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Author ORCID Identifier
Open Access Dissertation
Doctor of Philosophy (PhD)
Year Degree Awarded
Month Degree Awarded
Sall Campbell Pirie
Community Health | Community Health and Preventive Medicine | Health Policy | Maternal and Child Health | Other Mental and Social Health | Psychiatric and Mental Health | Psychiatric and Mental Health Nursing | Public Health and Community Nursing | Public Health Education and Promotion | Public Policy | Social Policy | Substance Abuse and Addiction | Women's Health
AN EVALUATION OF FUNCTIONAL OUTCOMES FOR PATIENTS WITH OPIOID USE DISORDER IN A MEDICATION TREATMENT PROGRAM: WITH A FOCUS ON PREGNANT WOMEN
KRISTY PEREIRA, B.S.N., COLLEGE OF OUR LADY OF THE ELMS
M.S.N, AMERICAN INTERNATIONAL COLLEGE
Ph.D., UNIVERSITY OF MASSACHUSETTS AMHERST
Directed by: Raeann Leblanc
Opioid misuse leading to opioid use disorder (OUD) is a growing concern in the U.S. Medication Treatment (MT) with buprenorphine is considered the gold standard for OUD treatment. Traditionally, success in treatment is measured by abstinence from opioids and other drug use. Urine drug screens are used to determine abstinence from opioids and other drug use. There is little evidence on alternative measures to determine treatment success in OUD treatment. The purpose of this descriptive study was to provide evidence that functional outcomes are an important piece in defining treatment success for these individuals. The first study aim was to determine if functional risk score is a better predictor of treatment success when compared to opioid use. The second aim was the same as the first, except analyses were limited to only pregnant patients.
This correlational, retrospective study analyzed EHR data obtained from a multisite, multistate outpatient treatment facility that provided buprenorphine treatment for individuals ≥ 18 years of age from 2016–2018. Included were 416 patients with OUD in MT, of whom 140 were pregnant (Aim 2). Predictors were functional risk score and opioid use. Outcomes were treatment utilization, medication utilization, and treatment retention.
Findings reveal that functional outcomes were a significant predictor of treatment utilization in almost all models for the entire sample. Opioid use was a more significant predictor of medication utilization for both aims. Functional risk score and opioid use were comparable predictors of treatment retention among the non-pregnant sample. Neither functional risk score nor opioid use were predictors of treatment retention in the pregnant sample.
Treatment success for individuals with OUD in MT has been incorrectly defined. Often, it is speculated that a person who has a positive urine screen and is not abstinent from opioid use 100% of the time is not complying with treatment. The current study findings indicate that functional outcomes were better predictors of treatment utilization when compared to opioid use in both the general and pregnant populations. Incorporating functional outcomes in addition to urine drug screens may provide further insight in gauging treatment success for individuals with OUD in MT.
pereira, kristy, "AN EVALUATION OF FUNCTIONAL OUTCOMES FOR PATIENTS WITH OPIOID USE DISORDER IN A MEDICATION TREATMENT PROGRAM: WITH A FOCUS ON PREGNANT WOMEN" (2023). Doctoral Dissertations. 2938.
Available for download on Sunday, September 01, 2024
Community Health Commons, Community Health and Preventive Medicine Commons, Health Policy Commons, Maternal and Child Health Commons, Other Mental and Social Health Commons, Psychiatric and Mental Health Commons, Psychiatric and Mental Health Nursing Commons, Public Health and Community Nursing Commons, Public Health Education and Promotion Commons, Public Policy Commons, Social Policy Commons, Substance Abuse and Addiction Commons, Women's Health Commons