Szpak Veronica, Prostko Sara, Weiss Roger D, Suzuki Joji
Department of Psychiatry, Brigham and Women's Hospital, Boston, MA, United States.
Department of Psychiatry, Harvard Medical School, Boston, MA, United States.
Addict Behav Rep. 2024 Apr 19;19:100546. doi: 10.1016/j.abrep.2024.100546. eCollection 2024 Jun.
Individuals with opioid use disorder (OUD) who inject drugs have an elevated risk of experiencing serious injection-related infections. While such infections can be treated, treatment for the underlying OUD is often limited. One potential strategy for more intensive addiction treatment is to offer a remotely delivered intensive outpatient program (IOP), adapted from an existing remote IOP ("Smart IOP"). We aimed to conduct a qualitative study to gather feedback on Smart IOP and identify adaptations needed for hospitalized patients.
Individuals with OUD and a history of serious injection-related infections completed a semi-structured interview and were shown samples of the videos and program content. The interviews were transcribed verbatim and coded to conduct a thematic analysis.
Seventeen individuals participated. The mean age was 40.8 years and 70.6 % were men. Participants reported that IOP during the hospitalization would have been helpful to their recovery. The themes that emerged were the importance of medications for OUD, having a relapse prevention plan, engaging with a recovery coach, and ensuring treatment linkage post-discharge. Other themes included the recognition of the severity of one's illness and the emotional experiences related to the hospitalization.
Participants expressed the value of an IOP during hospitalization and provided insights into the support needed while hospitalized. The tailored IOP is now being developed and will undergo a pilot feasibility trial.
注射毒品的阿片类物质使用障碍（OUD）患者发生严重注射相关感染的风险较高。虽然此类感染可以得到治疗，但对潜在的OUD的治疗往往有限。一种强化成瘾治疗的潜在策略是提供一种远程提供的强化门诊项目（IOP），该项目改编自现有的远程IOP（“智能IOP”）。我们旨在进行一项定性研究，以收集关于智能IOP的反馈，并确定住院患者所需的调整。
有OUD且有严重注射相关感染病史的个体完成了一次半结构化访谈，并观看了视频和项目内容样本。访谈逐字记录并编码以进行主题分析。
17人参与。平均年龄为40.8岁，70.6%为男性。参与者报告说，住院期间的IOP对他们康复有帮助。出现的主题包括用于OUD的药物的重要性、有预防复发计划、与康复教练接触以及确保出院后的治疗联系。其他主题包括认识到自身疾病的严重性以及与住院相关的情感体验。
参与者表达了住院期间IOP的价值，并提供了住院期间所需支持的见解。现在正在开发量身定制的IOP，并将进行试点可行性试验。
