Systemic and individual factors in the buprenorphine treatment-seeking process: a qualitative study.
Systemic and individual factors in the buprenorphine treatment-seeking process: a qualitative study.
复制标题
DOI：
10.1186/s13011-016-0085-y
复制
发表时间：
2017-01-11
期刊：
影响因子：
--
通讯作者：
Rivkin ID
中科院分区：
文献类型：
--
作者：
Hewell VM;Vasquez AR;Rivkin ID
阿片类药物的使用在阿拉斯加是一个严重的问题。药物辅助治疗阿片类药物使用，包括丁丙诺啡，减少戒断症状和与阿片类药物滥用相关的伤害。了解消费者寻求治疗的过程对于解决治疗障碍、促进有效利用服务和告知政策非常重要。为了了解寻求治疗的行为，我们检查了那些将从药物辅助治疗（MAT）丁丙诺啡中受益的人的态度，感知和知识。使用扎根理论和定向内容分析方法分析了来自2个焦点小组（每个小组包括4名参与者）的定性数据和对使用或考虑使用丁丙诺啡治疗阿片类药物使用障碍的人进行的3次深入访谈。主要研究结果表明，个人（退出过程，个人动机）和系统（社会文化，政治，社会价值观）因素框架寻求治疗的过程。参与者在寻求治疗的道路上的进展受到成瘾和MAT模型的影响，这与寻求治疗时遇到的促进者和障碍（例如支持，资源，治疗结构）有关。这些因素决定了长期的复苏之路，这被视为一个持续的过程。这项研究的结果表明，对于干预者来说，采取一种考虑阿片类药物成瘾、治疗和康复所涉及的个体和全身因素的背景方法至关重要。这项研究强调了政策制定者和治疗提供者如何解决消费者在寻求治疗过程中面临的障碍，以增加治疗的可及性。
Opioid use is a significant problem in Alaska. Medication-assisted treatment for opioid use, including buprenorphine, reduces withdrawal symptoms and the harm associated with opioid abuse. Understanding consumers’ treatment-seeking process is important for addressing barriers to treatment, facilitating effective service utilization, and informing policy. To understand treatment-seeking behavior, we examined the attitudes, perceptions, and knowledge of those who would benefit from the medication-assisted treatment (MAT) buprenorphine. Qualitative data from 2 focus groups (each including 4 participants) and 3 in-depth interviews with people who have used or considered using buprenorphine in treatment for an opioid use disorder were analyzed using grounded theory and directed content analysis approaches. Key findings suggest that individual (withdrawal process, individual motivation) and systemic (sociocultural, political, societal values) factors frame the treatment seeking process. Participants’ progress on the treatment-seeking road was affected by models of addiction and MAT, which related to facilitators and barriers encountered in seeking treatment (e.g. support, resources, treatment structure). These factors shaped the longer-term road to recovery, which was seen as on ongoing process. The findings of this study suggest it is crucial for interventionists to take a contextual approach that considers individual and systemic factors involved in opioid addiction, treatment, and recovery. This study highlights ways policy makers and treatment providers can address the barriers consumers face in their treatment-seeking process in order to increase treatment access.