectiveThis study aimed to use an iterative, user-guided approach to inform substance use adaptations to TRRP content and procedures.

methodsWe conducted individual semistructured interviews with adolescents (aged 12-17 years) and young adults (aged 18-25 years) who were recently discharged from trauma centers (n=20) and health care providers from two level 1 trauma centers (n=15). Interviews inquired about reactions to and recommendations for expanding TRRP content, features, and functionality; factors related to TRRP implementation and acceptability; and current strategies for monitoring patients' postinjury physical and emotional recovery and opioid and substance use. Interview responses were transcribed and analyzed using thematic analysis to guide new TRRP substance use content and procedures.

resultsThemes identified in interviews included gaps in care, task automation, user personalization, privacy concerns, and in-person preferences. Based on these results, a multimedia, web-based mobile education app was developed that included 8 discrete interactive education modules and 6 videos on opioid use disorder, and TRRP procedures were adapted to target opioid and other substance use disorder risk. Substance use adaptations included the development of a set of SMS text messaging-delivered questions that monitor both mental health symptoms and substance use and related symptoms (eg, pain and sleep) and the identification of validated mental health and substance use screening tools to monitor patients' behavioral health in the months after discharge.

conclusionsPatients and health care providers found the TRRP and its expansion to address substance use acceptable. This iterative, user-guided approach yielded novel content and procedures that will be evaluated in a future trial.

Indexed as

access-to-careaddictionadolescentbehaviorhealth disorderopioidopioid use disorderpersonalized caretelehealthtelemedicinetraumauseryouth

Identifiers

PMID38032728
PMCPMC10722375
OpenAlexW4388470348

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.