Methadone, buprenorphine and preferences for opioid agonist treatment: A qualitative analysis

Drug and Alcohol Dependence
Bobbi Jo H YarboroughCarla A Green

Abstract

Patients and clinicians have begun to recognize the advantages and disadvantages of buprenorphine relative to methadone, but factors that influence choices between these two medications remain unclear. For example, we know little about how patients' preferences and previous experiences influence treatment decisions. Understanding these issues may enhance treatment engagement and retention. Adults with opioid dependence (n=283) were recruited from two integrated health systems to participate in interviews focused on prior experiences with treatment for opioid dependence, knowledge of medication options, preferences for treatment, and experiences with treatment for chronic pain in the context of problems with opioids. Interviews were audio-recorded, transcribed verbatim, and coded using Atlas.ti. Our analysis revealed seven areas of consideration for opioid agonist treatment decision-making: (1) awareness of treatment options; (2) expectations and goals for duration of treatment and abstinence; (3) prior experience with buprenorphine or methadone; (4) need for accountability and structured support; (5) preference to avoid methadone clinics or associated stigma; (6) fear of continued addiction and perceived difficulty of withdrawa...Continue Reading

References

Oct 4, 2000·JAMA : the Journal of the American Medical Association·A T McLellanH D Kleber
Aug 13, 2005·Drug and Alcohol Review·Hege Kornør, Helge Waal
Feb 26, 2008·The Psychiatric Clinics of North America·Donna J KeyserHarold Alan Pincus
Dec 17, 2009·Journal of Psychoactive Drugs·Heather Schacht ReisingerMichael H Agar
Aug 10, 2012·Journal of Addictive Diseases·Gavin Bart
Mar 14, 2013·Journal of Addictive Diseases·Anne M NeumannMohammadreza Azadfard
Apr 27, 2013·The American Journal on Addictions·Jan GryczynskiShannon Gwin Mitchell
Nov 12, 2013·Journal of Substance Abuse Treatment·Sean M MurphyJohn R Roll
Nov 26, 2013·Journal of Substance Abuse Treatment·Carla A GreenBradley M Anderson
Mar 13, 2014·Annals of Family Medicine·Eliza HutchinsonRoger A Rosenblatt
May 13, 2014·Journal of Substance Abuse Treatment·Roger D WeissKristen D Rosen
Aug 16, 2014·Addiction Science & Clinical Practice·Frances L LynchDavid Pating

❮ Previous
Next ❯

Citations

Mar 31, 2016·Journal of Gerontological Nursing·David LoreckBethany DiPaula
Jan 14, 2017·Journal of Palliative Medicine·Rabia S AtayeeKyle P Edmonds
Jan 31, 2017·Nature Medicine·Nicole E BurmaTuan Trang
Jul 19, 2018·International Journal of Mental Health Nursing·Blair BishopDaryle Deering
Dec 21, 2018·Journal of the American Psychiatric Nurses Association·Abigail ZavodMaria A Sullivan
Jan 12, 2019·Journal of Addiction Medicine·Kaitlyn R HayKelly E Dunn
Jun 13, 2018·International Journal for Equity in Health·Maryam Khazaee-PoolTahereh Pashaei
Nov 27, 2019·PLoS Medicine·Alexander C TsaiAtheendar S Venkataramani
May 17, 2019·Oxidative Medicine and Cellular Longevity·Christonikos LeventelisDemetrios Kouretas
Nov 30, 2020·Journal of Substance Abuse Treatment·Max Jordan Nguemeni Tiako
Jul 14, 2020·Journal of Addiction Medicine·Andrea Jakubowski, Aaron Fox
May 4, 2020·Journal of Substance Abuse Treatment·Gabrielle K Welle-StrandMonica Sarfi
Feb 23, 2021·Journal of Substance Abuse Treatment·Amanda SharpZev Schuman-Olivier
Jun 9, 2019·Journal of Substance Abuse Treatment·Yanjia CaoMarcella H Sorg
Jun 13, 2018·Drug and Alcohol Dependence·M Eugenia SocíasM-J Milloy
Apr 7, 2021·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Megan ChenworthAbeed Sarker
Sep 21, 2021·Substance Use & Misuse·Erin Fanning MaddenSandra H Sulzer
Dec 17, 2020·Journal of Addiction Medicine·Joan E ZwebenChristopher K Blazes

❮ Previous
Next ❯

Related Concepts

Related Feeds

Addiction

This feed focuses mechanisms underlying addiction and addictive behaviour including heroin and opium dependence, alcohol intoxication, gambling, and tobacco addiction.

© 2022 Meta ULC. All rights reserved