Three-month outcomes from a patient-centered program to treat opioid use disorder in Iowa, USA

Autores
Lynch, Alison C.; Weber, Andrea N.; Hedden, Suzy; Sabbagh, Sayeh; Arndt, Stephan; Acion, Laura
Año de publicación
2021
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Background: Opioid use disorder (OUD), a chronic disease, is a major public health problem. Despite availability of effective treatment, too few people receive it and treatment retention is low. Understanding barriers and facilitators of treatment access and retention is needed to improve outcomes for people with OUD. Objectives: To assess 3-month outcomes pilot data from a patient-centered OUD treatment program in Iowa, USA, that utilized flexible treatment requirements and prioritized engagement over compliance. Methods: Forty patients (62.5% female: mean age was 35.7 years, SD 9.5) receiving medication, either buprenorphine or naltrexone, to treat OUD were enrolled in an observational study. Patients could select or decline case management, counseling, and peer recovery groups. Substance use, risk and protective factors, and recovery capital were measured at intake and 3 months. Results: Most participants reported increased recovery capital. The median Assessment of Recovery Capital (ARC) score went from 37 at enrollment to 43 (p < 0.01). Illegal drug use decreased, with the median days using illegal drugs in the past month dropping from 10 to 0 (p < 0.001). Cravings improved: 29.2% reported no cravings at intake and 58.3% reported no cravings at 3 months (p < 0.001). Retention rate was 92.5% at 3 months. Retention rate for participants who were not on probation/parole was higher (96.9%) than for those on probation/parole (62.5%, p = 0.021). Conclusion: This study shows preliminary evidence that a care model based on easy and flexible access and strategies to improve treatment retention improves recovery capital, reduces illegal drug use and cravings, and retains people in treatment.
Fil: Lynch, Alison C.. University of Iowa; Estados Unidos
Fil: Weber, Andrea N.. University of Iowa; Estados Unidos
Fil: Hedden, Suzy. University of Iowa; Estados Unidos
Fil: Sabbagh, Sayeh. University of Iowa; Estados Unidos
Fil: Arndt, Stephan. University of Iowa; Estados Unidos
Fil: Acion, Laura. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Instituto de Calculo. - Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Instituto de Calculo; Argentina
Materia
ADDICTION RECOVERY
OPIOIDS
TREATMENT RETENTION
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/171868

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network_name_str CONICET Digital (CONICET)
spelling Three-month outcomes from a patient-centered program to treat opioid use disorder in Iowa, USALynch, Alison C.Weber, Andrea N.Hedden, SuzySabbagh, SayehArndt, StephanAcion, LauraADDICTION RECOVERYOPIOIDSTREATMENT RETENTIONhttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Background: Opioid use disorder (OUD), a chronic disease, is a major public health problem. Despite availability of effective treatment, too few people receive it and treatment retention is low. Understanding barriers and facilitators of treatment access and retention is needed to improve outcomes for people with OUD. Objectives: To assess 3-month outcomes pilot data from a patient-centered OUD treatment program in Iowa, USA, that utilized flexible treatment requirements and prioritized engagement over compliance. Methods: Forty patients (62.5% female: mean age was 35.7 years, SD 9.5) receiving medication, either buprenorphine or naltrexone, to treat OUD were enrolled in an observational study. Patients could select or decline case management, counseling, and peer recovery groups. Substance use, risk and protective factors, and recovery capital were measured at intake and 3 months. Results: Most participants reported increased recovery capital. The median Assessment of Recovery Capital (ARC) score went from 37 at enrollment to 43 (p < 0.01). Illegal drug use decreased, with the median days using illegal drugs in the past month dropping from 10 to 0 (p < 0.001). Cravings improved: 29.2% reported no cravings at intake and 58.3% reported no cravings at 3 months (p < 0.001). Retention rate was 92.5% at 3 months. Retention rate for participants who were not on probation/parole was higher (96.9%) than for those on probation/parole (62.5%, p = 0.021). Conclusion: This study shows preliminary evidence that a care model based on easy and flexible access and strategies to improve treatment retention improves recovery capital, reduces illegal drug use and cravings, and retains people in treatment.Fil: Lynch, Alison C.. University of Iowa; Estados UnidosFil: Weber, Andrea N.. University of Iowa; Estados UnidosFil: Hedden, Suzy. University of Iowa; Estados UnidosFil: Sabbagh, Sayeh. University of Iowa; Estados UnidosFil: Arndt, Stephan. University of Iowa; Estados UnidosFil: Acion, Laura. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Instituto de Calculo. - Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Instituto de Calculo; ArgentinaSpringer2021-01-12info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/171868Lynch, Alison C.; Weber, Andrea N.; Hedden, Suzy; Sabbagh, Sayeh; Arndt, Stephan; et al.; Three-month outcomes from a patient-centered program to treat opioid use disorder in Iowa, USA; Springer; Substance Abuse Treatment, Prevention, and Policy; 16; 1; 12-1-2021; 1-101747-597XCONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.1186/s13011-021-00342-5info:eu-repo/semantics/altIdentifier/url/https://substanceabusepolicy.biomedcentral.com/articles/10.1186/s13011-021-00342-5info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-03T10:00:36Zoai:ri.conicet.gov.ar:11336/171868instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-03 10:00:37.15CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Three-month outcomes from a patient-centered program to treat opioid use disorder in Iowa, USA
title Three-month outcomes from a patient-centered program to treat opioid use disorder in Iowa, USA
spellingShingle Three-month outcomes from a patient-centered program to treat opioid use disorder in Iowa, USA
Lynch, Alison C.
ADDICTION RECOVERY
OPIOIDS
TREATMENT RETENTION
title_short Three-month outcomes from a patient-centered program to treat opioid use disorder in Iowa, USA
title_full Three-month outcomes from a patient-centered program to treat opioid use disorder in Iowa, USA
title_fullStr Three-month outcomes from a patient-centered program to treat opioid use disorder in Iowa, USA
title_full_unstemmed Three-month outcomes from a patient-centered program to treat opioid use disorder in Iowa, USA
title_sort Three-month outcomes from a patient-centered program to treat opioid use disorder in Iowa, USA
dc.creator.none.fl_str_mv Lynch, Alison C.
Weber, Andrea N.
Hedden, Suzy
Sabbagh, Sayeh
Arndt, Stephan
Acion, Laura
author Lynch, Alison C.
author_facet Lynch, Alison C.
Weber, Andrea N.
Hedden, Suzy
Sabbagh, Sayeh
Arndt, Stephan
Acion, Laura
author_role author
author2 Weber, Andrea N.
Hedden, Suzy
Sabbagh, Sayeh
Arndt, Stephan
Acion, Laura
author2_role author
author
author
author
author
dc.subject.none.fl_str_mv ADDICTION RECOVERY
OPIOIDS
TREATMENT RETENTION
topic ADDICTION RECOVERY
OPIOIDS
TREATMENT RETENTION
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Background: Opioid use disorder (OUD), a chronic disease, is a major public health problem. Despite availability of effective treatment, too few people receive it and treatment retention is low. Understanding barriers and facilitators of treatment access and retention is needed to improve outcomes for people with OUD. Objectives: To assess 3-month outcomes pilot data from a patient-centered OUD treatment program in Iowa, USA, that utilized flexible treatment requirements and prioritized engagement over compliance. Methods: Forty patients (62.5% female: mean age was 35.7 years, SD 9.5) receiving medication, either buprenorphine or naltrexone, to treat OUD were enrolled in an observational study. Patients could select or decline case management, counseling, and peer recovery groups. Substance use, risk and protective factors, and recovery capital were measured at intake and 3 months. Results: Most participants reported increased recovery capital. The median Assessment of Recovery Capital (ARC) score went from 37 at enrollment to 43 (p < 0.01). Illegal drug use decreased, with the median days using illegal drugs in the past month dropping from 10 to 0 (p < 0.001). Cravings improved: 29.2% reported no cravings at intake and 58.3% reported no cravings at 3 months (p < 0.001). Retention rate was 92.5% at 3 months. Retention rate for participants who were not on probation/parole was higher (96.9%) than for those on probation/parole (62.5%, p = 0.021). Conclusion: This study shows preliminary evidence that a care model based on easy and flexible access and strategies to improve treatment retention improves recovery capital, reduces illegal drug use and cravings, and retains people in treatment.
Fil: Lynch, Alison C.. University of Iowa; Estados Unidos
Fil: Weber, Andrea N.. University of Iowa; Estados Unidos
Fil: Hedden, Suzy. University of Iowa; Estados Unidos
Fil: Sabbagh, Sayeh. University of Iowa; Estados Unidos
Fil: Arndt, Stephan. University of Iowa; Estados Unidos
Fil: Acion, Laura. Universidad de Buenos Aires. Facultad de Ciencias Exactas y Naturales. Instituto de Calculo. - Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Ciudad Universitaria. Instituto de Calculo; Argentina
description Background: Opioid use disorder (OUD), a chronic disease, is a major public health problem. Despite availability of effective treatment, too few people receive it and treatment retention is low. Understanding barriers and facilitators of treatment access and retention is needed to improve outcomes for people with OUD. Objectives: To assess 3-month outcomes pilot data from a patient-centered OUD treatment program in Iowa, USA, that utilized flexible treatment requirements and prioritized engagement over compliance. Methods: Forty patients (62.5% female: mean age was 35.7 years, SD 9.5) receiving medication, either buprenorphine or naltrexone, to treat OUD were enrolled in an observational study. Patients could select or decline case management, counseling, and peer recovery groups. Substance use, risk and protective factors, and recovery capital were measured at intake and 3 months. Results: Most participants reported increased recovery capital. The median Assessment of Recovery Capital (ARC) score went from 37 at enrollment to 43 (p < 0.01). Illegal drug use decreased, with the median days using illegal drugs in the past month dropping from 10 to 0 (p < 0.001). Cravings improved: 29.2% reported no cravings at intake and 58.3% reported no cravings at 3 months (p < 0.001). Retention rate was 92.5% at 3 months. Retention rate for participants who were not on probation/parole was higher (96.9%) than for those on probation/parole (62.5%, p = 0.021). Conclusion: This study shows preliminary evidence that a care model based on easy and flexible access and strategies to improve treatment retention improves recovery capital, reduces illegal drug use and cravings, and retains people in treatment.
publishDate 2021
dc.date.none.fl_str_mv 2021-01-12
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/171868
Lynch, Alison C.; Weber, Andrea N.; Hedden, Suzy; Sabbagh, Sayeh; Arndt, Stephan; et al.; Three-month outcomes from a patient-centered program to treat opioid use disorder in Iowa, USA; Springer; Substance Abuse Treatment, Prevention, and Policy; 16; 1; 12-1-2021; 1-10
1747-597X
CONICET Digital
CONICET
url http://hdl.handle.net/11336/171868
identifier_str_mv Lynch, Alison C.; Weber, Andrea N.; Hedden, Suzy; Sabbagh, Sayeh; Arndt, Stephan; et al.; Three-month outcomes from a patient-centered program to treat opioid use disorder in Iowa, USA; Springer; Substance Abuse Treatment, Prevention, and Policy; 16; 1; 12-1-2021; 1-10
1747-597X
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.1186/s13011-021-00342-5
info:eu-repo/semantics/altIdentifier/url/https://substanceabusepolicy.biomedcentral.com/articles/10.1186/s13011-021-00342-5
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/2.5/ar/
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dc.publisher.none.fl_str_mv Springer
publisher.none.fl_str_mv Springer
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