University of Central Florida, Orlando, Department of Health Informatics, Florida, USA.
University of Central Florida, Orlando, Department of Internal Medicine Florida, USA.
Qual Health Res. 2021 Feb;31(3):512-522. doi: 10.1177/1049732320971231. Epub 2020 Nov 19.
Treatment preferences of people with opioid use disorder (OUD) have been underexplored, especially among those with a history of utilizing medications for opioid use disorder (MOUD). Therefore, we sought to understand preferred characteristics of substance use disorder treatment centers among people recovering from OUD with a history of MOUD utilization. We recruited 30 individuals from eight states through snowball sampling initiated at three syringe exchange programs. Telephone interviews were audio-recorded and transcribed in 2018-2019. Inductive thematic analysis in Dedoose software occurred iteratively with recruitment. The following were "ideal" treatment center themes: a menu of treatment options, including MOUD and nonspiritual peer support groups; an integrated system with multiple care levels (e.g., outpatient, residential); a harm reduction approach, including for goal setting and success measures; adjunctive support services (e.g., housing); and employees with recovery experience and professional education. Many preferences directly related to core principles of person-centered care and harm reduction.
治疗偏好的人阿片类药物使用障碍（OUD）一直被低估，尤其是那些有利用药物治疗阿片类药物使用障碍（MOUD）的历史。因此，我们试图了解那些有 MOUD 利用史的阿片类药物使用障碍康复者对物质使用障碍治疗中心的偏好特征。我们通过在三个注射器交换项目中启动的滚雪球抽样方法，从八个州招募了 30 人。电话访谈在 2018-2019 年进行了音频记录和转录。在德多斯软件中，归纳主题分析是迭代进行的，同时也进行了招募。以下是“理想”治疗中心的主题：治疗选择的菜单，包括 MOUD 和非精神同伴支持小组；一个具有多个护理水平的综合系统（如门诊、住院）；一种减少伤害的方法，包括目标设定和成功措施；辅助支持服务（如住房）；以及具有康复经验和专业教育的员工。许多偏好直接与以人为本的护理和减少伤害的核心原则相关。
