Developing a Theoretically Informed Implementation Model for Telemedicine-Delivered Medication for Opioid Use Disorder: Qualitative Study With Key Informants
BackgroundTelemedicine-delivered medication for opioid use disorder (TMOUD) has become more prevalent during the COVID-19 pandemic, particularly in North America. This is considered a positive development as TMOUD has the potential to increase access to evidence-based treatme...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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JMIR Publications
2023-10-01
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| Series: | JMIR Mental Health |
| Online Access: | https://mental.jmir.org/2023/1/e47186 |
| _version_ | 1797657095360741376 |
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| author | Joseph Tay Wee Teck Rosalind Gittins Giedre Zlatkute Alberto Oteo Pérez Susanna Galea-Singer Alexander Baldacchino |
| author_facet | Joseph Tay Wee Teck Rosalind Gittins Giedre Zlatkute Alberto Oteo Pérez Susanna Galea-Singer Alexander Baldacchino |
| author_sort | Joseph Tay Wee Teck |
| collection | DOAJ |
| description |
BackgroundTelemedicine-delivered medication for opioid use disorder (TMOUD) has become more prevalent during the COVID-19 pandemic, particularly in North America. This is considered a positive development as TMOUD has the potential to increase access to evidence-based treatment for a population heavily affected by the opioid crisis and consequent rising mortality and morbidity rates in relation to opioid use disorder. Despite the increase in the use of TMOUD, there are no established service- and process-focused models to guide the implementation of this intervention.
ObjectiveThis study aims to develop a process- and service-focused implementation model in collaboration with key stakeholders and bring together peer-reviewed literature, practice-based knowledge, and expert opinions.
MethodsThe simple rules for evidence translation in complex systems framework was applied to guide the development of a 6-step qualitative study. The steps were definition of the scope and objectives of the model, identification of evidence, stakeholder engagement, draft model development, key informant consultation, and final model specification.
ResultsThe final specification for the TMOUD implementation model incorporated key strategic priorities, service delivery prerequisites, service design elements, stakeholder identification and engagement, key process domains, and iterative cycles of evaluation and improvement.
ConclusionsThrough stakeholder engagement and key informant consultation, we produced a process- and service-focused TMOUD implementation model. The model is modifiable to different contexts and settings while also in keeping with the current evidence base and national and international standards of high-quality opioid use disorder care. |
| first_indexed | 2024-03-11T17:39:25Z |
| format | Article |
| id | doaj.art-0833c318d99a4d22adf0ec656c16b655 |
| institution | Directory Open Access Journal |
| issn | 2368-7959 |
| language | English |
| last_indexed | 2024-03-11T17:39:25Z |
| publishDate | 2023-10-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | JMIR Mental Health |
| spelling | doaj.art-0833c318d99a4d22adf0ec656c16b6552023-10-18T13:46:12ZengJMIR PublicationsJMIR Mental Health2368-79592023-10-0110e4718610.2196/47186Developing a Theoretically Informed Implementation Model for Telemedicine-Delivered Medication for Opioid Use Disorder: Qualitative Study With Key InformantsJoseph Tay Wee Teckhttps://orcid.org/0000-0001-5199-7013Rosalind Gittinshttps://orcid.org/0000-0002-0893-7936Giedre Zlatkutehttps://orcid.org/0000-0002-9263-5681Alberto Oteo Pérezhttps://orcid.org/0000-0002-4239-9529Susanna Galea-Singerhttps://orcid.org/0000-0002-4175-0137Alexander Baldacchinohttps://orcid.org/0000-0002-5388-7376 BackgroundTelemedicine-delivered medication for opioid use disorder (TMOUD) has become more prevalent during the COVID-19 pandemic, particularly in North America. This is considered a positive development as TMOUD has the potential to increase access to evidence-based treatment for a population heavily affected by the opioid crisis and consequent rising mortality and morbidity rates in relation to opioid use disorder. Despite the increase in the use of TMOUD, there are no established service- and process-focused models to guide the implementation of this intervention. ObjectiveThis study aims to develop a process- and service-focused implementation model in collaboration with key stakeholders and bring together peer-reviewed literature, practice-based knowledge, and expert opinions. MethodsThe simple rules for evidence translation in complex systems framework was applied to guide the development of a 6-step qualitative study. The steps were definition of the scope and objectives of the model, identification of evidence, stakeholder engagement, draft model development, key informant consultation, and final model specification. ResultsThe final specification for the TMOUD implementation model incorporated key strategic priorities, service delivery prerequisites, service design elements, stakeholder identification and engagement, key process domains, and iterative cycles of evaluation and improvement. ConclusionsThrough stakeholder engagement and key informant consultation, we produced a process- and service-focused TMOUD implementation model. The model is modifiable to different contexts and settings while also in keeping with the current evidence base and national and international standards of high-quality opioid use disorder care.https://mental.jmir.org/2023/1/e47186 |
| spellingShingle | Joseph Tay Wee Teck Rosalind Gittins Giedre Zlatkute Alberto Oteo Pérez Susanna Galea-Singer Alexander Baldacchino Developing a Theoretically Informed Implementation Model for Telemedicine-Delivered Medication for Opioid Use Disorder: Qualitative Study With Key Informants JMIR Mental Health |
| title | Developing a Theoretically Informed Implementation Model for Telemedicine-Delivered Medication for Opioid Use Disorder: Qualitative Study With Key Informants |
| title_full | Developing a Theoretically Informed Implementation Model for Telemedicine-Delivered Medication for Opioid Use Disorder: Qualitative Study With Key Informants |
| title_fullStr | Developing a Theoretically Informed Implementation Model for Telemedicine-Delivered Medication for Opioid Use Disorder: Qualitative Study With Key Informants |
| title_full_unstemmed | Developing a Theoretically Informed Implementation Model for Telemedicine-Delivered Medication for Opioid Use Disorder: Qualitative Study With Key Informants |
| title_short | Developing a Theoretically Informed Implementation Model for Telemedicine-Delivered Medication for Opioid Use Disorder: Qualitative Study With Key Informants |
| title_sort | developing a theoretically informed implementation model for telemedicine delivered medication for opioid use disorder qualitative study with key informants |
| url | https://mental.jmir.org/2023/1/e47186 |
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