School of Medicine, University College Dublin, Dublin, Ireland
Management of Addiction in Primary Care, Irish College of General Practitioners, Dublin, Ireland.
BMJ Open. 2020 Dec 4;10(12):e040556. doi: 10.1136/bmjopen-2020-040556.
The global opioid-related disease burden is significant. Opioid agonist treatment (OAT) can be effective in reducing illicit opioid use and fatal overdose, and improving multiple health and social outcomes. Despite evidence for its effectiveness, there are significant deficits in OAT globally. COVID-19 has required rapid adaptation of remote models of healthcare. Telemedicine is not used routinely in OAT, and little is known about the current levels of use and effectiveness. The objective of this review is to describe models of telemedicine and their efficacy.
This scoping review uses the review methodology described by Arksey and O'Malley and adapted by Levac . The search strategy developed by the medical librarian at the Irish College of General Practitioners in conjunction with the research team will involve five databases (PubMed, EMBASE, the Cochrane Library, PsycInfo and OpenGrey) and the hand searching of reference lists. A limited initial search of two databases will be completed to refine search terms, followed by a second comprehensive search using newly refined search terms of all databases and finally hand searching references of included studies. To be included, studies must report on remote ways of providing OAT (including assessment, induction and monitoring) or related psychosocial support; be published in English after 2010. Two researchers will independently screen titles, abstracts and full-text articles considered for inclusion. Data will be extracted onto an agreed template and will undergo a descriptive analysis of the contextual or process-oriented data and simple quantitative analysis using descriptive statistics.
Research ethics approval is not required for this scoping review. The results of this scoping review will inform the development of a national remote model of OAT. The results will be published in peer-reviewed journals and presented at relevant conferences.
全球阿片类相关疾病负担巨大。阿片类激动剂治疗(OAT)可有效减少非法阿片类药物使用和致命过量,并改善多种健康和社会结果。尽管有其有效性的证据,但全球范围内 OAT 仍存在严重不足。COVID-19 要求快速调整远程医疗模式。远程医疗在 OAT 中未常规使用,目前对其使用水平和效果知之甚少。本综述的目的是描述远程医疗模式及其疗效。
本范围综述采用 Arksey 和 O'Malley 描述并由 Levac 改编的综述方法。由爱尔兰普通医生学院的医学图书管理员与研究团队共同制定的搜索策略将涉及五个数据库(PubMed、EMBASE、Cochrane 图书馆、PsycInfo 和 OpenGrey)和参考列表的手动搜索。将完成对两个数据库的有限初始搜索以完善搜索词,然后使用所有数据库的新精炼搜索词进行第二次全面搜索,最后手动搜索纳入研究的参考文献。要纳入的研究必须报告远程提供 OAT 的方法(包括评估、诱导和监测)或相关心理社会支持;2010 年后以英文发表。两名研究人员将独立筛选标题、摘要和全文文章以确定是否纳入。数据将提取到商定的模板中,并对上下文或面向过程的数据进行描述性分析,并使用描述性统计进行简单的定量分析。
本范围综述不需要研究伦理批准。该范围综述的结果将为开发国家远程 OAT 模式提供信息。结果将发表在同行评议期刊上,并在相关会议上展示。