Baus Adam D, Carter Martha, Boyd Jennifer, McMullen Erin, Bennett Trey, Persily Alexandra, Davidov Danielle M, Lilly Christa
West Virginia University School of Public Health; West Virginia Alliance for Creative Health Solutions, Inc.,
West Virginia Alliance for Creative Health Solutions, Inc.
J Appalach Health. 2023 Apr 1;5(1):72-94. doi: 10.13023/jah.0501.06. eCollection 2023.
Opioid addiction and opioid-related overdoses and deaths are serious public health problems nationally and in West Virginia, in particular. Medication-assisted treatment (MAT) is an effective yet underutilized treatment for opioid use disorder (OUD).
Research examining factors that help individuals succeed in MAT has been conducted from provider and program perspectives, but little research has been conducted from the perspective of those in recovery.
This study, co-developed with individuals in recovery, took place in West Virginia-based MAT programs using an exploratory sequential mixed methods approach. The survey was open February through August 2021. Data were analyzed late 2021 through mid 2022.
Respondents experienced many barriers to MAT entry and retention, including community bias / stigma, lack of affordable programming, and lack of transportation. Respondents sought MAT primarily for personal reasons, such as being tired of being sick, and tired of having to look for drugs every day. As one respondent shared,
Programs and policies should make it easy for individuals to enter treatment when ready, through affordable and accessible treatment options, reduced barriers to medications, focused outreach and education, individualized care, and reduced stigmatization.
阿片类药物成瘾以及与阿片类药物相关的过量用药和死亡在全国范围内，尤其是在西弗吉尼亚州，都是严重的公共卫生问题。药物辅助治疗（MAT）是治疗阿片类药物使用障碍（OUD）的一种有效但未得到充分利用的治疗方法。
从提供者和项目的角度开展了研究，探讨有助于个体在药物辅助治疗中取得成功的因素，但从康复者的角度进行的研究很少。
本研究与康复者共同开展，在西弗吉尼亚州的药物辅助治疗项目中采用探索性序列混合方法。该调查于2021年2月至8月开放。数据于2021年末至2022年年中进行分析。
受访者在进入和维持药物辅助治疗方面遇到了许多障碍，包括社区偏见/污名、缺乏负担得起的项目以及缺乏交通。受访者寻求药物辅助治疗主要是出于个人原因，比如厌倦生病，厌倦每天都要去找毒品。正如一位受访者所说，
项目和政策应通过提供负担得起且可及的治疗选择、减少药物获取障碍、有针对性的外展和教育、个性化护理以及减少污名化，让个体在准备好时能够轻松进入治疗。
