Department of Medicine, University of Virginia School of Medicine, Charlottesville, VA, USA.
Department of Family Medicine, University of Michigan Medical School, Ann Arbor, MI, USA.
Patient Educ Couns. 2022 Jul;105(7):2110-2115. doi: 10.1016/j.pec.2022.02.014. Epub 2022 Feb 24.
Our team developed the HOPE app as a clinic-based platform to support patients receiving medication assisted treatment (MAT) for opioid use disorder. We investigated the app's two communication features: an anonymous community message board (CMB) and secure messaging between patients and their clinic team.
The HOPE (Heal Overcome Persist Endure) app was piloted with patients and MAT providers. Text from the CMB and messaging were downloaded and de-identified. Content analysis was performed using iteratively developed codebooks with team consensus.
The pilot study enrolled 28 participants; 25 were "members" (patients) and 3 were providers (physician, nurse, social worker). Of member-generated CMB posts, 45% described the poster's state of mind, including positive and negative emotions, 47% conveyed support and 8% asked for support. Members' secure messages to the team included 52% medical, 45% app-related, and 8% social topics. Provider's messages contained information exchange (90%) and relationship-building (36%).
Through the CMB, members shared emotions and social support with their peers. Through secure messaging, members addressed medical and social needs with their care team, used primarily for information exchange but also relationship-building.
The HOPE app addresses communication needs for patients in MAT and can support them in recovery.
我们的团队开发了 HOPE 应用程序，作为一个基于诊所的平台，为接受药物辅助治疗（MAT）的阿片类药物使用障碍患者提供支持。我们研究了该应用程序的两个通讯功能：匿名社区留言板（CMB）和患者与其诊所团队之间的安全消息传递。
HOPE（治愈、克服、坚持、忍耐）应用程序在患者和 MAT 提供者中进行了试点。从 CMB 和消息中下载并去识别文本。使用团队共识逐步开发的代码本进行内容分析。
试点研究招募了 28 名参与者；25 名是“成员”（患者），3 名是提供者（医生、护士、社会工作者）。成员生成的 CMB 帖子中，45%描述了发帖人的心态，包括积极和消极的情绪，47%传达了支持，8%寻求支持。成员向团队发送的安全消息包括 52%的医疗、45%的应用程序相关和 8%的社交主题。提供者的信息包含信息交流（90%）和关系建立（36%）。
通过 CMB，成员与同伴分享情绪和社会支持。通过安全消息传递，成员与他们的护理团队解决医疗和社会需求，主要用于信息交流，但也用于建立关系。
HOPE 应用程序满足了 MAT 患者的沟通需求，并可以支持他们康复。
