Acceptability of an Opioid Relapse Prevention Text-message Intervention for Emergency Department Patients
| Autor: | Tammy Chung, Antoine Douaihy, Gerald Cochran, Brian Suffoletto, Joseph H. Yanta, Ryan Kurtz |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Aftercare 030508 substance abuse Craving Relapse prevention Article Young Adult 03 medical and health sciences Social support 0302 clinical medicine Intervention (counseling) Health care Secondary Prevention Humans Medicine Pharmacology (medical) 030212 general & internal medicine Young adult Psychiatry Text Messaging business.industry Social Support Opioid use disorder Emergency department Patient Acceptance of Health Care Opioid-Related Disorders medicine.disease Patient Discharge Psychiatry and Mental health Outcome and Process Assessment Health Care Female medicine.symptom Emergency Service Hospital 0305 other medical science business Follow-Up Studies |
| Zdroj: | Journal of Addiction Medicine. 11:475-482 |
| ISSN: | 1935-3227 1932-0620 |
| DOI: | 10.1097/adm.0000000000000351 |
| Popis: | Objective To explore whether a text message-based relapse prevention intervention (Preventing and Interrupting Early Relapse [PIER]1) is acceptable to treatment-seeking adults with opioid use disorder (OUD) after Emergency Department (ED) discharge using mixed-methods design. Methods Adults seeking care in an urban ED for OUD (n = 20; mean age 22; 55% female; 75% white race) completed a baseline survey, and were invited to enroll in PIER1, which was delivered in 7-day blocks, with the option to re-enroll at the end of each block, up to 4 blocks. PIER1 included a morning "push" message focused on positive thinking, adaptive coping feedback tailored to twice-daily assessments of craving severity and contextual correlates of craving, and end-of-day feedback on daily opioid use and goal commitment. Participants were asked to complete a follow-up phone interview after the first 7 days of PIER1. Transcripts were thematically coded. Results Seventeen out of 20 participants enrolled in PIER1. In the first 7 days, response rates to text-message assessments averaged 30%. Ten out of 17 participants re-enrolled after 7 days. Main themes from follow-up interviews (n = 9) included ease of use, social connection, and self-empowerment. Participants desired more personalized support and the ability to communicate through text messaging with another person about their struggles. Event-level data suggest that higher craving severity increased risk of opioid lapses. Conclusions In this mixed-methods intervention development study, we found conflicting evidence supporting an automated text-message intervention providing relapse prevention support for treatment-seeking individuals with OUD discharged from the ED. Qualitative feedback suggests that PIER1 could be useful and acceptability enhanced through personalized human support. |
| Databáze: | OpenAIRE |
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