对阿片类药物使用障碍 (MOUD) 支持药物治疗的同行恢复教练 (PRC) 服务清单的开发,有效性和可接受性
J Edward Dotherow1, Kaileigh A Byrne2, Kerry A Howard3
1Addiction Medicine Center, Prisma Health, Greenville, South Carolina, USA.
Substance use & misuse
|May 30, 2025
概括
同行恢复教练现在可以使用验证的检查列表来支持阿片类药物使用障碍 (OUD) 治疗的启动和维护. 该工具在教练中获得了很高的接受度,并引起了OUD患者的强烈兴趣.
科学领域:
- 成 药物 药物 药物 药物
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 同行恢复支持服务 (PRSS) 显示出改善阿片类药物使用障碍 (OUD) 药物开始和治疗结果的希望.
- 连续运行PRSS具有挑战性,阻碍了系统评估,特别是考虑到患者需求和服务可用性的农村和城市差异.
- 需要一个标准化的工具来指导同行恢复教练 (PRC) 支持OUD治疗.
研究的目的:
- 开发和验证一个工具,以指导中国人民共和国在农村和城市环境中为OUD患者提供治疗启动和维持的支持.
- 评估开发的工具在中华人民共和国的实用性和可接受性,以及OUD的个人对OUD的兴趣.
主要方法:
- 系统地调整现有的中国检查清单,纳入恢复资本领域和社会支持理论.
- 来自PRC的定性反 (N=5) 和来自农村诊所寻求药物治疗阿片类药物使用障碍 (MOUD) 的患者 (N=22) 的混合方法输入,以完善检查清单.
- 通过单独的PRC样本 (N=60) 对修订后的检查清单内容,实用性和可接受性的定量评估.
主要成果:
- 超过65%的OUD患者对检查清单中列出的所有服务表示兴趣.
- 大多数中国人 (至少95%) 表示对该检查清单感到满意,认为该清单有帮助,有用,易于使用.
- 中国人认为检查清单准确地反映了他们提供的服务.
结论:
- 对于MOUD支持的中国服务清单是一个经过验证的工具.
- 检查清单显示了中国人对OUD的高度接受度,以及OUD个体对OUD的显著兴趣.
- 该工具可以增强对OUD治疗的同行恢复支持服务的一致和有效交付.
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