Evidence map›Paper›PMID 42426355›Full record

ArticleJournal of behavioral medicine2026

Veterans' views on alcohol use and experience of alcohol withdrawal syndrome treatment and subsequent alcohol use disorder care at two highly rural-serving VA hospitals: a qualitative study.

Tony Pomales, Daniel Ball, Jeydith Gutierrez, James C Willey

Abstract read
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In one paragraph

Article in Journal of behavioral medicine, 2026. 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

4 authors.

Tony PomalesVeterans Rural Health Resource Center-Iowa City (VRHRC-IC), Iowa City Veterans Affairs Health Care System, VA Office of Rural Health, Iowa City, IA, USA. Tony.Pomales@va.gov.ORCID http://orcid.org/0009-0009-1334-6637
Daniel BallVeterans Rural Health Resource Center-Iowa City (VRHRC-IC), Iowa City Veterans Affairs Health Care System, VA Office of Rural Health, Iowa City, IA, USA.ORCID http://orcid.org/0000-0002-0302-0651
Jeydith GutierrezVeterans Rural Health Resource Center-Iowa City (VRHRC-IC), Iowa City Veterans Affairs Health Care System, VA Office of Rural Health, Iowa City, IA, USA.ORCID http://orcid.org/0000-0001-7596-1779
James C WilleyVeterans Rural Health Resource Center-Iowa City (VRHRC-IC), Iowa City Veterans Affairs Health Care System, VA Office of Rural Health, Iowa City, IA, USA. James.Willey@va.gov.ORCID http://orcid.org/0000-0002-9470-8506

Funding

U.S. Department of Veterans Affairs, Veterans Health Administration, Office of Rural Health, Veterans Rural Health Resource Center-Iowa City 03852
6 · The paper itself

Abstract

Alcohol use disorder (AUD) is a significant cause of morbidity that disproportionately affects veterans and rural-serving hospitals. As part of a larger quality improvement project to improve care for veterans with AUD admitted to rural-serving Veterans Affairs (VA) hospitals, we conducted a qualitative study using a phenomenological research approach to incorporate the veteran perspective. Participants were n = 16 veterans with AUD and recent admissions to two highly rural-serving hospitals. Veteran views and experience were elicited by conducting 30-60 min sessions of semi-structured interviews and assessed using thematic content analysis. Two themes relating to participants' views on alcohol use were identified: perceived unmet need, resulting in the use of alcohol to treat pain and cope with trauma and co-occurring mental health symptoms, often related to military service, and factors influencing hospital admission and need for additional treatment services. Themes relating to participants' experience of AWS treatment and subsequent AUD care were identified and divided into barriers and facilitators. Barriers included: limited, uneven distribution of hospitals; perceived premature discharge from inpatient AWS treatment; perceived discriminatory treatment and stigma about AUD; and a shortage of VA residential rehabilitation treatment programs. Veterans' geographic location and the uneven distribution of RRTPs within large catchment areas restricted access and increased travel burden. Preference and excess demand for VA RRTPs and limited service capacity contributed to long wait times. Facilitators included clinician support and spousal/family and veteran/peer support. Our findings suggest that a non-judgmental treatment environment and improved access to specialized services are essential to receiving effective AUD treatment, particularly for veterans in rural areas who have been repeatedly admitted for AWS. The VA should examine options to reduce stigma, align treatment with patient goals, leverage peer-led programs, and promote comprehensive care that addresses co-occurring conditions and underlying causes of alcohol misuse.

Indexed as

Alcohol use disorder careAlcohol withdrawal syndromeBarriers and facilitatorsQualitativeVeterans

Identifiers

PMID42426355

What OpenQuestion holds

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Registered trials

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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.