为接受丁丙诺啡治疗阿片类药物使用障碍的患者的支持人员提供群体远程保健干预的可行性和可接受性。

0 PSYCHOLOGY, CLINICAL

Journal of substance use and addiction treatment Pub Date : 2025-01-23 DOI:10.1016/j.josat.2025.209628

Elizabeth Ueland , Katherine Nameth , Jennifer K. Manuel , Karen Chan Osilla

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引用次数: 0

摘要

背景：在2019冠状病毒病大流行期间，阿片类药物相关过量用药大幅增加，迫切需要为阿片类药物使用障碍患者和支持他们的人（支持人员）提供可获得的治疗。支持人员可以改善OUD患者的治疗开始和维持。此外，支持人员可能也有与他们所爱的人的OUD相关的心理健康需求。不幸的是，对于患有OUD的个人的支持人员来说，很少有治疗选择。可获得和可行的以支持人员为重点的群体远程保健干预（称为eINSPIRE）有助于填补支持人员的治疗空白，并改善OUD患者的治疗结果。方法：对接受丁丙诺啡治疗的患者（n = 9）、他们的支持人员（n = 12）和诊所工作人员（n = 6）进行访谈，了解他们对为支持人员设计的团体远程医疗干预的看法。从两个社区卫生诊所招募患者和辅助人员，参加定性访谈和/或焦点小组。使用经典的内容分析，我们然后分析这些数据来评估可行性，可接受性和可用性团体远程医疗干预的支持人员。结果：eINSPIRE干预总体上被认为是可接受的、可行的和可用的。所有支助人员（n = 12）都同意可以接受团体远程保健，完成eINSPIRE演示会议的支助人员认为它很有用（IUS = 72.5）。患者表示，eINSPIRE将有利于支持人员，可以提供他们在直接社区无法获得的服务，但也缺乏亲近感。与会者还发现，团体远程保健比面对面的替代方案更容易获得，并建议如何改进干预措施的提供。结论：团体远程医疗可能是一种可行和可接受的选择，可以提供干预措施，以支持人们，并可以减少这一人群由于竞争需求而经常遇到的治疗障碍。然而，由于样本量的限制，需要更多的参与者视角和未来的研究。

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Feasibility and acceptability of the delivery of a group telehealth intervention for support persons of patients receiving buprenorphine for opioid use disorder

Background

Opioid-related overdoses increased substantially during the COVID-19 pandemic, eliciting an urgent demand for accessible treatment for individuals with opioid use disorder (OUD) and those who support them (support persons). Support persons can improve treatment initiation and retention in their individuals with OUD. Additionally, support persons may have their own mental health needs related to their loved one's OUD. Unfortunately, few treatment options exist for support persons of individuals with an OUD. A support person-focused group telehealth intervention (referred to as eINSPIRE) that is accessible and feasible could help fill the treatment gap for support persons and bolster outcomes for individuals with OUD.

Methods

The study interviewed patients receiving buprenorphine (n = 9), their support persons (n = 12), and clinic staff members (n = 6) about their perceptions on a group telehealth intervention designed for support persons. Patient and support person dyads were recruited from two community health clinics to participate in a qualitative interview and/or focus group. Using classic content analysis, we then analyzed this data to evaluate the feasibility, acceptability, and usability of a group telehealth intervention for support persons.

Results

The eINSPIRE intervention was deemed generally acceptable, feasible, and usable. All support persons (n = 12) agreed that group telehealth was acceptable and those who completed an eINSPIRE demo session found it usable (IUS = 72.5). Patients indicated that eINSPIRE would be beneficial for support persons, and could provide services that are unattainable to them in their immediate community, but that groups sometimes lacked intimacy. Participants also found group telehealth to be more accessible than in-person alternatives and suggested how to improve the delivery of the intervention.

Conclusions

Group telehealth may be a feasible and acceptable option for delivering an intervention to support persons and could reduce barriers to treatment that this population often experiences due to competing demands. However, due to sample size limitations, more participant perspectives and future research are needed.

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来源期刊

Journal of substance use and addiction treatment Biological Psychiatry, Neuroscience (General), Psychiatry and Mental Health, Psychology (General)

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