TY - JOUR
T1 - Prior Periods of Abstinence Among Adults With an Alcohol Use Disorder
T2 - A Qualitative Template Analysis
AU - Ware, Orrin D.
AU - Labos, Breanna
AU - Hudgins, Daniella
AU - Irvin, Nathan A.
AU - Buresh, Megan E.
AU - Bergeria, Cecilia L.
AU - Sweeney, Mary M.
N1 - Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This project was supported by National Institutes of Health (NIH) (Bethesda, MD), National Institute on Drug Abuse (NIDA) R03DA048913 awarded to Mary M. Sweeney while at Johns Hopkins University. Support for Orrin D. Ware was provided by NIDA T32DA007209 awarded to George E. Bigelow, Eric C. Strain and Elise M. Weerts. NIH/NIDA had no role in the study design, in the collection, analysis, or interpretation of data, in the writing of the report, or in the decision to submit the article for publication. The opinions expressed in this article are the authors’ own and do not reflect the view of the National Institutes of Health, the Department of Health and Human Services, or the United States government.
Funding Information:
The authors thank Wande Kotun, Phoebe Rostov, Joy Haywood, Eric Trojan, and Ayana Andrews for their contributions to the peer support brief intervention program in the ED. We thank Pratima Kshetry and Nazanin Yousefzadeh for their assistance with the extraction and coding of the data from the electronic health record. We thank August F. Holtyn for her assistance with reviewing the open-ended data. We also thank the Mosaic Group for providing structured training to the peer recovery coaches. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This project was supported by National Institutes of Health (NIH) (Bethesda, MD), National Institute on Drug Abuse (NIDA) R03DA048913 awarded to Mary M. Sweeney while at Johns Hopkins University. Support for Orrin D. Ware was provided by NIDA T32DA007209 awarded to George E. Bigelow, Eric C. Strain and Elise M. Weerts. NIH/NIDA had no role in the study design, in the collection, analysis, or interpretation of data, in the writing of the report, or in the decision to submit the article for publication. The opinions expressed in this article are the authors’ own and do not reflect the view of the National Institutes of Health, the Department of Health and Human Services, or the United States government.
Publisher Copyright:
© The Author(s) 2023.
PY - 2023/1/1
Y1 - 2023/1/1
N2 - Abstaining from substance use is a goal of many people with alcohol use disorder (AUD). Understanding patient perspectives of a period of abstinence may assist persons with AUD in achieving this goal. We accessed the electronic health records of adults with AUD entering an emergency department in Baltimore, Maryland, who received a brief peer support intervention for substance use. Data contained open-ended text entered by staff after a patient indicated ever having a sustained period of substance abstinence. Using qualitative template analysis methodology, we identified codes and themes from these open-ended responses from N = 153 adults with AUD. The sample was primarily male (n = 109, 71.2%) and White (n = 98, 64.1%) with an average age of 43.8 years (SD = 11.2). Themes identified included the abstinence length, abstinence reason, relapse, triggers, time of relapse, and treatment. The most common code for abstinence length was “between 1 and 5 years” (n = 55, 35.9%). Other abstinence length codes included “less than 1 year” and “more than 5 years.” Relapse triggers included “family (non-death),” “death of a loved one,” “social,” “economic,” and “treatment-related” reasons. Findings from this study could be used to inform strategies for peer support interventions to assist patients with substance abstinence.
AB - Abstaining from substance use is a goal of many people with alcohol use disorder (AUD). Understanding patient perspectives of a period of abstinence may assist persons with AUD in achieving this goal. We accessed the electronic health records of adults with AUD entering an emergency department in Baltimore, Maryland, who received a brief peer support intervention for substance use. Data contained open-ended text entered by staff after a patient indicated ever having a sustained period of substance abstinence. Using qualitative template analysis methodology, we identified codes and themes from these open-ended responses from N = 153 adults with AUD. The sample was primarily male (n = 109, 71.2%) and White (n = 98, 64.1%) with an average age of 43.8 years (SD = 11.2). Themes identified included the abstinence length, abstinence reason, relapse, triggers, time of relapse, and treatment. The most common code for abstinence length was “between 1 and 5 years” (n = 55, 35.9%). Other abstinence length codes included “less than 1 year” and “more than 5 years.” Relapse triggers included “family (non-death),” “death of a loved one,” “social,” “economic,” and “treatment-related” reasons. Findings from this study could be used to inform strategies for peer support interventions to assist patients with substance abstinence.
KW - Alcohol use disorder
KW - abstinence
KW - emergency department
KW - qualitative
KW - relapse
KW - treatment
UR - http://www.scopus.com/inward/record.url?scp=85150934388&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85150934388&partnerID=8YFLogxK
U2 - 10.1177/11782218231162468
DO - 10.1177/11782218231162468
M3 - Article
C2 - 36968973
AN - SCOPUS:85150934388
SN - 1178-2218
VL - 17
JO - Substance Abuse: Research and Treatment
JF - Substance Abuse: Research and Treatment
ER -