"How will I get my next week's script?" Reactions of Reddit opioid forum users to changes in treatment access in the early months of the coronavirus pandemic.
"How will I get my next week's script?" Reactions of Reddit opioid forum users to changes in treatment access in the early months of the coronavirus pandemic.
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DOI：
10.1016/j.drugpo.2021.103140
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发表时间：
2021-06
期刊：
影响因子：
--
通讯作者：
Bragg MA
中科院分区：
文献类型：
--
作者：
Krawczyk N;Bunting AM;Frank D;Arshonsky J;Gu Y;Friedman SR;Bragg MA
COVID-19大流行对阿片类药物使用障碍（OUD）患者构成重大挑战。随着地方实施封锁并通过紧急OUD治疗法规，人们开始质疑这些变化将如何影响获得和保留护理。在这项研究中，我们通过对Reddit上的公共讨论论坛进行定性分析，探索COVID-19对OUD治疗的获取、体验和动机的影响。我们从Reddit收集数据，Reddit是一个免费的国际在线平台，致力于公共讨论和用户生成的内容。我们从2020年3月5日至5月13日期间上传的最新帖子中提取了1000个，分别来自两个最受欢迎的阿片类药物子网站“r/Opiates”和“r/OpiatesRecovery”（总计2000个）。我们审查了与COVID-19和阿片类药物使用相关的帖子，并使用混合归纳-演绎方法对内容进行了编码。专题分析确定了与感兴趣的研究问题有关的共同专题。在审查的2000篇帖子中，300篇（15%）讨论了与阿片类药物使用和COVID-19交叉相关的主题。确定了与OUD治疗相关的五个主要主题：对OUD治疗服务关闭的担忧;向远程医疗和虚拟护理的过渡;美沙酮治疗需求和COVID-19暴露增加;对OUD药物法规变化的反应;以及大流行对治疗动机和进展的影响。面对COVID-19带来的前所未有的挑战，Reddit阿片类药物论坛用户的反应从获得和维持治疗的痛苦增加，到鼓励新的治疗模式和参与护理的机会。许多人欢迎新的和限制较少的治疗途径，但问题仍然是新的规范和政策变化将如何在这一流行病之后持续下去，并对OUD治疗的获得和结果产生长期影响。
The COVID-19 pandemic poses significant challenges to people with opioid use disorder (OUD). As localities enforce lockdowns and pass emergency OUD treatment regulations, questions arise about how these changes will affect access and retention in care. In this study, we explore the influence of COVID-19 on access to, experiences with, and motivations for OUD treatment through a qualitative analysis of public discussion forums on Reddit. We collected data from Reddit, a free and international online platform dedicated to public discussions and user-generated content. We extracted 1000 of the most recent posts uploaded between March 5th and May 13th, 2020 from each of the two most popular opioid subreddits “r/Opiates” and “r/OpiatesRecovery” (total 2000). We reviewed posts for relevance to COVID-19 and opioid use and coded content using a hybrid inductive-deductive approach. Thematic analysis identified common themes related to study questions of interest. Of 2000 posts reviewed, 300 (15%) discussed topics related to the intersection of opioid use and COVID-19. Five major themes related to OUD treatment were identified: Concern about closure of OUD treatment services; transition to telehealth and virtual care; methadone treatment requirements and increased exposure to COVID-19; reactions to changing regulations on medications for OUD; and influences of the pandemic on treatment motivation and progress. In the face of unprecedented challenges due to COVID-19, reactions of Reddit opioid forum users ranged from increased distress in accessing and sustaining treatment, to encouragement surrounding new modes of treatment and opportunities to engage in care. New and less restrictive avenues for treatment were welcomed by many, but questions remain about how new norms and policy changes will be sustained beyond this pandemic and impact OUD treatment access and outcomes long-term.
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影响因子：
4.6
作者：
Cinelli M;Quattrociocchi W;Galeazzi A;Valensise CM;Brugnoli E;Schmidt AL;Zola P;Zollo F;Scala A
通讯作者：
Scala A
影响因子：
6
作者：
Krawczyk, Noa;Mojtabai, Ramin;Saloner, Brendan
通讯作者：
Saloner, Brendan
影响因子：
2
作者：
Frank, David
通讯作者：
Frank, David
影响因子：
4.4
作者：
Enghoff, Oskar;Aldridge, Judith
通讯作者：
Aldridge, Judith
DOI：
10.1002/asi.23880
发表时间：
2017-10-01
影响因子：
3.5
作者：
Costello, Kaitlin L.;Martin, John D., III;Brinegar, Ashlee Edwards
通讯作者：
Brinegar, Ashlee Edwards