Patients' perspectives of medications for addiction treatment in HIV clinics: A qualitative study*

被引:1
|
作者
Morford, Kenneth L. [1 ,2 ]
Muvvala, Srinivas B. [1 ,3 ]
Chan, Philip A. [4 ]
Cornman, Deborah H. [5 ]
Doernberg, Molly [6 ]
Porter, Elizabeth [1 ,2 ]
Virata, Michael [2 ]
Yager, Jessica E. [8 ]
Fiellin, David A. [1 ,2 ,7 ,9 ]
Edelman, E. Jennifer [1 ,2 ,8 ]
机构
[1] Yale Sch Med, Program Addict Med, 367 Cedar St,Suite 417A, New Haven, CT 06510 USA
[2] Yale Sch Med, Dept Internal Med, 333 Cedar St,POB 208056, New Haven, CT 06510 USA
[3] Yale Sch Med, Dept Psychiat, 300 George St,Suite 901, New Haven, CT 06511 USA
[4] Brown Univ, Dept Med, 593 Eddy St, Providence, RI 02903 USA
[5] Univ Connecticut, Inst Collaborat Hlth Intervent & Policy InCHIP, 2006 Hillside Rd,Unit 1248, Storrs, CT 06269 USA
[6] Yale Sch Publ Hlth, 60 Coll St, New Haven, CT 06510 USA
[7] Suny Downstate Med Ctr, 450 Clarkson Ave,Suite J, Brooklyn, NY 11203 USA
[8] Yale Sch Publ Hlth, Ctr Interdisciplinary Res AIDS, 135 Coll St,Suite 200, New Haven, CT 06510 USA
[9] Yale Sch Med, Dept Emergency Med, 464 Congress Ave 260, New Haven, CT 06519 USA
关键词
Substance-related disorders; Opioid; Alcohol; Tobacco; HIV; ALCOHOL-USE; CARE; PREDICTORS; KNOWLEDGE; SMOKING;
D O I
10.1016/j.jsat.2022.108767
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Background: While substance use disorders (SUD) disproportionately impact people with HIV (PWH), HIV clinics inconsistently provide evidence-based medications for addiction treatment (MAT). Patient receptivity to MAT is critical to enhance addiction treatment in these settings. However, we know little from patients about how to best integrate MAT into HIV clinics. Methods: This qualitative study used four focus groups informed by the Promoting Action on Research Implementation in Health Services framework to identify barriers and facilitators to receiving opioid, alcohol, and tobacco use disorder care in HIV clinics. The study population included 28 patients with HIV and SUD receiving care at one of four HIV clinics in the northeastern United States. Focus groups were recorded and transcribed for content analysis. The study also performed a brief survey assessing demographics and behaviors. Results: Focus groups revealed several major themes related to MAT in HIV clinics. Barriers included stigma around MAT, knowledge deficits about available MAT options and the impact of substance use on PWH, concerns about medication side effects, substance use screening without adequate clinician follow-up, and peers who discouraged MAT. Facilitators included recognition of substance use as a threat to overall health, integrated care from HIV clinicians, and support for addiction treatment from peers with lived experience. Conclusions: Efforts to enhance MAT in HIV clinics should include patient education to help them recognize addiction as a chronic disease with available medication treatment options; clinician and staff training to promote integrated, multidisciplinary screening and treatment; and thoughtful inclusion of peers with lived experience.
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页数:7
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