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Leaving the Norwegian opioid maintenance treatment program - patient experiences
Sverre Nesvåg1, Per Bergqvist2, Ingrid Elin Dahlberg2
1Centre for Alcohol & Drug Research, Stavanger University Hospital, Stavanger, Norway. ness@sus.no.
BMC Health Services Research
|November 26, 2024
Summary
Patients successfully leaving opioid maintenance treatment (OMT) require strong motivation and adaptive tapering strategies. Ongoing dialogue and individualized support are crucial for a stable drug-free life post-treatment.
Area of Science:
- Addiction Medicine
- Psychiatry
- Public Health
Background:
- Opioid maintenance treatment (OMT) is vital for patient rehabilitation and life preservation.
- Previous research indicates successful long-term drug-free living is possible after completing OMT.
- Understanding patient experiences during OMT discontinuation is essential.
Purpose of the Study:
- To explore how patients undergoing or completing OMT perceive the process of leaving the program.
- To identify factors influencing patient experiences with OMT discontinuation.
Main Methods:
- Thematic analysis of in-depth interviews.
- Study included 24 patients with experience leaving the Norwegian OMT program.
Main Results:
- Patients demonstrated strong motivation for medication tapering and program exit.
- Adaptive routines, continuous patient-provider dialogue, and individualized goals facilitated tapering.
- Patient experiences with support quality and further treatment needs varied.
Conclusions:
- Successful OMT exit or reduced-dosage continuation is achievable with high rehabilitation and adequate support.
- Individualized care and communication are key to managing OMT discontinuation.
- Further research into optimizing support services for patients leaving OMT is warranted.
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