Patient-Centered Telehealth Solution for Observed Urine Collections in Substance Use Disorder Care Delivery During COVID-19 and Beyond
Patients with substance use disorder (SUD) rely upon urine drug testing to support treatment adherence and to mitigate relapse. Before the onset of coronavirus 2019 (COVID-19), the logistical challenges of randomized observed collections for urine drug testing for the patient were significant. Durin...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2021-07-01
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| Series: | Journal of Patient Experience |
| Online Access: | https://doi.org/10.1177/23743735211033128 |
| _version_ | 1818194812143140864 |
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| author | Alexa Brett BAS HCML, CPXP, COTA/L Heather Foster Michael Joseph BS Jill S. Warrington MD, PhD |
| author_facet | Alexa Brett BAS HCML, CPXP, COTA/L Heather Foster Michael Joseph BS Jill S. Warrington MD, PhD |
| author_sort | Alexa Brett BAS HCML, CPXP, COTA/L |
| collection | DOAJ |
| description | Patients with substance use disorder (SUD) rely upon urine drug testing to support treatment adherence and to mitigate relapse. Before the onset of coronavirus 2019 (COVID-19), the logistical challenges of randomized observed collections for urine drug testing for the patient were significant. During COVID-19, these barriers were often insurmountable. Since SUD patients represent a population at a higher risk for complications from COVID-19, an alternative strategy to support COVID-19 testing was urgently needed. We designed and deployed a telehealth-based solution in which patients could use mobile devices to connect with trained collection professionals to perform observed urine collections, often referred to a UA (urinalysis). The solution was designed with patient-centered best practices for telehealth, stigma prevention, trauma-informed, empathy and compassion, and to remove barriers to access to care. This approach demonstrated high patient satisfaction scores thereby proving that it is possible to provide urine collection services in the patient’s home via a telehealth technology, while still upholding SUD testing integrity best practices. This study lays the path for a more patient-centered way to support this population. |
| first_indexed | 2024-12-12T01:08:14Z |
| format | Article |
| id | doaj.art-befa1174e2b94af3a6e31737f74e45e6 |
| institution | Directory Open Access Journal |
| issn | 2374-3743 |
| language | English |
| last_indexed | 2024-12-12T01:08:14Z |
| publishDate | 2021-07-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Patient Experience |
| spelling | doaj.art-befa1174e2b94af3a6e31737f74e45e62022-12-22T00:43:32ZengSAGE PublishingJournal of Patient Experience2374-37432021-07-01810.1177/23743735211033128Patient-Centered Telehealth Solution for Observed Urine Collections in Substance Use Disorder Care Delivery During COVID-19 and BeyondAlexa Brett BAS HCML, CPXP, COTA/L0Heather Foster1Michael Joseph BS2Jill S. Warrington MD, PhD3 Aspenti Health, South Burlington, VT, USA Aspenti Health, South Burlington, VT, USA Aspenti Health, South Burlington, VT, USA Department of Pathology and Laboratory Medicine, Robert Larner College of Medicine, University of Vermont, Burlington, VT, USAPatients with substance use disorder (SUD) rely upon urine drug testing to support treatment adherence and to mitigate relapse. Before the onset of coronavirus 2019 (COVID-19), the logistical challenges of randomized observed collections for urine drug testing for the patient were significant. During COVID-19, these barriers were often insurmountable. Since SUD patients represent a population at a higher risk for complications from COVID-19, an alternative strategy to support COVID-19 testing was urgently needed. We designed and deployed a telehealth-based solution in which patients could use mobile devices to connect with trained collection professionals to perform observed urine collections, often referred to a UA (urinalysis). The solution was designed with patient-centered best practices for telehealth, stigma prevention, trauma-informed, empathy and compassion, and to remove barriers to access to care. This approach demonstrated high patient satisfaction scores thereby proving that it is possible to provide urine collection services in the patient’s home via a telehealth technology, while still upholding SUD testing integrity best practices. This study lays the path for a more patient-centered way to support this population.https://doi.org/10.1177/23743735211033128 |
| spellingShingle | Alexa Brett BAS HCML, CPXP, COTA/L Heather Foster Michael Joseph BS Jill S. Warrington MD, PhD Patient-Centered Telehealth Solution for Observed Urine Collections in Substance Use Disorder Care Delivery During COVID-19 and Beyond Journal of Patient Experience |
| title | Patient-Centered Telehealth Solution for Observed Urine Collections in Substance Use Disorder Care Delivery During COVID-19 and Beyond |
| title_full | Patient-Centered Telehealth Solution for Observed Urine Collections in Substance Use Disorder Care Delivery During COVID-19 and Beyond |
| title_fullStr | Patient-Centered Telehealth Solution for Observed Urine Collections in Substance Use Disorder Care Delivery During COVID-19 and Beyond |
| title_full_unstemmed | Patient-Centered Telehealth Solution for Observed Urine Collections in Substance Use Disorder Care Delivery During COVID-19 and Beyond |
| title_short | Patient-Centered Telehealth Solution for Observed Urine Collections in Substance Use Disorder Care Delivery During COVID-19 and Beyond |
| title_sort | patient centered telehealth solution for observed urine collections in substance use disorder care delivery during covid 19 and beyond |
| url | https://doi.org/10.1177/23743735211033128 |
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