晚上,周末和等待时间怎么样? 在社区基础上的同行支持推广计划中添加了按需便利的远程医疗布普伦诺芬组件
Rachel P Winograd1,2, Katherine C Brown2, Schyler T Newman1
1Department of Psychological Sciences, University of Missouri, St. Louis, MO, USA.
Substance use & addiction journal
|January 13, 2025
概括
快速获取布普伦诺啡因计划改善了阿片类药物使用障碍的治疗和药物保留. 然而,黑人入学率较低的情况凸显了对文化敏感的实施策略的需求.
科学领域:
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
- 远程医疗远程医疗
背景情况:
- 2020年放宽的法规使得阿片类药物使用障碍通过远程医疗启动布普伦诺芬.
- 莫斯科圣路易斯的一个同行领导的外展计划,通过快速获取 (RA) 布普伦诺芬计划解决了种族过量不平等问题.
- 在社区环境中,RA计划通过同行促进的远程医疗提供了当天的布普伦诺啡因接入.
研究的目的:
- 为了比较RA和传统布普伦诺啡获取程序之间的1个月和3个月的治疗和布普伦诺啡保留.
- 评估项目招生中的种族差异,并确定进入障碍.
- 评估一种新的,基于社区的远程医疗方法对阿片类药物使用障碍治疗的有效性.
主要方法:
- 后勤回归分析了治疗和布普伦诺芬保留.
- 对参与者特征 (性别,种族,无家可归) 进行控制的倾向得分匹配.
- 奇平方测试检查了计划招生中的种族差异.
主要成果:
- 与传统组相比,RA计划中的客户 (1%的总参与者) 显示出更高的1个月和3个月的治疗保留和3个月的布普伦诺芬保留.
- 在RA项目中,白人客户比例高于预期,黑人客户比例低于预期.
- 种族差异出现在非注册的原因中;黑人更有可能拒绝或无法接触,但也更有可能接受现有治疗.
结论:
- 通过基于社区的,同行促进的远程医疗来获得同一天的布普伦诺啡因,证明了治疗和药物参与的持续益处.
- 黑人个人在RA计划中的代表性不足凸显了对文化定制实施策略的需求.
- 通过同行和远程医疗促进的计划需要文化响应的方法,以确保所有人群的平等访问和参与.
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