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Opioid Initiation to Substance Use Treatment: "They Just Want to Feel Normal"
Marian Wilson1, Michele R Shaw, Mary Lee A Roberts
1Marian Wilson, PhD, MPH, RN-BC, is Assistant Professor; Michele R. Shaw, PhD, RN, is Associate Professor; and Mary Lee A. Roberts, PhD, BSN, CMSRN, is Research Associate, Washington State University College of Nursing, Spokane.
Nursing Research
|July 28, 2018
Summary
Adults entering medication-assisted treatment (MAT) for opioid use disorder often start opioids for pain. Relationships significantly influence the journey to MAT, impacting the path to recovery and normalcy.
Area of Science:
- Addiction research
- Pain management
- Substance use disorder treatment
Background:
- Rising rates of opioid use disorder in adults.
- Gaps in understanding treatment initiation for pain-related opioid use.
- Focus on individuals transitioning from pain treatment to medication-assisted treatment (MAT).
Purpose of the Study:
- Examine the process of initiating opioid medication for pain.
- Investigate the transition to outpatient MAT for opioid use disorder.
- Understand the patient journey from pain to substance use treatment.
Main Methods:
- Grounded theory methodology.
- Qualitative analysis of interviews with 10 adults in MAT.
- Inclusion of adults who initiated opioids for pain treatment.
Main Results:
- Developed a theory: Living With Persistent Pain: From Opioid Initiation to Substance Use Treatment.
- Identified core categories: addiction pathway, becoming normal, relationship spectrum.
- Painful experiences and relationships were pivotal in entering MAT.
Conclusions:
- Entering MAT aids in regaining a sense of normalcy.
- Participant relationships, especially with healthcare providers, are crucial.
- Findings can inform and improve MAT approaches for opioid addiction.
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