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Opioids & SU
The Literature Collection contains over 11,000 references for published and grey literature on the integration of behavioral health and primary care. Learn More
Use the Search feature below to find references for your terms across the entire Literature Collection, or limit your searches by Authors, Keywords, or Titles and by Year, Type, or Topic. View your search results as displayed, or use the options to: Show more references per page; Sort references by Title or Date; and Refine your search criteria. Expand an individual reference to View Details. Full-text access to the literature may be available through a link to PubMed, a DOI, or a URL. References may also be exported for use in bibliographic software (e.g., EndNote, RefWorks, Zotero).
11248 Results
7182
Patient perspectives on alcohol use disorder pharmacotherapy and integration of treatment into primary care settings
Type: Journal Article
Year: 2019
Publication Place: United States
Abstract: BACKGROUND: Evidence-based pharmacotherapies for alcohol use disorders (AUDs) are underutilized. This mixed-methods study reports supplementary findings from the alcohol use disorder pharmacotherapy and treatment in primary care (ADaPT-PC) implementation study at 3 Veterans Health Administration (VHA) hospital sites to understand why prescription rates did not increase following the ADaPT-PC intervention. METHODS: Qualitative interviews (N = 30) were conducted in advance of the ADaPT-PC intervention to understand patients' pharmacotherapy attitudes among those in AUD treatment, with previous treatment experience, or who needed assistance with their alcohol use. Following the ADaPT-PC intervention, chart reviews from a random sample of patients with AUD or a most recent Alcohol Use Disorders Identification Test consumption questions (AUDIT-C) score >8, and no active AUD prescription, were conducted to determine the frequency of alcohol-related conversations (N = 455). RESULTS: Most interviewed patients welcomed a discussion about their alcohol use and pharmacotherapy. Of the 15 medication-naive patients interviewed, 6 stated that they would be willing to try pharmacotherapy, 5 stated that they were unlikely, 2 identified reservations, 1 said no, and 1 was not asked. Fifteen patients were either currently taking medications (n = 10) or had taken medication in the past (n = 7; 2 patients had past and current experience). Chart reviews indicated that although 66% of charts (n = 299) documented a discussion of their alcohol use with the provider, only 7.5% (n = 22) of individuals with an AUD diagnosis had a documented discussion of AUD pharmacotherapy, and only 5 received pharmacotherapy. CONCLUSION: Most interviewed patients were open to discussing AUD treatment, including discussions of pharmacotherapy, with their provider. From documented conversations about alcohol use to treatment options, medical records suggests a continuous narrowing of the number of patients engaged in alcohol-related consultations. Although some interviewed patients expressed reticence about initiating pharmacotherapy, these findings suggest that the treatment cascade may have a greater influence on the number of pharmacotherapy prescriptions than patients' preferences.
Topic(s):
Opioids & Substance Use
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Reference Links: 
View the DOI record for Patient perspectives on alcohol use disorder pharmacotherapy and integration of treatment into primary care settings
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View the PubMed citation for Patient perspectives on alcohol use disorder pharmacotherapy and integration of treatment into primary care settings7183
Patient perspectives on an opioid overdose education and naloxone distribution program in the U.S. Department of Veterans Affairs
Type: Journal Article
Year: 2016
Publication Place: United States
Abstract: BACKGROUND: In an effort to prevent opioid overdose mortality among Veterans, Department of Veterans Affairs (VA) facilities began implementing opioid overdose education and naloxone distribution (OEND) in 2013 and a national program began in 2014. VA is the first national health care system to implement OEND. The goal of this study is to examine patient perceptions of OEND training and naloxone kits. METHODS: Four focus groups were conducted between December 2014 and February 2015 with 21 patients trained in OEND. Participants were recruited from a VA residential facility in California with a substance use disorder treatment program (mandatory OEND training) and a homeless program (optional OEND training). Data were analyzed using matrices and open and closed coding approaches to identify participants' perspectives on OEND training including benefits, concerns, differing opinions, and suggestions for improvement. RESULTS: Veterans thought OEND training was interesting, novel, and empowering, and that naloxone kits will save lives. Some veterans expressed concern about using syringes in the kits. A few patients who never used opioids were not interested in receiving kits. Veterans had differing opinions about legal and liability issues, whether naloxone kits might contribute to relapse, and whether and how to involve family in training. Some veterans expressed uncertainty about the effects of naloxone. Suggested improvements included active learning approaches, enhanced training materials, and increased advertisement. CONCLUSIONS: OEND training was generally well received among study participants, including those with no indication for a naloxone kit. Patients described a need for OEND and believed it could save lives. Patient feedback on OEND training benefits, concerns, opinions, and suggestions provides important insights to inform future OEND training programs both within VA and in other health care settings. Training is critical to maximizing the potential for OEND to save lives, and this study includes specific suggestions for improving the effectiveness and acceptability of training.
Topic(s):
Opioids & Substance Use
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7187
Patient perspectives on the integration of an intensive online behavioral weight loss intervention into primary care
Type: Journal Article
Year: 2011
Publication Place: Ireland
Topic(s):
HIT & Telehealth
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Reference Links:
View the DOI record for Patient perspectives on the integration of an intensive online behavioral weight loss intervention into primary care
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View the PubMed citation for Patient perspectives on the integration of an intensive online behavioral weight loss intervention into primary care7188
Patient predictors and utilization of health services within a medical home for homeless persons
Type: Journal Article
Year: 2018
Publication Place: United States
Topic(s):
Healthcare Disparities
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, Medical Home
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Reference Links:
View the DOI record for Patient predictors and utilization of health services within a medical home for homeless persons
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View the PubMed citation for Patient predictors and utilization of health services within a medical home for homeless persons7189
Patient Preferences for Discussing Childhood Trauma in Primary Care
Type: Journal Article
Year: 2017
Publication Place: United States
Abstract: CONTEXT: Exposure to traumatic events is common in primary care patients, yet health care professionals may be hesitant to assess and address the impact of childhood trauma in their patients. OBJECTIVE: To assess patient preferences for discussing traumatic experiences and posttraumatic stress disorder (PTSD) with clinicians in underserved, predominantly Latino primary care patients. DESIGN: Cross-sectional study. MAIN OUTCOME MEASURE: We evaluated patients with a questionnaire assessing comfort to discuss trauma exposure and symptoms using the Adverse Childhood Experiences (ACE) Study questionnaire and the Primary Care-PTSD screen. The questionnaire also assessed patients' confidence in their clinicians' ability to help with trauma-related issues. Surveys were collected at an integrated medical and behavioral health care clinic. RESULTS: Of 178 adult patients asked, 152 (83%) agreed to participate. Among participants, 37% screened positive for PTSD, 42% reported 4 or more ACEs, and 26% had elevated scores on both measures. Primary Care-PTSD and ACE scores were strongly positively correlated (r = 0.57, p < 0.001). Most patients agreed they were comfortable being asked about trauma directly or through screening questionnaires and did not oppose the inclusion of trauma-related information in their medical record. In addition, most patients perceived their clinician as comfortable asking questions about childhood trauma and able to address trauma-related problems. CONCLUSION: Screening is acceptable to most primary care patients regardless of trauma exposure or positive PTSD screening. Findings may aid primary care clinicians to consider screening regularly for ACEs and PTSD to better serve the health care needs of trauma-exposed patients.
Topic(s):
Education & Workforce
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Reference Links:
View the DOI record for Patient Preferences for Discussing Childhood Trauma in Primary Care
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View the PubMed citation for Patient Preferences for Discussing Childhood Trauma in Primary Care7194
Patient Satisfaction With Medications for Opioid Use Disorder Treatment via Telemedicine: Brief Literature Review and Development of a New Assessment
Type: Journal Article
Year: 2021
Topic(s):
Healthcare Disparities
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, HIT & Telehealth
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, Opioids & Substance Use
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7195
Patient satisfaction with primary care office-based buprenorphine/naloxone treatment
Type: Journal Article
Year: 2007
Publication Place: United States
Abstract: BACKGROUND: Factors associated with satisfaction among patients receiving primary care-based buprenorphine/naloxone are unknown. OBJECTIVE: To identify factors related to patient satisfaction in patients receiving primary care-based buprenorphine/naloxone that varied in counseling intensity (20 vs 45 minutes) and office visit frequency (weekly vs thrice weekly). DESIGN AND PARTICIPANTS: One hundred and forty-two opioid-dependent subjects. MEASUREMENTS: Demographics, drug treatment history, and substance use status at baseline and during treatment were collected. The primary outcome was patient satisfaction at 12 weeks. RESULTS: Patients' mean overall satisfaction score was 4.4 (out of 5). Patients were most satisfied with the medication and ancillary services and indicated strong willingness to refer a substance-abusing friend for the same treatment. Patients were least satisfied with their interactions with other opioid-dependent patients, referrals to Narcotics Anonymous, and the inconvenience of the treatment location. Female gender (beta = .17, P = .04) and non-White ethnicity/race (beta = .17, P = .04) independently predicted patient satisfaction. Patients who received briefer counseling and buprenorphine/naloxone dispensed weekly had greater satisfaction than those whose medication was dispensed thrice weekly (mean difference 4.9, 95% confidence interval 0.08 to 9.80, P = .03). CONCLUSIONS: Patients are satisfied with primary care office-based buprenorphine/naloxone. Providers should consider the identified barriers to patient satisfaction.
Topic(s):
Opioids & Substance Use
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Reference Links:
View the DOI record for Patient satisfaction with primary care office-based buprenorphine/naloxone treatment
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View the PubMed citation for Patient satisfaction with primary care office-based buprenorphine/naloxone treatment7199
Patient Views of Behavioral Health Providers in Primary Care: A Qualitative Study of 2 Southeastern Clinics
Type: Journal Article
Year: 2020
Topic(s):
Education & Workforce
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Reference Links:
View the DOI record for Patient Views of Behavioral Health Providers in Primary Care: A Qualitative Study of 2 Southeastern Clinics
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View the PubMed citation for Patient Views of Behavioral Health Providers in Primary Care: A Qualitative Study of 2 Southeastern Clinics7200
Patient weight counseling choices and outcomes following a primary care and community collaborative intervention
Type: Journal Article
Year: 2010
Publication Place: Ireland
Topic(s):
HIT & Telehealth
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Reference Links:
View the DOI record for Patient weight counseling choices and outcomes following a primary care and community collaborative intervention
View DOI Record
View the PubMed citation for Patient weight counseling choices and outcomes following a primary care and community collaborative intervention