Evidence map›Paper›PMID 39786831›Full record

ArticlePsychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors2025

Content analysis of perceptions of combined pharmacobehavioral treatment for American Indian people with opioid use disorder.

Lonnie A Nelson, Susan E Collins, Emma Shinagawa, Sooyoun Park, Vaishali Rajeev, Grace McPhail, Sage Saplan, Emily M Taylor, Aaron T Aguilar-Bonnette, Sage Mednansky and 8 more

Abstract read
In one paragraph

Article in Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Opioid consumption, availability, and policy alignment in primary hospice and palliative care in China: a multicomponent comparative analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Article
  2. 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

18 authors.

Lonnie A NelsonCollege of Nursing, Washington State University.
Susan E CollinsDepartment of Psychology, Washington State University.ORCID 0000-0003-3081-2627
Emma ShinagawaDepartment of Psychology, Washington State University.
Sooyoun ParkElson S. Floyd College of Medicine, Washington State University.
Vaishali RajeevElson S. Floyd College of Medicine, Washington State University.
Grace McPhailElson S. Floyd College of Medicine, Washington State University.
Sage SaplanElson S. Floyd College of Medicine, Washington State University.
Emily M TaylorDepartment of Psychiatry and Behavioral Sciences, University of Washington.
Aaron T Aguilar-BonnetteDepartment of Psychology, Washington State University.ORCID 0009-0005-2213-7344
Sage MednanskyElson S. Floyd College of Medicine, Washington State University.
Jessica DouthittCollege of Nursing, Washington State University.
Roxanna J KingElson S. Floyd College of Medicine, Washington State University.ORCID 0009-0005-1889-2005
Mark A TaylorCherokee Nation Health Services.
Terrence K KominskyCherokee Nation Health Services.
Charity GreenCherokee Nation Health Services.
Andrew J SaxonDepartment of Psychiatry and Behavioral Sciences, University of Washington.
Seema L ClifasefiDepartment of Psychiatry and Behavioral Sciences, University of Washington.
CHaRRM-CN Community Advisory Board

Funding

Counseling for Harm Reduction and Retention in Medication-assisted treatment - Cherokee Nation (CHaRRM-CN)R33DA049376 · NIDA · WASHINGTON STATE UNIVERSITY · PI COLLINS, SUSAN E, GASSAWAY, ASHLEY · 2022 to 2024
$2.0M
Counseling for Harm Reduction and Retention in Medication-assisted treatment - Cherokee Nation (CHaRRM-CN)R61DA049376 · NIDA · WASHINGTON STATE UNIVERSITY · PI COLLINS, SUSAN E, NELSON, LONNIE A. · 2019 to 2020
$1.2M
National Institutes of Health; National Institute on Drug AbuseNIDA NIH HHS R33 DA049376NIDA NIH HHS R61 DA049376
6 · The paper itself

Abstract

objectiveBoth opioid misuse and overdose mortality have disproportionately impacted the American Indian population. Although medications for opioid use disorder, such as buprenorphine (BUP-NX), are highly effective in reducing overdose mortality, questions have been raised about the cultural acceptability of Western medical approaches in this population. Understanding patients' desired recovery pathways can lead to more culturally appropriate, patient-centered, and effective approaches to opioid use disorder (OUD) treatment. In this qualitative study, we document experiences with combined pharmacobehavioral treatment for OUD and suggestions for enhancing it.

methodParticipants (

resultsFindings from conventional content analysis indicated participants were grateful for a Tribally run combined pharmacobehavioral OUD treatment program, which made treatment more financially and geographically accessible over a large, rural area. Participants expressed satisfaction with BUP-NX and the accompanying behavioral health programming but were interested in making it more accessible through telemedicine appointments and mailed prescriptions. Participants noted the importance of clear communication about this kind of programming, which tends to be less structured than other substance-use treatment programs, but also appreciated its tailored, compassionate, and holistic approach. Participants were interested in robust counseling options; a low-barrier, acceptance-based, and harm-reduction orientation; as well as more culturally aligned programming that honored their Native heritage and traditional medicine.

conclusionsTreatment providers, researchers, and policymakers should consider integration of more patient-driven, compassionate, and culturally aligned means of intervention for American Indian patients with OUD. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

Indexed as

Behavior TherapyBuprenorphineIndians, North AmericanOpiate Substitution TreatmentOpioid-Related DisordersPatient SatisfactionAdultFemaleHumansMaleMiddle AgedQualitative ResearchTelemedicineBuprenorphine

Identifiers

PMID39786831
PMCPMC11836604

What OpenQuestion holds

Textmetadata
LicenceTDM
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.