Levels of engagement among office-based opioid treatment (OBOT) patients with concurrent methamphetamine use

IF 2.5 4区医学 Q2 SUBSTANCE ABUSE

American Journal on Addictions Pub Date : 2024-05-06 DOI:10.1111/ajad.13572

Courtney L. Coules MPH, Clara B. Novotny MD, Margaret E. McDonough MD, Albert M. Kopak PhD

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引用次数: 0

Abstract

Background and Objectives

Recent increases in methamphetamine use among people seeking treatment for opioid use disorder (OUD) has created significant demand for effective approaches to support this clinical population. This study assessed the extent to which office-based opioid treatment (OBOT) patients, who were diagnosed with methamphetamine use disorder (MUD), engaged with providers.

Methods

A retrospective analysis was conducted of adult patients (n = 470) seeking treatment for OUD who attended at least one visit between March 2020 and March 2023 at a rural regional OBOT provider. Approximately one quarter (28.7%) of patients were diagnosed with MUD in addition to receiving an OUD diagnosis. Bivariate methods and multivariate negative binomial regression models were estimated to examine the associations between clinical measures and the numbers of office visits, peer visits, and telehealth visits.

Results

Regression results indicated patients who met criteria for MUD in addition to OUD attended a higher rate of peer visits (incidence rate ratio [IRR] = 2.63, p = .036) when compared to patients who did not meet criteria for MUD. In contrast, patients with MUD and OUD diagnoses displayed significantly lower (IRR = 0.68, p < .001) engagement rates through fewer office visits relative to those who did not meet MUD criteria.

Discussion and Conclusions

Patients seeking treatment for OUD who meet criteria for MUD are more likely to engage through peer support specialists rather than office visits.

Scientific Significance

This study demonstrates the ways patients who meet criteria for OUD and MUD engage with providers to receive treatment.

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同时使用甲基苯丙胺的办公室阿片类药物治疗（OBOT）患者的参与程度。

背景和目标：最近，在寻求阿片类药物使用障碍（OUD）治疗的人群中使用甲基苯丙胺的人数有所增加，因此对支持这一临床人群的有效方法产生了巨大需求。本研究评估了被诊断为甲基苯丙胺使用障碍（MUD）的办公室阿片类治疗（OBOT）患者与医疗服务提供者接触的程度：对 2020 年 3 月至 2023 年 3 月期间在农村地区 OBOT 提供者处至少就诊过一次的寻求 OUD 治疗的成年患者（n = 470）进行了回顾性分析。约四分之一（28.7%）的患者在接受 OUD 诊断的同时还被诊断为 MUD。我们采用二元方法和多变量负二项回归模型来检验临床指标与诊室就诊、同伴就诊和远程保健就诊次数之间的关联：回归结果表明，与不符合 MUD 标准的患者相比，除 OUD 外还符合 MUD 标准的患者接受同伴就诊的比例更高（发生率比 [IRR] = 2.63，p = .036）。相比之下，被诊断为 MUD 和 OUD 的患者的同伴就诊率明显较低（IRR = 0.68，p 讨论和结论：符合 MUD 标准的寻求 OUD 治疗的患者更有可能通过同伴支持专家而非诊室就诊参与治疗：本研究展示了符合 OUD 和 MUD 标准的患者与医疗服务提供者接触以接受治疗的方式。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal on Addictions SUBSTANCE ABUSE-

CiteScore

5.00

自引率

0.00%

发文量

118

期刊介绍： The American Journal on Addictions is the official journal of the American Academy of Addiction Psychiatry. The Academy encourages research on the etiology, prevention, identification, and treatment of substance abuse; thus, the journal provides a forum for the dissemination of information in the extensive field of addiction. Each issue of this publication covers a wide variety of topics ranging from codependence to genetics, epidemiology to dual diagnostics, etiology to neuroscience, and much more. Features of the journal, all written by experts in the field, include special overview articles, clinical or basic research papers, clinical updates, and book reviews within the area of addictions.