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dc.contributor.author
Lynch, Alison C.
dc.contributor.author
Weber, Andrea N.
dc.contributor.author
Hedden, Suzy
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Sabbagh, Sayeh
dc.contributor.author
Arndt, Stephan
dc.contributor.author
Acion, Laura
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dc.date.available
2022-10-05T11:24:42Z
dc.date.issued
2021-01-12
dc.identifier.citation
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
dc.identifier.issn
1747-597X
dc.identifier.uri
http://hdl.handle.net/11336/171868
dc.description.abstract
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.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
Springer
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dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by/2.5/ar/
dc.subject
ADDICTION RECOVERY
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OPIOIDS
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TREATMENT RETENTION
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Drogadicción
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dc.subject.classification
Ciencias de la Salud
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dc.subject.classification
CIENCIAS MÉDICAS Y DE LA SALUD
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dc.title
Three-month outcomes from a patient-centered program to treat opioid use disorder in Iowa, USA
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2022-09-19T11:03:45Z
dc.journal.volume
16
dc.journal.number
1
dc.journal.pagination
1-10
dc.journal.pais
Alemania
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dc.conicet.avisoEditorial
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
dc.description.fil
Fil: Lynch, Alison C.. University of Iowa; Estados Unidos
dc.description.fil
Fil: Weber, Andrea N.. University of Iowa; Estados Unidos
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Fil: Hedden, Suzy. University of Iowa; Estados Unidos
dc.description.fil
Fil: Sabbagh, Sayeh. University of Iowa; Estados Unidos
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Fil: Arndt, Stephan. University of Iowa; Estados Unidos
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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
dc.journal.title
Substance Abuse Treatment, Prevention, and Policy
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1186/s13011-021-00342-5
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://substanceabusepolicy.biomedcentral.com/articles/10.1186/s13011-021-00342-5
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