Evidence map›Paper›PMID 42698317›Full record

ArticleThe American journal of occupational therapy : official publication of the American Occupational Therapy Association

Harm Reduction-Oriented Occupational Therapy for Substance Use Disorders: A Retrospective Cohort Study.

Yuichi Murata, Toshihiko Matsumoto, Naomichi Yamamoto, Toyohiro Hamaguchi, Toshiyuki Ishioka

Abstract read
In one paragraph

Article in The American journal of occupational therapy : official publication of the American Occupational Therapy Association. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Yuichi MurataSocial Rehabilitation Department, Saitama Prefectural Mental Health Center, Ina, Saitama, Japan.ORCID 0009-0001-3083-7210
Toshihiko MatsumotoDepartment of Drug Dependence Research, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Tokyo, Japan.ORCID 0000-0002-7076-2161
Naomichi YamamotoDepartment of Psychiatric Rehabilitation, National Center Hospital, National Center of Neurology and Psychiatry, Kodaira, Tokyo, Japan.ORCID 0009-0005-0714-0342
Toyohiro HamaguchiDepartment of Rehabilitation, Graduate School of Health Science, Saitama Prefectural University, Koshigaya, Saitama, Japan.ORCID 0000-0001-5645-0439
Toshiyuki IshiokaDepartment of Health Sciences, Graduate School of Medicine, Kobe University, Kobe, Hyogo, Japan.ORCID 0000-0002-3987-0383

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

ImportanceIdentifying factors associated with sustained engagement in harm reduction-oriented occupational therapy may help inform more accessible interventions for individuals with substance use disorders (SUDs).ObjectiveTo examine participant characteristics associated with sustained engagement in the Real-Life Program (RLP), a harm reduction-oriented outpatient occupational therapy program for individuals with SUDs, and to explore changes in occupational and psychosocial outcomes among participants who continued the program.DesignRetrospective cohort study.SettingSingle-site outpatient occupational therapy program.ParticipantsFifty-five individuals with SUDs enrolled in the RLP. Participants were classified into continued (≥47% attendance) and noncontinued (<47%) groups based on the median participation rate.Outcomes and MeasuresCanadian Occupational Performance Measure (COPM), Rosenberg Self-Esteem Scale-Japanese version, Shitsu-Taikan-Sho Scale, and visual analog scales for craving intensity and perceived connectedness to others.ResultsPrior self-help group experience was significantly associated with continued participation. Older age showed a nonsignificant association. No other demographic or clinical characteristics differed significantly between groups. Among participants who continued the program, COPM Satisfaction improved significantly, whereas COPM Performance, self-esteem, alexisomia, craving intensity, and perceived connectedness did not.Conclusions and RelevancePrior self-help group experience was associated with sustained engagement in the RLP. Among participants who continued the program, satisfaction with daily occupations improved, although the clinical significance of this change remains uncertain. The RLP may provide a feasible harm reduction-oriented occupational therapy option for individuals with SUDs who have difficulty engaging in abstinence-based treatment programs.

Indexed as

Harm ReductionOccupational TherapySubstance-Related DisordersAdultFemaleHumansMaleMiddle AgedRetrospective StudiesSelf Conceptharm reductionoccupational performanceoccupational therapyprogram participationsubstance use disorders

Identifiers

PMID42698317
PMCPMC13640412

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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.