Evidence map›Paper›PMID 38042844›Full record

ArticleAddiction science & clinical practice2023

"It feels like I'm coming to a friend's house": an interpretive descriptive study of an integrated care site offering iOAT (Dr. Peter Centre).

Sophia Dobischok, José R Carvajal, Kyle Turner, Kaitlyn Jaffe, Eisha Lehal, Sarinn Blawatt, Casey Redquest, Rosalind Baltzer Turje, Patrick McDougall, Bryce Koch and 4 more

Abstract read
In one paragraph

Article in Addiction science & clinical practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
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  4. 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

14 authors.

Sophia DobischokCentre for Advancing Health Outcomes, Providence Health Care, St. Paul's Hospital, 575- 1081 Burrard St., Vancouver, BC, V6Z 1Y6, Canada.
José R CarvajalCentre for Advancing Health Outcomes, Providence Health Care, St. Paul's Hospital, 575- 1081 Burrard St., Vancouver, BC, V6Z 1Y6, Canada.
Kyle TurnerCentre for Advancing Health Outcomes, Providence Health Care, St. Paul's Hospital, 575- 1081 Burrard St., Vancouver, BC, V6Z 1Y6, Canada.
Kaitlyn JaffeDepartment of Health Promotion and Policy, University of Massachusetts Amherst, 715 North Pleasant Street, Amherst, MA, 01003, USA.
Eisha LehalCentre for Advancing Health Outcomes, Providence Health Care, St. Paul's Hospital, 575- 1081 Burrard St., Vancouver, BC, V6Z 1Y6, Canada.
Sarinn BlawattCentre for Advancing Health Outcomes, Providence Health Care, St. Paul's Hospital, 575- 1081 Burrard St., Vancouver, BC, V6Z 1Y6, Canada.
Casey RedquestDr. Peter Centre, 1110 Comox Street, Vancouver, BC, V6E 1K5, Canada.
Rosalind Baltzer TurjeDr. Peter Centre, 1110 Comox Street, Vancouver, BC, V6E 1K5, Canada.
Patrick McDougallDr. Peter Centre, 1110 Comox Street, Vancouver, BC, V6E 1K5, Canada.
Bryce KochDr. Peter Centre, 1110 Comox Street, Vancouver, BC, V6E 1K5, Canada.
Cheryl McDermidDr. Peter Centre, 1110 Comox Street, Vancouver, BC, V6E 1K5, Canada.
Damon HassanDr. Peter Centre, 1110 Comox Street, Vancouver, BC, V6E 1K5, Canada.
Scott HarrisonProvidence Health Care, Providence Crosstown Clinic, 77 East Hastings Street, Vancouver, BC, V6B 1G6, Canada.
Eugenia Oviedo-JoekesCentre for Advancing Health Outcomes, Providence Health Care, St. Paul's Hospital, 575- 1081 Burrard St., Vancouver, BC, V6Z 1Y6, Canada. eugenia.joekes@ubc.ca.ORCID 0000-0002-3566-7097

Funding

CIHR F18-00932
6 · The paper itself

Abstract

backgroundInjectable opioid agonist treatment (iOAT) has proven to be a safe and effective treatment option for severe opioid use disorder (OUD). Yet, iOAT is often isolated from other health and social services. To align with a person-centered care approach, iOAT can be embedded in sites that combine systems and services that have been historically fragmented and that address multiple comorbidities (integrated care sites). The present study investigates the addition of iOAT at an integrated care in Vancouver, British Columbia. We aimed to capture what it means for service users and service providers to incorporate iOAT in an integrated care site and describe the processes by which the site keeps people engaged.

methodsWe conducted 22 interviews with 15 service users and 14 interviews with 13 service providers across two rounds of individual semi-structured interviews (Fall 2021, Summer 2022). The second interview round was precipitated by a service interruption in medication dispensation. Interview audio was recorded, transcribed, and then analysed in NVivo 1.6 following an interpretive description approach.

resultsThe emergent themes from the analysis are represented in two categories: (1) a holistic approach (client autonomy, de-medicalized care, supportive staff relationships, multiple opportunities for engagement, barriers to iOAT integration) and (2) a sense of place (physical location, social connection and community belonging, food).

conclusionIncorporating iOAT at an integrated care site revealed how iOAT delivery can be strengthened through its direct connection to a diverse, comprehensive network of health and social services that are provided in a community atmosphere with high quality therapeutic relationships.

Indexed as

Delivery of Health Care, IntegratedFriendsBritish ColumbiaHumansQualitative ResearchTreatment Outcome

Identifiers

PMID38042844
PMCPMC10693115

What OpenQuestion holds

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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.