Journal of Addiction Medicine,
Год журнала:
2022,
Номер
17(2), С. e110 - e118
Опубликована: Сен. 19, 2022
Introduction
Temporary
policy
changes
during
the
coronavirus
disease
2019
pandemic
facilitated
rapid
expansion
of
medication
for
opioid
use
disorder
via
telemedicine
(tele-MOUD).
Evidence
tele-MOUD
best
practices
and
its
impact
on
treatment
engagement
retention
remains
limited.
This
quality
improvement
initiative
compared
implementation
among
Pennsylvania
(MOUD)
programs,
evaluated
sociodemographic
characteristics
patients
using
tele-MOUD,
described
trends
in
patient
retention.
Methods
Five
health
systems
with
MOUD
programs
completed
questionnaires
regarding
their
models
provided
aggregated
data
in-person
visits
2020.
Three
monthly
appointment
(scheduled,
completed,
no-show,
visits)
over
period
which
scaled
up.
Results
Differences
protocols
related
to
provision
inductions,
eligibility
operationalization
remote
drug
testing.
Across
88%
prescribers
conducted
appointments,
50%
used
We
observed
differences,
a
greater
proportion
female,
White,
non-Hispanic
tele-MOUD.
data,
overall
enrollment
increased,
new
remained
relatively
constant.
Engagement
suggested
temporary
decline
no-show
appointments
that
aligned
escalation
one
program.
Conclusions
Tele-MOUD
protocol
differences
indicate
need
research
inform
evidence-based
guidance.
Findings
suggest
largely
engaged
retained
as
was
implemented
but
reveal
inequities
use,
highlighting
efforts
overcome
technology
access
barriers
avoid
exacerbating
disparities
access.
Journal of Advanced Nursing,
Год журнала:
2021,
Номер
77(9), С. 3829 - 3841
Опубликована: Июнь 16, 2021
Abstract
Aim
This
study
aimed
to
explore
the
experiences
of
alcohol
and
other
drug
nurses
transitioning
telehealth
due
COVID‐19
pandemic.
Background
has
caused
immense
disruption
healthcare
services,
reduce
viral
transmission,
many
services
moved
off‐site
care
delivery
modalities
such
as
telehealth.
Design
We
used
a
qualitative
descriptive
design
for
this
study.
Methods
Secondary
analysis
semistructured
interviews
with
from
Australia
New
Zealand
(
n
=
19)
was
conducted
in
July
August
2020.
Data
were
analysed
using
thematic
reported
COREQ
guidelines.
Results
Three
identified:
‘“All
our
face‐to‐face
contact
ceased
clients”:
Changing
service
delivery’,
‘“How
do
I
my
job
when
can't
see
you?”:
An
anxious
shift
delivery’
‘“A
lot
Indigenous
people
don't
like
FaceTiming
all
that”:
Challenges
through
telehealth’.
Conclusion
Participants
challenges
modalities.
The
perceived
loss
therapeutic
communication,
difficulties
assessing
risks
consumers
domestic
violence
delivering
marginalized
consumer
cohort
need
be
overcome
before
is
considered
successful
treatment.
However,
adjunct
existing
practices
working
regional
or
remote
areas
where
preferred
method
delivery.
Impact
Nurses
described
substantial
issues
treatment
via
telehealth,
including
perception
that
barrier
addressing
who
use
drugs,
therapeutically
beneficial
way
Telehealth
means
transmission
reduction
contact,
although
it
may
useful
some
functions,
detrimental
clinical
provide.
JMIR Formative Research,
Год журнала:
2021,
Номер
6(3), С. e32871 - e32871
Опубликована: Дек. 23, 2021
The
COVID-19
pandemic
has
transformed
how
people
seeking
to
reduce
opioid
use
access
treatment
services
and
navigate
efforts
abstain
from
using
opioids.
Social
distancing
policies
have
drastically
reduced
many
forms
of
social
support,
but
they
may
also
upended
some
perceived
barriers
reducing
or
abstaining
use.This
qualitative
study
aims
identify
informal
coping
strategies
for
among
Reddit
users
who
posted
in
opioid-related
subreddits
at
the
beginning
pandemic.We
extracted
data
2
major
subreddits.
Thematic
analysis
was
used
evaluate
subreddit
posts
dated
March
5
May
13,
2020,
that
referenced
use,
resulting
a
final
sample
300
were
coded
analyzed.Of
posts,
100
(33.3%)
discussed
least
1
type
strategy.
Those
included
psychological
behavioral
skills,
adoption
healthy
habits,
substances
manage
withdrawal
symptoms.
In
addition,
12
(4%)
explicitly
mentioned
as
an
opportunity
cessation
reduction
use.Reddit
discussion
forums
provided
community
share
support
others
during
pandemic.
Future
research
needs
assess
impact
on
behaviors,
especially
periods
limited
isolation,
these
can
inform
future
curbing
epidemic
other
substance-related
harms.
Journal of Addiction Medicine,
Год журнала:
2022,
Номер
17(2), С. e110 - e118
Опубликована: Сен. 19, 2022
Introduction
Temporary
policy
changes
during
the
coronavirus
disease
2019
pandemic
facilitated
rapid
expansion
of
medication
for
opioid
use
disorder
via
telemedicine
(tele-MOUD).
Evidence
tele-MOUD
best
practices
and
its
impact
on
treatment
engagement
retention
remains
limited.
This
quality
improvement
initiative
compared
implementation
among
Pennsylvania
(MOUD)
programs,
evaluated
sociodemographic
characteristics
patients
using
tele-MOUD,
described
trends
in
patient
retention.
Methods
Five
health
systems
with
MOUD
programs
completed
questionnaires
regarding
their
models
provided
aggregated
data
in-person
visits
2020.
Three
monthly
appointment
(scheduled,
completed,
no-show,
visits)
over
period
which
scaled
up.
Results
Differences
protocols
related
to
provision
inductions,
eligibility
operationalization
remote
drug
testing.
Across
88%
prescribers
conducted
appointments,
50%
used
We
observed
differences,
a
greater
proportion
female,
White,
non-Hispanic
tele-MOUD.
data,
overall
enrollment
increased,
new
remained
relatively
constant.
Engagement
suggested
temporary
decline
no-show
appointments
that
aligned
escalation
one
program.
Conclusions
Tele-MOUD
protocol
differences
indicate
need
research
inform
evidence-based
guidance.
Findings
suggest
largely
engaged
retained
as
was
implemented
but
reveal
inequities
use,
highlighting
efforts
overcome
technology
access
barriers
avoid
exacerbating
disparities
access.
