Evidence map›Paper›PMID 39168050›Full record

ArticlePatient education and counseling2024

Substance use as subtext to health narratives: Identifying opportunities for improving care from community member perspectives.

Megan Hamm, J Deanna Wilson, Young Ji Lee, Natasha Norman, Erin L Winstanley, Kathleen M McTigue

Registry-linked trialAbstract read
In one paragraph

Article in Patient education and counseling, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03494075 (MyPaTH Story Booth), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT03494075 recruitingnot on this map

MyPaTH Story Booth

TypeobservationalSponsorUniversity of PittsburghRan2016 to 2030Enrolled2,000ConditionsNarrative Medicine
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

6 authors.

Megan HammDepartment of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
J Deanna WilsonDepartment of Family Medicine and Community Health, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
Young Ji LeeDepartment of Health & Community Systems, University of Pittsburgh School of Nursing, Pittsburgh, PA, USA.
Natasha NormanDepartment of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Erin L WinstanleyDepartment of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Kathleen M McTigueDepartment of Medicine, University of Pittsburgh, Pittsburgh, PA, USA. Electronic address: kmm34@pitt.edu.

Funding

Project-008UG1DA049436 · NIDA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Jane M. Liebschutz, Erin L Winstanley · 2019 to 2026
$10.5M
Treatment of Opioid Use Disorder in Young Adults Hospitalized with Infectious Complications of Injection Opioid UseK23DA048987 · NIDA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WILSON, JACQUELINE DEANNA · 2020 to 2022
$570k
NIDA NIH HHS K23 DA048987NIDA NIH HHS UG1 DA049436
6 · The paper itself

Abstract

objectiveTo analyze patient and caregiver narratives addressing experiences related to substance use and substance use disorder (SUD).

methodsThirty audio-narratives from the MyPaTH Story Booth archive addressed substance use between 5/20/2016 and 2/24/21. Two coders established an average Cohen's kappa statistics of 0.81 over 16 stories. The primary coder coded and summarized additional narratives and conducted content and thematic analyses. The final analytic sample addressed perspectives of individuals with SUD, caregivers for individuals with SUD and individuals who have used opioids to manage pain.

resultsStorytellers' average age was 51, 55 % were female and 85 % were white. Participants with SUD and caregivers described frustration with the current treatment system, reported limited treatment of SUD in medical settings, and noted relying on community-based groups for ongoing care. Individuals with chronic pain felt stigmatized and resented perceived restrictions on pain treatment due to the opioid epidemic.

conclusionsUnstructured narratives provide insights into the lived experiences of people impacted by SUD. Participants reported struggling with the effects of SUD and failing to find adequate treatment from the medical system. Stories highlight SUD-related stigma. PRACTICE IMPLICATIONS: Understanding patient and caregiver perspectives related to SUD can be a critical step towards developing effective interventions.

Indexed as

CaregiversNarrationSubstance-Related DisordersAdultAnalgesics, OpioidChronic PainFemaleHumansMaleMiddle AgedPain ManagementQualitative ResearchAnalgesics, OpioidAddiction medicineAnalgesicsOpioidPain managementPersonal narrativeSubstance-related disorders

Identifiers

PMID39168050
PMCPMC12810703

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Registered trials

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.