Evidence map›Paper›PMID 40568414›Full record

ArticleInnovation in aging2025

Tailoring Treatment for Substance Use Disorders in Older Adults: A Mixed-methods Study.

Megan O'Grady, Kristyn Zajac, Alexandra DePalma, Yang Liu, Lisa C Barry

Abstract read
In one paragraph

Article in Innovation in aging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

5 authors.

Megan O'GradyUConn Health, Department of Public Health Sciences, Farmington, Connecticut, USA.
Kristyn ZajacUConn Health, Department of Medicine, Calhoun Cardiology Center, Farmington, Connecticut, USA.
Alexandra DePalmaUConn Center on Aging, Farmington, Connecticut, USA.
Yang LiuUConn Health, Department of Public Health Sciences, Farmington, Connecticut, USA.
Lisa C BarryUConn Center on Aging, Farmington, Connecticut, USA.ORCID https://orcid.org/0000-0002-2639-906X

Funding

Advancing Health Disparities Research in Aging: The Aging Research in Criminal Justice & Health (ARCH) NetworkR24AG065175 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LISA C BARRY, BRIE A WILLIAMS · 2019 to 2026
$3.3M
NIA NIH HHS R24 AG065175
6 · The paper itself

Abstract

Background and Objectives: The number of persons in mid-to-late life with substance use disorders (SUDs) in the United States has tripled over the past 2 decades, with opioid use disorder largely accounting for this increase. Older individuals with SUDs have unique medical, psychological, and social needs. Despite these needs and growing demand for SUD treatment within this age group, little is known regarding availability of specialized SUD treatment programs for older persons and barriers or facilitators to implementing these services. Research Design and Methods: We conducted a mixed-methods study, first conducting qualitative interviews with counselors at outpatient SUD treatment facilities in Connecticut ( Results: Using the Behavioral Model of Health Services Utilization for Vulnerable Populations and Framework Analysis, we identified predisposing (eg, treatment attitudes), enabling (eg, transportation), need-based (eg, comorbidities; integrated care), and healthcare system-related (eg, insurance) characteristics affecting older adults' SUD treatment engagement. SUD treatment facilities offering "a tailored program for seniors or older adults" increased steadily in Connecticut, and the United States overall, between 2010 and 2022. Of the 74 (43%) Connecticut facilities offering tailored older adult services, social, structural, and mental health services were offered at high rates (64%-86%), but medical services were offered at lower rates (39%-52%). Discussion and Implications: Our findings indicate a gap between the treatment needs of older adults with SUDs and available services. Greater attention to integrated medical services, screening for geriatric-specific syndromes that could impede treatment access (eg, cognitive impairment; mobility), and appropriate workforce training is needed to optimize treatment for older adults with SUD, especially considering the opioid use disorder epidemic in the United States.

Indexed as

Access to and utilization of servicesAddiction (alcohol/drug)Opioid usePerson-centered careQualitative research methods

Identifiers

PMID40568414
PMCPMC12188435

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.