Ueland Elizabeth, Nameth Katherine, Manuel Jennifer K, Osilla Karen Chan
Stanford University School of Medicine, Department of Psychiatry and Behavioral Sciences, 1070 Arastradero Road, Palo Alto, CA 94304, United States of America.
San Francisco VA Health Care System, 4150 Clement St., San Francisco, CA 94121, United States of America; University of California San Francisco, Department of Psychiatry and Behavioral Sciences, 675 18(th) Street, San Francisco, CA 94143, United States of America.
J Subst Use Addict Treat. 2025 Mar;170:209628. doi: 10.1016/j.josat.2025.209628. Epub 2025 Jan 23.
Opioid-related overdoses increased substantially during the COVID-19 pandemic, eliciting an urgent demand for accessible treatment for individuals with opioid use disorder (OUD) and those who support them (support persons). Support persons can improve treatment initiation and retention in their individuals with OUD. Additionally, support persons may have their own mental health needs related to their loved one's OUD. Unfortunately, few treatment options exist for support persons of individuals with an OUD. A support person-focused group telehealth intervention (referred to as eINSPIRE) that is accessible and feasible could help fill the treatment gap for support persons and bolster outcomes for individuals with OUD.
The study interviewed patients receiving buprenorphine (n = 9), their support persons (n = 12), and clinic staff members (n = 6) about their perceptions on a group telehealth intervention designed for support persons. Patient and support person dyads were recruited from two community health clinics to participate in a qualitative interview and/or focus group. Using classic content analysis, we then analyzed this data to evaluate the feasibility, acceptability, and usability of a group telehealth intervention for support persons.
The eINSPIRE intervention was deemed generally acceptable, feasible, and usable. All support persons (n = 12) agreed that group telehealth was acceptable and those who completed an eINSPIRE demo session found it usable (IUS = 72.5). Patients indicated that eINSPIRE would be beneficial for support persons, and could provide services that are unattainable to them in their immediate community, but that groups sometimes lacked intimacy. Participants also found group telehealth to be more accessible than in-person alternatives and suggested how to improve the delivery of the intervention.
Group telehealth may be a feasible and acceptable option for delivering an intervention to support persons and could reduce barriers to treatment that this population often experiences due to competing demands. However, due to sample size limitations, more participant perspectives and future research are needed.
在2019冠状病毒病大流行期间，与阿片类药物相关的过量用药情况大幅增加，这引发了对阿片类药物使用障碍（OUD）患者及其支持者（支持人员）可及治疗的迫切需求。支持人员可以促进患有阿片类药物使用障碍的个体开始治疗并坚持治疗。此外，支持人员自身可能因亲人患有阿片类药物使用障碍而有心理健康需求。不幸的是，针对患有阿片类药物使用障碍个体的支持人员，几乎没有治疗选择。一种以支持人员为重点的团体远程医疗干预措施（称为eINSPIRE），如果是可及且可行的，可能有助于填补支持人员的治疗空白，并改善患有阿片类药物使用障碍个体的治疗效果。
该研究就他们对一项为支持人员设计的团体远程医疗干预措施的看法，采访了接受丁丙诺啡治疗的患者（n = 9）、他们的支持人员（n = 12）以及诊所工作人员（n = 6）。从两家社区卫生诊所招募患者和支持人员二元组，以参与定性访谈和/或焦点小组。然后，我们使用经典内容分析法分析这些数据，以评估针对支持人员的团体远程医疗干预措施的可行性、可接受性和可用性。
eINSPIRE干预措施被认为总体上是可接受的、可行的且可用的。所有支持人员（n = 12）都认为团体远程医疗是可接受的，并且完成eINSPIRE演示环节的人员认为它是可用的（IUS = 72.5）。患者表示，eINSPIRE对支持人员有益，并且可以提供他们所在社区无法获得的服务，但团体有时缺乏亲密感。参与者还发现团体远程医疗比面对面的替代方式更容易获得，并提出了如何改进干预措施的实施。
团体远程医疗可能是为支持人员提供干预措施的一种可行且可接受的选择，并且可以减少该人群因需求冲突而经常遇到的治疗障碍。然而，由于样本量限制，需要更多参与者的观点和未来研究。
