Department of Family Medicine, Primary Care Research Institute, 12291University at Buffalo, Buffalo, NY, USA.
160089Erie County Department of Health, Buffalo, NY, USA.
Qual Health Res. 2022 Jul;32(8-9):1386-1398. doi: 10.1177/10497323221104315. Epub 2022 May 28.
The prevalence of opioid use disorder (OUD) and surge in overdose deaths remain key public health concerns. Despite evidence supporting the efficaciousness of medications for opioid use disorder, most people with OUD do not receive treatment. In this qualitative study, semi-structured interviews were conducted with 35 adults in a northeastern city to learn about their experiences with substance use treatment. Qualitative data were analyzed using an inductive thematic content analysis approach, and a social ecological model was applied to examine contextual factors affecting participants' experiences accessing and engaging in treatment. While we organized our findings following the individual, interpersonal, community, and society levels of the socio-ecological model, we also observed overlap and interconnectedness between and across these levels. Our findings suggest that retention in treatment often depends upon personal motivation, treatment availability, the match of the treatment modality to an individual's needs, and social support. A person-centered approach is needed to promote individualized care and tailor treatment components to the patient's needs.
阿片类使用障碍（OUD）的流行和过量死亡的激增仍然是主要的公共卫生关注点。尽管有证据支持阿片类使用障碍药物的有效性，但大多数 OUD 患者并未接受治疗。在这项定性研究中，对东北部城市的 35 名成年人进行了半结构化访谈，以了解他们在物质使用治疗方面的经历。使用归纳主题内容分析方法对定性数据进行了分析，并应用社会生态模型来检查影响参与者获得和参与治疗的背景因素。虽然我们按照社会生态模型的个体、人际、社区和社会层面组织我们的发现，但我们也观察到这些层面之间和之内存在重叠和相互联系。我们的研究结果表明，治疗的保留往往取决于个人动机、治疗的可及性、治疗模式与个人需求的匹配程度以及社会支持。需要采取以患者为中心的方法来促进个体化护理，并根据患者的需求调整治疗内容。
