Evidence map›Paper›PMID 38106884›Full record

ArticleFrontiers in public health2023

Service-level barriers to and facilitators of accessibility to treatment for problematic alcohol use: a scoping review.

Dianna M Wolfe, Brian Hutton, Kim Corace, Nathorn Chaiyakunapruk, Surachat Ngorsuraches, Surapon Nochaiwong, Justin Presseau, Alyssa Grant, Mackenzie Dowson, Amelia Palumbo and 10 more

Abstract readScoping Review
In one paragraph

Article in Frontiers in public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Alcohol harms: the need for prevention and treatment.European journal of public health · 2026
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  7. Review
  8. Article
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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

20 authors.

Dianna M WolfeOttawa Hospital Research Institute, Ottawa, ON, Canada.
Brian HuttonOttawa Hospital Research Institute, Ottawa, ON, Canada.
Kim CoraceOttawa Hospital Research Institute, Ottawa, ON, Canada.
Nathorn ChaiyakunaprukDepartment of Pharmacotherapy, College of Pharmacy, University of Utah, Salt Lake City, UT, United States.
Surachat NgorsurachesHarrison College of Pharmacy, Auburn University, Auburn, AL, United States.
Surapon NochaiwongDepartment of Pharmaceutical Care, Pharmacoepidemiology and Statistics Research Center, Faculty of Pharmacy, Chiang Mai University, Chiang Mai, Thailand.
Justin PresseauOttawa Hospital Research Institute, Ottawa, ON, Canada.
Alyssa GrantOttawa Hospital Research Institute, Ottawa, ON, Canada.
Mackenzie DowsonOttawa Hospital Research Institute, Ottawa, ON, Canada.
Amelia PalumboOttawa Hospital Research Institute, Ottawa, ON, Canada.
Kelly SuschinskySubstance Use and Concurrent Disorders Program, Royal Ottawa Mental Health Centre, Ottawa, ON, Canada.
Becky SkidmoreOttawa Hospital Research Institute, Ottawa, ON, Canada.
Mary BartramMental Health Commission of Canada, Ottawa, ON, Canada.
Gordon GarnerCommunity Addictions Peer Support Association, Ottawa, ON, Canada.
Lisha DiGioacchinoCommunity Addictions Peer Support Association, Ottawa, ON, Canada.
Andrew PumpCommunity Addictions Peer Support Association, Ottawa, ON, Canada.
Brianne PetersCommunity Addictions Peer Support Association, Ottawa, ON, Canada.
Sarah KonefalCanadian Centre on Substance Use and Addiction, Ottawa, ON, Canada.
Amy Porath EvesChildren's Hospital of Eastern Ontario Research Institute, Ottawa, ON, Canada.
Kednapa ThavornOttawa Hospital Research Institute, Ottawa, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Services to treat problematic alcohol use (PAU) should be highly accessible to optimize treatment engagement. We conducted a scoping review to map characteristics of services for the treatment of PAU that have been reported in the literature to be barriers to or facilitators of access to treatment from the perspective of individuals with PAU. Methods: A protocol was developed Results: One-hundred-and-nine included studies reported an extensive array of unique service-level barriers that could act alone or together to prevent treatment accessibility. These included but were not limited to lack of an obvious entry point, complexity of the care pathway, high financial cost, unacceptably long wait times, lack of geographically accessible treatment, inconvenient appointment hours, poor cultural/demographic sensitivity, lack of anonymity/privacy, lack of services to treat concurrent PAU and mental health problems. Discussion: Barriers generally aligned with recent reviews of the substance use disorder literature. Ranking of barriers may be explored in a future discrete choice experiment of PAU service users. The rich qualitative findings of this review may support the design of new or modification of existing services for people with PAU to improve accessibility. Systematic Review Registration: Open Science Framework doi: 10.17605/OSF.IO/S849R.

Indexed as

AlcoholismHealth Services AccessibilitySubstance-Related DisordersAdultHumansaddiction medicinealcohol use disorderbarriersknowledge synthesisproblematic alcohol usereviewscoping reviewtreatment

Identifiers

PMID38106884
PMCPMC10722420

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.