The Phenomenon of Substance Abuse among the Elderly: Part II: The Mega-Interactive Model

Pagliaro, Ann Marie; Pagliaro, Louis A.

doi:10.1177/875512259200800307

Cited by 1 publication

(5 citation statements)

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“…Most included frameworks were existing theories incorporated a priori and used to guide the investigation, with the exceptions of the MIMSAE [36] and sober aged reflection [37], which were new models of older adult drug use proposed by the included publications. Theoretical frameworks generally focused upon describing factors, processes and contexts related to drug use in order to support research regarding older adults who use drugs.…”

Section: Resultsmentioning

confidence: 99%

“…Theoretical frameworks generally focused upon describing factors, processes and contexts related to drug use in order to support research regarding older adults who use drugs. Two frameworks, the behavioural model of healthcare utilization [51] and the MIMSAE [36], focus upon health‐care provision, and only the MIMSAE is specifically addressed to clinicians treating older adults who use drugs.…”

Section: Resultsmentioning

confidence: 99%

“…Of these frameworks, two focused specifically upon older adult drug use, and three investigated changes in drug use over time. The mega‐interactive model of substance abuse among the elderly (MIMSAE) was explicitly proposed to help medical professionals understand drug use behaviour and diagnose substance use disorder among older adults [36]. Sober aged reflection was developed among older former PWUD recently released from prison, who attributed their sobriety to the specific combination of externally imposed abstinence during their incarceration and the self‐reflection prompted by growing older [37].…”

Section: Resultsmentioning

confidence: 99%

“…Pagliaro & Pagliaro (1992) [36] Sober aged reflection Older age catalyzes a period of reflection and evaluation of one's life, including a heightened awareness of mortality. In combination with a period of sobriety, this self-reflection can lead to cognitive change and cessation of drug use.…”

Section: Bedi Et Al (2019) [48]mentioning

confidence: 99%

Section: Conceptual Framework and Theories Applied In Studying Ageing...mentioning

confidence: 99%

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Ageing and older people who use illicit opioids, cocaine or methamphetamine: a scoping review and literature map

et al. 2022

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Aims: To provide an overview of research literature on ageing and older people who use illicit opioids and stimulants by documenting the conceptual frameworks used and content areas that have been investigated. Methods: We conducted a scoping review of literature relating to ageing and older people who use illicit stimulants and opioids, defining 'older' as 40 years and above. Primary studies, secondary studies and editorials were included. Searches were conducted in PubMed and Embase in July 2020 and March 2021; the Cochrane library was searched in November 2021. Charted data included methodological details, any conceptual frameworks explicitly applied by authors and the content areas that were the focus of the publication. We developed a hierarchy of content areas and mapped this to provide a visual guide to the research area. Results: Of the 164 publications included in this review, only 16 explicitly applied a conceptual framework. Seven core content areas were identified, with most publications contributing to multiple content areas: acknowledgement of drug use among older people (n = 64), health status (n = 129), health services (n = 109), drug use practices and patterns (n = 84), social environments (n = 74), the criminal legal system (n = 28) and quality of life (n = 15). Conclusions: The literature regarding older people who use illicit drugs remains undertheorized. Conceptual frameworks are rarely applied and few have been purposely adapted to this population. Health status and health services access and use are among the most frequently researched topics in this area.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%