Prior Periods of Abstinence Among Adults With an Alcohol Use Disorder: A Qualitative Template Analysis
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 Ba...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2023-03-01
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| Series: | Substance Abuse: Research and Treatment |
| Online Access: | https://doi.org/10.1177/11782218231162468 |
| _version_ | 1797863307229528064 |
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| author | Orrin D. Ware Breanna Labos Daniella Hudgins Nathan A. Irvin Megan E. Buresh Cecilia L. Bergeria Mary M. Sweeney |
| author_facet | Orrin D. Ware Breanna Labos Daniella Hudgins Nathan A. Irvin Megan E. Buresh Cecilia L. Bergeria Mary M. Sweeney |
| author_sort | Orrin D. Ware |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-09T22:34:34Z |
| format | Article |
| id | doaj.art-0557fb8ad46744beac796b788395d213 |
| institution | Directory Open Access Journal |
| issn | 1178-2218 |
| language | English |
| last_indexed | 2024-04-09T22:34:34Z |
| publishDate | 2023-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Substance Abuse: Research and Treatment |
| spelling | doaj.art-0557fb8ad46744beac796b788395d2132023-03-22T12:33:27ZengSAGE PublishingSubstance Abuse: Research and Treatment1178-22182023-03-011710.1177/11782218231162468Prior Periods of Abstinence Among Adults With an Alcohol Use Disorder: A Qualitative Template AnalysisOrrin D. Ware0Breanna Labos1Daniella Hudgins2Nathan A. Irvin3Megan E. Buresh4Cecilia L. Bergeria5Mary M. Sweeney6School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC, USADepartment of Psychiatry and Behavioral Sciences, Behavioral Pharmacology Research Unit, Johns Hopkins University School of Medicine, Baltimore, MD, USADepartment of Psychiatry and Behavioral Sciences, Behavioral Pharmacology Research Unit, Johns Hopkins University School of Medicine, Baltimore, MD, USADepartment of Emergency Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USADepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USADepartment of Psychiatry and Behavioral Sciences, Behavioral Pharmacology Research Unit, Johns Hopkins University School of Medicine, Baltimore, MD, USADepartment of Psychiatry and Behavioral Sciences, Behavioral Pharmacology Research Unit, Johns Hopkins University School of Medicine, Baltimore, MD, USAAbstaining 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.https://doi.org/10.1177/11782218231162468 |
| spellingShingle | Orrin D. Ware Breanna Labos Daniella Hudgins Nathan A. Irvin Megan E. Buresh Cecilia L. Bergeria Mary M. Sweeney Prior Periods of Abstinence Among Adults With an Alcohol Use Disorder: A Qualitative Template Analysis Substance Abuse: Research and Treatment |
| title | Prior Periods of Abstinence Among Adults With an Alcohol Use Disorder: A Qualitative Template Analysis |
| title_full | Prior Periods of Abstinence Among Adults With an Alcohol Use Disorder: A Qualitative Template Analysis |
| title_fullStr | Prior Periods of Abstinence Among Adults With an Alcohol Use Disorder: A Qualitative Template Analysis |
| title_full_unstemmed | Prior Periods of Abstinence Among Adults With an Alcohol Use Disorder: A Qualitative Template Analysis |
| title_short | Prior Periods of Abstinence Among Adults With an Alcohol Use Disorder: A Qualitative Template Analysis |
| title_sort | prior periods of abstinence among adults with an alcohol use disorder a qualitative template analysis |
| url | https://doi.org/10.1177/11782218231162468 |
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