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
- Institución
- Consejo Nacional de Investigaciones Científicas y Técnicas
- OAI Identificador
- oai:ri.conicet.gov.ar:11336/171868
Ver los metadatos del registro completo
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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/ |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Springer |
publisher.none.fl_str_mv |
Springer |
dc.source.none.fl_str_mv |
reponame:CONICET Digital (CONICET) instname:Consejo Nacional de Investigaciones Científicas y Técnicas |
reponame_str |
CONICET Digital (CONICET) |
collection |
CONICET Digital (CONICET) |
instname_str |
Consejo Nacional de Investigaciones Científicas y Técnicas |
repository.name.fl_str_mv |
CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas |
repository.mail.fl_str_mv |
dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar |
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1842269649393156096 |
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13.13397 |