Victor Grant, Kheibari A, Strickland J C
School of Social Work, Rutgers University, 120 Albany St, New Brunswick, NJ, 08901, USA.
School of Social Work, Wayne State University, 5447 Woodward Ave, Detroit, MI, 48202, USA.
Community Ment Health J. 2025 Apr;61(3):411-419. doi: 10.1007/s10597-024-01345-9. Epub 2024 Sep 5.
Given the effectiveness of medication for opioid use disorder (MOUD) and low engagement of treatment among people who use drugs (PWUD), it is important to better understand how to engage treatment clients with MOUD care. The current study aimed to achieve this goal by using qualitative methodology to characterize the MOUD treatment experiences. Participants (N = 52) were recruited for an online semi-structured interview. Qualitative analysis revealed varied treatment experiences, with the majority expressing irregular and intermittent MOUD treatment engagement. The therapeutic effects of MOUD in curbing withdrawal symptoms in conjunction with counseling services was frequently mentioned, as well as a preference for methadone maintenance treatment (MMT) to buprenorphine or naltrexone. Many participants described barriers to treatment and continuation of care, including failed drug screens for non-opioid drugs, perceived stigma, and physician-initiated discontinuation of treatment. The current study revealed that patients had favorable experiences with MOUD treatment, particularly when supplemented with counseling services.
鉴于药物治疗阿片类物质使用障碍（MOUD）的有效性以及吸毒者（PWUD）对治疗的低参与度，更好地了解如何让治疗客户接受MOUD护理非常重要。当前的研究旨在通过使用定性方法来描述MOUD治疗经历来实现这一目标。招募了参与者（N = 52）进行在线半结构化访谈。定性分析揭示了不同的治疗经历，大多数人表示MOUD治疗参与不规律且断断续续。经常提到MOUD在结合咨询服务抑制戒断症状方面的治疗效果，以及对美沙酮维持治疗（MMT）优于丁丙诺啡或纳曲酮的偏好。许多参与者描述了治疗和持续护理的障碍，包括非阿片类药物药物筛查失败、感知到的耻辱感以及医生发起的治疗中断。当前的研究表明，患者对MOUD治疗有良好的体验，特别是在辅以咨询服务时。
