Exploring the Lived Experiences of Medication for Opioid use Disorder Treatment: A Qualitative Study among a Crowdsourced Convenience Sample.

IF 1.8 4区医学 Q3 HEALTH POLICY & SERVICES Community Mental Health Journal Pub Date : 2024-09-05 DOI:10.1007/s10597-024-01345-9

Grant Victor, A Kheibari, J C Strickland

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Abstract

Given the effectiveness of medication for opioid use disorder (MOUD) and low engagement of treatment among people who use drugs (PWUD), it is important to better understand how to engage treatment clients with MOUD care. The current study aimed to achieve this goal by using qualitative methodology to characterize the MOUD treatment experiences. Participants (N = 52) were recruited for an online semi-structured interview. Qualitative analysis revealed varied treatment experiences, with the majority expressing irregular and intermittent MOUD treatment engagement. The therapeutic effects of MOUD in curbing withdrawal symptoms in conjunction with counseling services was frequently mentioned, as well as a preference for methadone maintenance treatment (MMT) to buprenorphine or naltrexone. Many participants described barriers to treatment and continuation of care, including failed drug screens for non-opioid drugs, perceived stigma, and physician-initiated discontinuation of treatment. The current study revealed that patients had favorable experiences with MOUD treatment, particularly when supplemented with counseling services.

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探索阿片类药物使用障碍治疗的生活体验：一项针对众包便利样本的定性研究。

鉴于药物治疗阿片类药物使用失调症（MOUD）的有效性以及吸毒者（PWUD）的低参与治疗率，更好地了解如何让治疗对象参与 MOUD 护理非常重要。本研究旨在通过使用定性方法来描述阿片类药物使用失调症患者的治疗经历，从而实现这一目标。我们招募了参与者（N = 52）进行在线半结构化访谈。定性分析揭示了不同的治疗经历，其中大多数人表示不定期和间歇性参与 MOUD 治疗。他们经常提到 MOUD 与咨询服务相结合在抑制戒断症状方面的治疗效果，以及对美沙酮维持治疗（MMT）而非丁丙诺啡或纳曲酮的偏好。许多参与者描述了治疗和继续治疗的障碍，包括非阿片类药物的药物筛查失败、感受到的耻辱感以及医生发起的治疗中断。目前的研究显示，患者对 MOUD 治疗有良好的体验，尤其是在辅以咨询服务的情况下。

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来源期刊

Community Mental Health Journal Multiple-

CiteScore

5.30

自引率

3.70%

发文量

133

期刊介绍： Community Mental Health Journal focuses on the needs of people experiencing serious forms of psychological distress, as well as the structures established to address those needs. Areas of particular interest include critical examination of current paradigms of diagnosis and treatment, socio-structural determinants of mental health, social hierarchies within the public mental health systems, and the intersection of public mental health programs and social/racial justice and health equity. While this is the journal of the American Association for Community Psychiatry, we welcome manuscripts reflecting research from a range of disciplines on recovery-oriented services, public health policy, clinical delivery systems, advocacy, and emerging and innovative practices.