Matches in SemOpenAlex for { <https://semopenalex.org/work/W3118360012> ?p ?o ?g. }
- W3118360012 endingPage "e044017" @default.
- W3118360012 startingPage "e044017" @default.
- W3118360012 abstract "Objectives Existing methods of measuring effectiveness of pharmacological treatment for opioid use disorder (OUD) are highly variable. Therefore, understanding patients’ treatment goals is an integral part of patient-centred care. Our objective is to explore whether patients’ treatment goals align with a frequently used clinical outcome, opioid abstinence. Design Triangulation mixed-methods design. Setting and participants We collected prospective data from 2030 participants who were receiving methadone or buprenorphine-naloxone treatment for a diagnosis of OUD in order to meet study inclusion criteria. Participants were recruited from 45 centrally-managed outpatient opioid agonist therapy clinics in Ontario, Canada. At study entry, we asked, ‘What are your goals in treatment?’ and used NVivo software to identify common themes. Primary outcome measure Urine drug screens (UDS) were collected for 3 months post-study enrolment in order to identify abstinence versus ongoing opioid use (mean number of UDS over 3 months=12.6, SD=5.3). We used logistic regression to examine the association between treatment goals and opioid abstinence. Results Participants had a mean age of 39.2 years (SD=10.7), 44% were women and median duration in treatment was 2.6 years (IQR 5.2). Six overarching goals were identified from patient responses, including ‘stop or taper off of treatment’ (68%), ‘stay or get clean’ (37%) and ‘live a normal life’ (14%). Participants reporting the goal ‘stay or get clean’ had lower odds of abstinence at 3 months than those who did not report this goal (OR=0.73, 95% CI 0.59 to 0.91, p=0.005). Although the majority of patients wanted to taper off or stop medication, this goal was not associated with opioid abstinence, nor were any of their other goals. Conclusions Patient goals in OUD treatment do not appear to be associated with programme measures of outcome (ie, abstinence from opioids). Future studies are needed to examine outcomes related to patient-reported treatment goals found in our study; pain management, employment, and stopping/tapering treatment should all be explored." @default.
- W3118360012 created "2021-01-18" @default.
- W3118360012 creator A5000611677 @default.
- W3118360012 creator A5001357223 @default.
- W3118360012 creator A5005839687 @default.
- W3118360012 creator A5027038979 @default.
- W3118360012 creator A5029801001 @default.
- W3118360012 creator A5054731979 @default.
- W3118360012 creator A5054958654 @default.
- W3118360012 creator A5070265721 @default.
- W3118360012 creator A5070944114 @default.
- W3118360012 creator A5084344492 @default.
- W3118360012 creator A5091903989 @default.
- W3118360012 date "2021-01-01" @default.
- W3118360012 modified "2023-10-17" @default.
- W3118360012 title "Are patients’ goals in treatment associated with expected treatment outcomes? Findings from a mixed-methods study on outpatient pharmacological treatment for opioid use disorder" @default.
- W3118360012 cites W1697088553 @default.
- W3118360012 cites W1782810126 @default.
- W3118360012 cites W1966199876 @default.
- W3118360012 cites W1972113220 @default.
- W3118360012 cites W1978922105 @default.
- W3118360012 cites W1979290264 @default.
- W3118360012 cites W1985386799 @default.
- W3118360012 cites W1986372812 @default.
- W3118360012 cites W1996219273 @default.
- W3118360012 cites W2000906642 @default.
- W3118360012 cites W2005581629 @default.
- W3118360012 cites W2007847532 @default.
- W3118360012 cites W2009359098 @default.
- W3118360012 cites W2020900304 @default.
- W3118360012 cites W2031007413 @default.
- W3118360012 cites W2037668591 @default.
- W3118360012 cites W2042869329 @default.
- W3118360012 cites W2049487316 @default.
- W3118360012 cites W2053780376 @default.
- W3118360012 cites W2077319066 @default.
- W3118360012 cites W2094232837 @default.
- W3118360012 cites W2100582195 @default.
- W3118360012 cites W2111173132 @default.
- W3118360012 cites W2116745456 @default.
- W3118360012 cites W2138085642 @default.
- W3118360012 cites W2155981922 @default.
- W3118360012 cites W2172107654 @default.
- W3118360012 cites W2179881786 @default.
- W3118360012 cites W2183254285 @default.
- W3118360012 cites W2213853694 @default.
- W3118360012 cites W2297104230 @default.
- W3118360012 cites W2320886663 @default.
- W3118360012 cites W2330830329 @default.
- W3118360012 cites W2330985881 @default.
- W3118360012 cites W2331393505 @default.
- W3118360012 cites W2586961902 @default.
- W3118360012 cites W2598796960 @default.
- W3118360012 cites W2760863176 @default.
- W3118360012 cites W2785183424 @default.
- W3118360012 cites W2791607419 @default.
- W3118360012 cites W2808087087 @default.
- W3118360012 cites W2902957893 @default.
- W3118360012 cites W2906693162 @default.
- W3118360012 cites W2973183464 @default.
- W3118360012 cites W3012030949 @default.
- W3118360012 cites W3022423927 @default.
- W3118360012 cites W3032865887 @default.
- W3118360012 cites W4247665917 @default.
- W3118360012 cites W81685006 @default.
- W3118360012 doi "https://doi.org/10.1136/bmjopen-2020-044017" @default.
- W3118360012 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/7805377" @default.
- W3118360012 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/33436476" @default.
- W3118360012 hasPublicationYear "2021" @default.
- W3118360012 type Work @default.
- W3118360012 sameAs 3118360012 @default.
- W3118360012 citedByCount "7" @default.
- W3118360012 countsByYear W31183600122021 @default.
- W3118360012 countsByYear W31183600122022 @default.
- W3118360012 countsByYear W31183600122023 @default.
- W3118360012 crossrefType "journal-article" @default.
- W3118360012 hasAuthorship W3118360012A5000611677 @default.
- W3118360012 hasAuthorship W3118360012A5001357223 @default.
- W3118360012 hasAuthorship W3118360012A5005839687 @default.
- W3118360012 hasAuthorship W3118360012A5027038979 @default.
- W3118360012 hasAuthorship W3118360012A5029801001 @default.
- W3118360012 hasAuthorship W3118360012A5054731979 @default.
- W3118360012 hasAuthorship W3118360012A5054958654 @default.
- W3118360012 hasAuthorship W3118360012A5070265721 @default.
- W3118360012 hasAuthorship W3118360012A5070944114 @default.
- W3118360012 hasAuthorship W3118360012A5084344492 @default.
- W3118360012 hasAuthorship W3118360012A5091903989 @default.
- W3118360012 hasBestOaLocation W31183600121 @default.
- W3118360012 hasConcept C118552586 @default.
- W3118360012 hasConcept C126322002 @default.
- W3118360012 hasConcept C151956035 @default.
- W3118360012 hasConcept C156957248 @default.
- W3118360012 hasConcept C170493617 @default.
- W3118360012 hasConcept C188816634 @default.
- W3118360012 hasConcept C194828623 @default.
- W3118360012 hasConcept C2778750930 @default.
- W3118360012 hasConcept C2778767360 @default.
- W3118360012 hasConcept C2778949969 @default.