"Sometimes you have to take the person and show them how": adapting behavioral activation for peer recovery specialist-delivery to improve methadone treatment retention.
"Sometimes you have to take the person and show them how": adapting behavioral activation for peer recovery specialist-delivery to improve methadone treatment retention.
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DOI：
10.1186/s13011-023-00524-3
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发表时间：
2023-03-06
影响因子：
3.3
通讯作者：
Magidson, Jessica F.
中科院分区：
文献类型：
--
作者：
Kleinman, Mary B.;Anvari, Morgan S.;Bradley, Valerie D.;Felton, Julia W.;Belcher, Annabelle M.;Seitz-Brown, C. J.;Greenblatt, Aaron D.;Dean, Dwayne;Bennett, Melanie;Magidson, Jessica F.
尽管药物治疗阿片类药物使用障碍有效，但低收入、少数族裔人群的阿片类药物使用障碍治疗结果往往较差。同伴康复专家是具有药物使用和康复经验的个人，他们有能力让难以接触到的患者接受阿片类药物使用障碍的治疗。传统上，同伴康复专家专注于桥接护理而不是提供干预措施。这项研究建立在其他资源匮乏环境下的研究的基础上，这些研究探索了同伴提供基于证据的干预措施，例如行为激活，以扩大获得护理的机会。我们寻求关于同伴康复专家提供的行为激活干预措施的可行性和可接受性的反馈，该干预措施通过增加积极强化来支持美沙酮治疗的保留。我们在美国马里兰州巴尔的摩市的社区美沙酮治疗中心招募了患者和工作人员以及同伴康复专家。半结构化访谈和焦点小组询问了行为激活的可行性和可接受性、适应建议以及在美沙酮治疗的同时与同伴合作的可接受性。参与者（N = 32）表示，通过调整，同伴恢复专家提供的行为激活是可行且可接受的。他们描述了与非结构化时间相关的常见挑战，其中行为激活可能特别相关。参与者提供了同伴提供的干预措施如何适合美沙酮治疗的例子，强调了灵活性和具体同伴素质的重要性。改善阿片类药物使用障碍的药物治疗是国家优先事项，必须采用具有成本效益、可持续的策略来支持个人治疗。研究结果将指导同伴康复专家提供的行为激活干预措施的调整，以提高服务不足、患有阿片类药物使用障碍的少数民族群体的美沙酮治疗保留率。在线版本包含可在 10.1186/s13011-023-00524-3 获取的补充材料。
Despite efficacy of medication for opioid use disorder, low-income, ethno-racial minoritized populations often experience poor opioid use disorder treatment outcomes. Peer recovery specialists, individuals with lived experience of substance use and recovery, are well-positioned to engage hard-to-reach patients in treatment for opioid use disorder. Traditionally, peer recovery specialists have focused on bridging to care rather than delivering interventions. This study builds on research in other low-resource contexts that has explored peer delivery of evidence-based interventions, such as behavioral activation, to expand access to care. We sought feedback on the feasibility and acceptability of a peer recovery specialist-delivered behavioral activation intervention supporting retention in methadone treatment by increasing positive reinforcement. We recruited patients and staff at a community-based methadone treatment center and peer recovery specialist working across Baltimore City, Maryland, USA. Semi-structured interviews and focus groups inquired about the feasibility and acceptability of behavioral activation, recommendations for adaptation, and acceptability of working with a peer alongside methadone treatment. Participants (N = 32) shared that peer recovery specialist-delivered behavioral activation could be feasible and acceptable with adaptations. They described common challenges associated with unstructured time, for which behavioral activation could be particularly relevant. Participants provided examples of how a peer-delivered intervention could fit well in the context of methadone treatment, emphasizing the importance of flexibility and specific peer qualities. Improving medication for opioid use disorder outcomes is a national priority that must be met with cost-effective, sustainable strategies to support individuals in treatment. Findings will guide adaptation of a peer recovery specialist-delivered behavioral activation intervention to improve methadone treatment retention for underserved, ethno-racial minoritized individuals living with opioid use disorder. The online version contains supplementary material available at 10.1186/s13011-023-00524-3.
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DOI：
10.1111/add.14049
发表时间：
2018-03
期刊：
Addiction (Abingdon, England)
影响因子：
--
作者：
Daughters SB;Magidson JF;Anand D;Seitz-Brown CJ;Chen Y;Baker S
通讯作者：
Baker S
影响因子：
2.5
作者：
Patel, Vikram;Weobong, Benedict;Kirkwood, Betty
通讯作者：
Kirkwood, Betty
影响因子：
5.2
作者：
Carroll KM
通讯作者：
Carroll KM
影响因子：
2.7
作者：
Barker, Stephanie L.;Maguire, Nick
通讯作者：
Maguire, Nick
影响因子：
3.7
作者：
Manhapra, Ajay;Petrakis, Ismene;Rosenheck, Robert
通讯作者：
Rosenheck, Robert