Characterizing Self-Reports of Self-Identified Patient Experiences with Methadone Maintenance Treatment on an Online Community during COVID-19.
Characterizing Self-Reports of Self-Identified Patient Experiences with Methadone Maintenance Treatment on an Online Community during COVID-19.
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DOI：
10.1080/10826084.2021.1972317
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发表时间：
2021
影响因子：
2
通讯作者：
Ayers JW
中科院分区：
文献类型：
--
作者：
Nobles AL;Johnson DC;Leas EC;Goodman-Meza D;Zúñiga ML;Ziedonis D;Strathdee SA;Ayers JW
The coronavirus disease (COVID-19) pandemic has impacted patients receiving methadone maintenance treatment (MMT) through opioid treatment programs (OTPs), especially because of the unique challenges of the care delivery model. Previously, documentation of patient experiences during emergencies often comes years after the fact, in part because there is a substantial data void in real-time. We extracted 308 posts that mention COVID-19 keywords on r/methadone, an online community for patients receiving MMT to share information, on Reddit occurring between January 31, 2020 and September 30, 2020. 215 of these posts self-report an impact to their MMT. Using qualitative content analysis, we characterized the impacts described in these posts and identified four emergent themes describing patients’ experience of impacts to MMT during COVID-19. The themes included (1) 54.4% of posts reporting impediments accessing their methadone, (2) 28.4% reporting impediments to accessing OTPs, (3) 19.5% reporting having to self-manage their care, and (4) 4.7% reporting impediments to accessing OTP providers and staff. Patients described unanticipated consequences to one-size-fits-all policies that are unevenly applied resulting in suboptimal dosing, increased perceived risk of acquiring COVID-19 at OTPs, and reduced interaction with OTP providers and staff. While preliminary, these results are formative for follow-up surveillance metrics for patients of OTPs as well as digitally-mediated resource needs for this online community. This study serves as a model of how social media can be employed during and after emergencies to hear the lived experiences of patients for informed emergency preparedness and response.
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影响因子：
3.5
作者：
Collins KM;Armenta RF;Cuevas-Mota J;Liu L;Strathdee SA;Garfein RS
通讯作者：
Garfein RS
影响因子：
7.4
作者：
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通讯作者：
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影响因子：
5.4
作者：
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通讯作者：
Joffe, Helene
影响因子：
2
作者：
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通讯作者：
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影响因子：
15.2
作者：
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通讯作者：
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