Patient reported goals for medications for opioid use disorder: A theory of proximal goal attainment
Background: There exist substantial patient barriers to accessing medications for opioid use disorder (MOUD), including travel distance, stigma, and availability of MOUD providers. Yet, despite these barriers, there exists a subset of patients who possess the requisite motivation to seek and remain...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Exploratory Research in Clinical and Social Pharmacy |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667276623001269 |
| _version_ | 1797389363379699712 |
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| author | Kenneth C. Hohmeier Alina Cernasev Christina Leibold Todd M. Moore Erica Schlesinger Ileana Arce Wesley Geminn Marie Chisholm-Burns Gerald Cochran |
| author_facet | Kenneth C. Hohmeier Alina Cernasev Christina Leibold Todd M. Moore Erica Schlesinger Ileana Arce Wesley Geminn Marie Chisholm-Burns Gerald Cochran |
| author_sort | Kenneth C. Hohmeier |
| collection | DOAJ |
| description | Background: There exist substantial patient barriers to accessing medications for opioid use disorder (MOUD), including travel distance, stigma, and availability of MOUD providers. Yet, despite these barriers, there exists a subset of patients who possess the requisite motivation to seek and remain adherent to treatment. Objective: To explore patient-derived goals in MOUD treatment-adherent patients. Methods: This study used in-depth interviews with patients receiving methadone who were enrolled in opioid treatment programs (OTPs) across Tennessee. Participants were recruited from 12 different OTPs to participate in telephonic semi-structured interviews to a point of saturation. Participants had to be adherent to treatment, in treatment for 6 months or greater, and English speaking. Analysis occurred inductively using a constructivist approach to Grounded Theory. Results: In total, 17 patient interviews were conducted in the spring of 2021. Participants described goal setting across three general stages of treatment: (1) addressing acute physical and emotional needs upon treatment entry, (2) development of supportive structure and routine to develop healthy skills facilitated by treatment team, and (3) identifying and pursuing future-focused goals not directly linked to treatment. A Proximal Goals in MOUD Framework is introduced. Conclusion: In this qualitative study on patient reported goals in MOUD it was found that goals are transitory and relative to the stage of treatment. Further research is needed to better understand goal evolution over the course of treatment and its impact on treatment retention. |
| first_indexed | 2024-03-08T22:55:52Z |
| format | Article |
| id | doaj.art-b597021f32854e11982142400ace17b5 |
| institution | Directory Open Access Journal |
| issn | 2667-2766 |
| language | English |
| last_indexed | 2024-03-08T22:55:52Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Exploratory Research in Clinical and Social Pharmacy |
| spelling | doaj.art-b597021f32854e11982142400ace17b52023-12-16T06:10:39ZengElsevierExploratory Research in Clinical and Social Pharmacy2667-27662023-12-0112100345Patient reported goals for medications for opioid use disorder: A theory of proximal goal attainmentKenneth C. Hohmeier0Alina Cernasev1Christina Leibold2Todd M. Moore3Erica Schlesinger4Ileana Arce5Wesley Geminn6Marie Chisholm-Burns7Gerald Cochran8University of Tennessee Health Science Center, College of Pharmacy, Department of Clinical Pharmacy and Translational Science, Nashville, TN 37211, USA; Corresponding author.University of Tennessee Health Science Center, College of Pharmacy, Department of Clinical Pharmacy and Translational Science, Nashville, TN 37211, USAUniversity of Tennessee Health Science Center, College of Pharmacy, Department of Clinical Pharmacy and Translational Science, Nashville, TN 37211, USAUniversity of Tennessee, Department of Psychology, Knoxville, TN 37996, USATennessee Department of Mental Health & Substance Abuse Services, Nashville, TN 37243, USATennessee Department of Mental Health & Substance Abuse Services, Nashville, TN 37243, USATennessee Department of Mental Health & Substance Abuse Services, Nashville, TN 37243, USAOregon Health & Science University, Office of the Provost, Portland, OR 97239, USAUniversity of Utah, Division of Epidemiology, Salt Lake City, UT 84112, USABackground: There exist substantial patient barriers to accessing medications for opioid use disorder (MOUD), including travel distance, stigma, and availability of MOUD providers. Yet, despite these barriers, there exists a subset of patients who possess the requisite motivation to seek and remain adherent to treatment. Objective: To explore patient-derived goals in MOUD treatment-adherent patients. Methods: This study used in-depth interviews with patients receiving methadone who were enrolled in opioid treatment programs (OTPs) across Tennessee. Participants were recruited from 12 different OTPs to participate in telephonic semi-structured interviews to a point of saturation. Participants had to be adherent to treatment, in treatment for 6 months or greater, and English speaking. Analysis occurred inductively using a constructivist approach to Grounded Theory. Results: In total, 17 patient interviews were conducted in the spring of 2021. Participants described goal setting across three general stages of treatment: (1) addressing acute physical and emotional needs upon treatment entry, (2) development of supportive structure and routine to develop healthy skills facilitated by treatment team, and (3) identifying and pursuing future-focused goals not directly linked to treatment. A Proximal Goals in MOUD Framework is introduced. Conclusion: In this qualitative study on patient reported goals in MOUD it was found that goals are transitory and relative to the stage of treatment. Further research is needed to better understand goal evolution over the course of treatment and its impact on treatment retention.http://www.sciencedirect.com/science/article/pii/S2667276623001269Opioid use disorderPatient reported outcomesPatient-centered careMedication for opioid use disorder |
| spellingShingle | Kenneth C. Hohmeier Alina Cernasev Christina Leibold Todd M. Moore Erica Schlesinger Ileana Arce Wesley Geminn Marie Chisholm-Burns Gerald Cochran Patient reported goals for medications for opioid use disorder: A theory of proximal goal attainment Exploratory Research in Clinical and Social Pharmacy Opioid use disorder Patient reported outcomes Patient-centered care Medication for opioid use disorder |
| title | Patient reported goals for medications for opioid use disorder: A theory of proximal goal attainment |
| title_full | Patient reported goals for medications for opioid use disorder: A theory of proximal goal attainment |
| title_fullStr | Patient reported goals for medications for opioid use disorder: A theory of proximal goal attainment |
| title_full_unstemmed | Patient reported goals for medications for opioid use disorder: A theory of proximal goal attainment |
| title_short | Patient reported goals for medications for opioid use disorder: A theory of proximal goal attainment |
| title_sort | patient reported goals for medications for opioid use disorder a theory of proximal goal attainment |
| topic | Opioid use disorder Patient reported outcomes Patient-centered care Medication for opioid use disorder |
| url | http://www.sciencedirect.com/science/article/pii/S2667276623001269 |
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