Evidence map›Paper›PMID 38383009›Full record

ArticleCanadian family physician Medecin de famille canadien2024

Healing journey: Experiences of First Nations individuals with recovery from opioid use.

Sharen Madden, Ariel Root, Maria Cindy Suganaqueb, Levi Sofea, Carla Duncan, Janet Gordon, Jenna Poirier, Charles Meekis, Deiter Sainnawap, Ruben Hummelen and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2024. 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
1.1field-weighted citation impact, top 25% 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

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Review
  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

11 authors at 10 institutions in 6 countries.

Sharen MaddenAssociate Professor in the Division of Clinical Sciences at NOSM University in Sioux Lookout, Ont.
Ariel RootAnishininiiw Nanadowi'kikendamowin Program Manager at Sioux Lookout First Nations Health Authority.
Maria Cindy SuganaquebOpioid Agonist Therapy Coordinator at Webequie First Nation in Ontario.
Levi SofeaDirector of Operations at Webequie First Nations Property Management and Maintenance.
Carla DuncanComplex Care Navigator in Developmental Services at Sioux Lookout First Nations Health Authority.
Janet GordonChief Operating Offcer at Sioux Lookout First Nations Health Authority.
Jenna PoirierResearch intern at Sioux Lookout-NOSM Local Education Group.
Charles MeekisCultural Liaison at Sioux Lookout First Nations Health Authority.
Deiter SainnawapKnowledge Keeper at Kitchenuhmaykoosib Inninuwug First Nation Treaty 9 in Ontario.
Ruben HummelenAssociate Professor in the Division of Clinical Sciences at NOSM University.
Len KellyResearch consultant for the Sioux Lookout Meno Ya Win Health Centre.
Assembly of First Nations · CADSM (Netherlands) · NLFirst Nations Health and Social Secretariat of Manitoba · CAFirst Nations University of Canada · CAHealth First · USLocal Government Association · GBNOSM University · CAThe Centre for Health (New Zealand) · NZThe Navigator (Portugal) · PTUnited Nations · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo understand experiences of recovery from opioid use among First Nations individuals living in a small remote community.

designQualitative phenomenologic study.

settingNorthwestern Ontario.

participantsSixteen First Nations individuals living in a remote community who had participated in or completed the community opioid agonist therapy program.

methodsExtensive community consultation took place to ensure local acceptance of the study and permission for publication. Semistructured telephone interviews with consenting participants were audiorecorded between November and December 2021 and transcribed. Transcripts were reviewed and discussed in meetings with Indigenous and non-Indigenous research team members who conducted thematic analysis using immersion and crystallization. MAIN

findingsParticipants described their opioid use as a form of self-management of trauma. Their recovery processes were multifaceted and included developing cultural and self-awareness. Motivation for change often arose from concerns about family well-being and finances. Traditional cultural practices and time spent on the land were identified as important wellness experiences. Barriers to healing included limited clinical and holistic addiction services, particularly around dose weaning and opioid agonist therapy discontinuation.

conclusionCommunity-based addiction programming for First Nations patients needs to be robust. It requires resources for trauma-informed clinical and addiction care, culturally appropriate addictions education, aftercare support, and land-based activities.

Indexed as

Indigenous CanadiansOpioid-Related DisordersAnalgesics, OpioidHumansOntarioQualitative ResearchAnalgesics, Opioid

Identifiers

PMID38383009
PMCPMC11271840
OpenAlexW4392014891

What OpenQuestion holds

Textmetadata
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.