{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T00:13:54Z","timestamp":1788308034563,"version":"build-2803163510"},"reference-count":53,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T00:00:00Z","timestamp":1784505600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/501100000646","name":"JSPS","doi-asserted-by":"publisher","award":["JP23H00448"],"award-info":[{"award-number":["JP23H00448"]}],"id":[{"id":"10.13039\/501100000646","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,7,20]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study aimed to explore the factors influencing the transition from non-psychiatric medical institutions (NPMIs) (e.g. internal medicine or emergency departments) to specialized treatment from the perspectives of people with alcohol use disorder (AUD) and their families.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A qualitative study using semi-structured in-depth interviews with people with AUD and their families who had visited NPMIs. Participants were recruited through purposive sampling from self-help groups. Interviews were audio-recorded, transcribed verbatim, and thematically analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Interviews were conducted from July to October 2024 with 13 people with AUD and eight family members. Four themes were identified: (1) Lack of knowledge and stigma among people with AUD and families affects early AUD support; (2) Situations where interactions with non-specialists do not lead to AUD support; (3) Collaboration between families and healthcare providers helped enable access to specialized treatment; and (4) Expectations for AUD support in NPMIs based on an empathetic approach.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>To improve the transition of people with AUD from NPMIs to specialized treatment, healthcare providers should recognize the risks of offering inappropriate reassurance or general advice such as \u2018cut down\u2019 or \u2018have alcohol-free days,\u2019 which may reinforce existing harmful behaviours. Providers should understand how people with AUD and their families interpret medical interactions, work to enhance collaboration with families, cultivate a non-stigmatizing approach, and proactively share knowledge about alcohol-related harm and self-help group resources.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/alcalc\/agag057","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T11:53:32Z","timestamp":1786017212000},"source":"Crossref","is-referenced-by-count":0,"title":["Experiences and expectations of people with alcohol use disorder and their families in general medical settings in Japan: a qualitative study"],"prefix":"10.1093","volume":"61","author":[{"given":"Kazumi","family":"Inokuchi","sequence":"first","affiliation":[{"name":"Department of Healthcare Economics and Quality Management, School of Public Health, Graduate School of Medicine, Kyoto University , Yoshida-Konoe-cho, Sakyo-ku, Kyoto 606-8501 ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayako","family":"Kohno","sequence":"additional","affiliation":[{"name":"Department of Health Informatics, School of Public Health, Graduate School of Medicine, Kyoto University , Yoshida-Konoe-cho, Sakyo-ku, Kyoto 606-8501 ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0734-5223","authenticated-orcid":false,"given":"Megumi","family":"Yoshigai","sequence":"additional","affiliation":[{"name":"Department of Healthcare Economics and Quality Management, School of Public Health, Graduate School of Medicine, Kyoto University , Yoshida-Konoe-cho, Sakyo-ku, Kyoto 606-8501 ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoko","family":"Nishishita","sequence":"additional","affiliation":[{"name":"Department of Health Security System, Center for Health Security, Graduate School of Medicine, Kyoto University , Yoshida-Konoe-cho, Sakyo-ku, Kyoto 606-8501 ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4071-9434","authenticated-orcid":false,"given":"Amy","family":"O\u2019Donnell","sequence":"additional","affiliation":[{"name":"Population Health Sciences Institute, Newcastle University , Baddiley-Clark Building, Richardson Road, Newcastle NE2 4AX ,","place":["United Kingdom"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4613-2159","authenticated-orcid":false,"given":"Yuichi","family":"Imanaka","sequence":"additional","affiliation":[{"name":"Department of Healthcare Economics and Quality Management, School of Public Health, Graduate School of Medicine, Kyoto University , Yoshida-Konoe-cho, Sakyo-ku, Kyoto 606-8501 ,","place":["Japan"]},{"name":"Department of Health Security System, Center for Health Security, Graduate School of Medicine, Kyoto University , Yoshida-Konoe-cho, Sakyo-ku, Kyoto 606-8501 ,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,9,1]]},"reference":[{"key":"2026090119272023300_ref1","first-page":"300","article-title":"Prevalence of problematic drinking among outpatients attending general hospitals in Tokyo","volume":"48","author":"Akazawa","year":"2013","journal-title":"Nihon Arukoru Yakubutsu Igakkai Zasshi"},{"key":"2026090119272023300_ref2","doi-asserted-by":"publisher","first-page":"479","DOI":"10.23736\/S2724-5985.22.03292-2","article-title":"Alcohol use disorders, self-help groups as a supplement to pharmacological and psychological therapy? 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