TY - JOUR
AU - N. Lowry
AU - C. Najia
AU - M. Kelleher
AU - L. Mitcheson
AU - J. Marsden
A1 - 
AB - OBJECTIVES: Opioid agonist, partial agonist and antagonist medications are used to treat opioid use disorder (OUD). This was the first omnibus narrative systematic review of the contemporary qualitative literature on patient experiences of receiving these medications. DESIGN: Narrative systematic review using the sample, phenomenon of interest, design, evaluation and research framework. DATA SOURCES: PubMed, Embase and APA PsycINFO were searched between 1 January 2000 and 14 June 2023, with the addition of hand searches. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Qualitative and mixed methods studies among adults with experience of receiving OUD treatment medication in community and criminal justice settings. DATA EXTRACTION AND SYNTHESIS: One reviewer conducted searches using the pre-registered strategy. Two independent reviewers screened studies and assessed quality using the Consolidation Criteria for Reporting Qualitative tool. Identified reports were first categorised using domains from the addiction dimensions for assessment and personalised treatment (an instrument developed to guide OUD treatment planning), then by narrative synthesis. RESULTS: From 1129 studies, 47 reports (published between 2005 and 2023) were included. Five major themes (and nine subthemes) were identified: (1) expectations about initiating treatment (barriers to access; motivations to receive medication); (2) responses to medication induction and stabilisation; (3) experience of the dispensing pharmacy (attending; medication dispensing); (4) experiences of maintenance treatment (services; dose adjustment; personal and social functioning); and (5) social factors (integration and stigma) and experiences of discontinuing treatment. Together these themes reflected and endorsed the importance of patient-centred care and clinically integrated services. Further qualitative research in real-world settings is needed on extended-release buprenorphine given the relative novelty of this medication option. CONCLUSIONS: A narrative systematic review of the qualitative studies of medications for OUD endorsed the importance of patient-centred care and clinically integrated services. PROSPERO REGISTRATION NUMBER: CRD42019139365.
AD - Department of Addictions, King's College London Institute of Psychiatry Psychology and Neuroscience, London, UK natalie.m.lowry@kcl.ac.uk.; South London and Maudsley NHS Foundation Trust, London, UK.; Department of Addictions, King's College London Institute of Psychiatry Psychology and Neuroscience, London, UK.
AN - 39632113
BT - BMJ Open
C5 - Opioids & Substance Use
CP - 12
DA - Dec 4
DO - 10.1136/bmjopen-2024-088617
DP - NLM
ET - 20241204
IS - 12
JF - BMJ Open
LA - eng
N2 - OBJECTIVES: Opioid agonist, partial agonist and antagonist medications are used to treat opioid use disorder (OUD). This was the first omnibus narrative systematic review of the contemporary qualitative literature on patient experiences of receiving these medications. DESIGN: Narrative systematic review using the sample, phenomenon of interest, design, evaluation and research framework. DATA SOURCES: PubMed, Embase and APA PsycINFO were searched between 1 January 2000 and 14 June 2023, with the addition of hand searches. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: Qualitative and mixed methods studies among adults with experience of receiving OUD treatment medication in community and criminal justice settings. DATA EXTRACTION AND SYNTHESIS: One reviewer conducted searches using the pre-registered strategy. Two independent reviewers screened studies and assessed quality using the Consolidation Criteria for Reporting Qualitative tool. Identified reports were first categorised using domains from the addiction dimensions for assessment and personalised treatment (an instrument developed to guide OUD treatment planning), then by narrative synthesis. RESULTS: From 1129 studies, 47 reports (published between 2005 and 2023) were included. Five major themes (and nine subthemes) were identified: (1) expectations about initiating treatment (barriers to access; motivations to receive medication); (2) responses to medication induction and stabilisation; (3) experience of the dispensing pharmacy (attending; medication dispensing); (4) experiences of maintenance treatment (services; dose adjustment; personal and social functioning); and (5) social factors (integration and stigma) and experiences of discontinuing treatment. Together these themes reflected and endorsed the importance of patient-centred care and clinically integrated services. Further qualitative research in real-world settings is needed on extended-release buprenorphine given the relative novelty of this medication option. CONCLUSIONS: A narrative systematic review of the qualitative studies of medications for OUD endorsed the importance of patient-centred care and clinically integrated services. PROSPERO REGISTRATION NUMBER: CRD42019139365.
PY - 2024
SN - 2044-6055
SP - e088617
ST - Patient experience of opioid use disorder treatment medications: a systematic review of contemporary qualitative research
T1 - Patient experience of opioid use disorder treatment medications: a systematic review of contemporary qualitative research
T2 - BMJ Open
TI - Patient experience of opioid use disorder treatment medications: a systematic review of contemporary qualitative research
U1 - Opioids & Substance Use
U3 - 10.1136/bmjopen-2024-088617
VL - 14
VO - 2044-6055
Y1 - 2024
ER -