Ware Orrin D, Labos Breanna, Hudgins Daniella, Irvin Nathan A, Buresh Megan E, Bergeria Cecilia L, Sweeney Mary M
School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Subst Abuse. 2023 Mar 22;17:11782218231162468. doi: 10.1177/11782218231162468. eCollection 2023.
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.
戒除物质使用是许多患有酒精使用障碍（AUD）的人的目标。了解患者对一段禁欲期的看法可能有助于患有AUD的人实现这一目标。我们查阅了马里兰州巴尔的摩市一家急诊科收治的患有AUD的成年人的电子健康记录，这些人接受了针对物质使用的简短同伴支持干预。数据包含患者表示曾有过一段持续的物质禁欲期后工作人员输入的开放式文本。我们使用定性模板分析方法，从N = 153名患有AUD的成年人的这些开放式回答中识别出代码和主题。样本主要为男性（n = 109，71.2%）和白人（n = 98，64.1%），平均年龄为43.8岁（标准差 = 11.2）。识别出的主题包括禁欲时长、禁欲原因、复发、触发因素、复发时间和治疗。禁欲时长最常见的代码是“1至5年”（n = 55，35.9%）。其他禁欲时长代码包括“少于1年”和“超过5年”。复发触发因素包括“家庭（非死亡）”、“亲人死亡”、“社交”、“经济”和“治疗相关”原因。本研究的结果可用于为同伴支持干预策略提供信息，以帮助患者戒除物质。
