Evidence map›Paper›PMID 39073482›Full record

ArticleJournal of general internal medicine2024

Optimizing Patient Engagement in Treatment for Opioid Use Disorder: Primary Care Team Perspectives on Influencing Factors.

Elizabeth J Austin, Jessica Chen, Elena Soyer, Bulat Idrisov, Elsa S Briggs, Lori Ferro, Andrew J Saxon, John C Fortney, Geoffrey M Curran, Yavar Moghimi and 5 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of general internal medicine, 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
–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

15 authors.

Elizabeth J AustinDepartment of Health Systems and Population Health, School of Public Health, University of Washington, Box 351621, Seattle, WA, USA. austie@uw.edu.ORCID 0000-0002-4221-1362
Jessica ChenDepartment of Health Systems and Population Health, School of Public Health, University of Washington, Box 351621, Seattle, WA, USA.
Elena SoyerDepartment of Health Systems and Population Health, School of Public Health, University of Washington, Box 351621, Seattle, WA, USA.
Bulat IdrisovDepartment of Health Systems and Population Health, School of Public Health, University of Washington, Box 351621, Seattle, WA, USA.
Elsa S BriggsDepartment of Health Systems and Population Health, School of Public Health, University of Washington, Box 351621, Seattle, WA, USA.
Lori FerroDepartment of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, Seattle, WA, USA.
Andrew J SaxonDepartment of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, Seattle, WA, USA.
John C FortneyDepartment of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, Seattle, WA, USA.
Geoffrey M CurranDepartments of Pharmacy Practice and Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Yavar MoghimiDepartment of Psychiatry and Behavioral Sciences, School of Medicine and Health Sciences, The George Washington University, Washington, D.C., USA.
Brittany E BlanchardDepartment of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, Seattle, WA, USA.
Emily C WilliamsDepartment of Health Systems and Population Health, School of Public Health, University of Washington, Box 351621, Seattle, WA, USA.
Anna D RatzliffDepartment of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, Seattle, WA, USA.
Monica S RuizDepartment of Prevention and Community Health, Milken Institute School of Public Health, The George Washington University, Washington, D.C., USA.
Ulrich KochDepartment of Clinical Research and Leadership, School of Medicine and Health Sciences, The George Washington University, Washington, D.C., USA.

Funding

Collaborating to Heal Addiction and Mental Health in Primary care (CHAMP)UF1MH121942 · NIMH · UNIVERSITY OF WASHINGTON · PI FORTNEY, JOHN C., RATZLIFF, ANNA · 2019 to 2019
$14.8M
Alcohol and Drug Abuse Institute, University of Washington Small GrantNIMH NIH HHS UF1 MH121942NIMH NIH HHS UF1MH121942
6 · The paper itself

Abstract

backgroundOpioid use disorder (OUD) care engagement rates in primary care (PC) settings are often low. Little is known about PC team experiences when delivering OUD treatment and potential factors that influence their capacity to engage patients in treatment. Exploring PC team experiences may inform needed supports that can optimize OUD care delivery and improve outcomes for patients with OUD.

objectiveWe explored multidisciplinary PC team perspectives on barriers and facilitators to engaging patients in OUD treatment.

designQualitative study using in-depth interviews.

participantsPrimary care clinical teams. APPROACH: We conducted semi-structured interviews (n = 35) with PC team members involved in OUD care delivery, recruited using a combination of criterion and maximal variation sampling. Data collection and analysis were informed by existing theoretical literature about patient engagement, specifically that patient engagement is influenced by factors across individual (patient, provider), interpersonal (patient-provider), and health system domains. Interviews were professionally transcribed and doubled-coded using a coding schema based on the interview guide while allowing for emergent codes. Coding was iteratively reviewed using a constant comparison approach to identify themes and verified with participants and the full study team. KEY

resultsAnalysis identified five themes that impact PC team ability to engage patients effectively, including limited patient contact (e.g., phone, text) in between visits, varying levels of provider confidence to navigate OUD treatment discussions, structural factors (e.g., schedules, productivity goals) that limited provider time, the role of team-based approaches in lessening discouragement and feelings of burnout, and lack of shared organizational vision for reducing harms from OUD.

conclusionsWhile the capacity of PC teams to engage patients in OUD care is influenced across multiple levels, some of the most promising opportunities may involve addressing system-level factors that limit PC team time and collaboration and promoting organizational alignment on goals for OUD treatment.

Indexed as

Opioid-Related DisordersPatient Care TeamPatient ParticipationPrimary Health CareQualitative ResearchAdultAttitude of Health PersonnelFemaleHumansMaleMiddle Agedbarriers to carepatient engagementprimary care

Identifiers

PMID39073482
PMCPMC11618257

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.