2023-09-28 14:46:10 +00:00
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abstract: 'BackgroundDespite efficacy of medication for opioid use disorder,
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low-income, ethno-racial minoritized populations often experience poor
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opioid use disorder treatment outcomes. Peer recovery specialists,
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individuals with lived experience of substance use and recovery, are
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well-positioned to engage hard-to-reach patients in treatment for opioid
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use disorder. Traditionally, peer recovery specialists have focused on
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bridging to care rather than delivering interventions. This study builds
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on research in other low-resource contexts that has explored peer
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delivery of evidence-based interventions, such as behavioral activation,
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to expand access to care.MethodsWe sought feedback on the feasibility
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and acceptability of a peer recovery specialist-delivered behavioral
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activation intervention supporting retention in methadone treatment by
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increasing positive reinforcement. We recruited patients and staff at a
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community-based methadone treatment center and peer recovery specialist
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working across Baltimore City, Maryland, USA. Semi-structured interviews
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and focus groups inquired about the feasibility and acceptability of
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behavioral activation, recommendations for adaptation, and acceptability
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of working with a peer alongside methadone treatment.ResultsParticipants
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(N = 32) shared that peer recovery specialist-delivered behavioral
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activation could be feasible and acceptable with adaptations. They
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described common challenges associated with unstructured time, for which
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behavioral activation could be particularly relevant. Participants
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provided examples of how a peer-delivered intervention could fit well in
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the context of methadone treatment, emphasizing the importance of
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flexibility and specific peer qualities.ConclusionsImproving medication
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for opioid use disorder outcomes is a national priority that must be met
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with cost-effective, sustainable strategies to support individuals in
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treatment. Findings will guide adaptation of a peer recovery
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specialist-delivered behavioral activation intervention to improve
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methadone treatment retention for underserved, ethno-racial minoritized
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individuals living with opioid use disorder.'
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affiliation: 'Kleinman, MB (Corresponding Author), Univ Maryland, Dept Psychol, College
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Pk, MD 20742 USA.
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Kleinman, Mary B.; Anvari, Morgan S.; Bradley, Valerie D.; Seitz-Brown, C. J.; Dean,
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Dwayne; Magidson, Jessica F., Univ Maryland, Dept Psychol, College Pk, MD 20742
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USA.
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Felton, Julia W., Henry Ford Hlth Syst, Ctr Hlth Policy, Hlth Serv Res, Detroit,
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MI USA.
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Belcher, Annabelle M.; Greenblatt, Aaron D.; Bennett, Melanie, Univ Maryland, Dept
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Psychiat, Sch Med, Baltimore, MD USA.'
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article-number: '15'
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author: Kleinman, Mary B. and Anvari, Morgan S. and Bradley, Valerie D. and Felton,
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Julia W. and Belcher, Annabelle M. and Seitz-Brown, C. J. and Greenblatt, Aaron
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D. and Dean, Dwayne and Bennett, Melanie and Magidson, Jessica F.
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author-email: mkleinm@umd.edu
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author_list:
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- family: Kleinman
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given: Mary B.
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- family: Anvari
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given: Morgan S.
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- family: Bradley
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given: Valerie D.
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- family: Felton
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given: Julia W.
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- family: Belcher
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given: Annabelle M.
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- family: Seitz-Brown
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given: C. J.
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- family: Greenblatt
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given: Aaron D.
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- family: Dean
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given: Dwayne
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- family: Bennett
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given: Melanie
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- family: Magidson
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given: Jessica F.
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da: '2023-09-28'
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doi: 10.1186/s13011-023-00524-3
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eissn: 1747-597X
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files: []
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journal: SUBSTANCE ABUSE TREATMENT PREVENTION AND POLICY
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keywords: 'Peer recovery specialist; Behavioral activation; Methadone; Opioid use
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disorder; Health disparities'
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keywords-plus: 'SUBSTANCE USE; BUPRENORPHINE TREATMENT; USE DISORDERS; SUPPORT;
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INDIVIDUALS; HEALTH; CARE'
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language: English
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month: MAR 6
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number: '1'
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number-of-cited-references: '43'
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orcid-numbers: Anvari, Morgan/0000-0003-0732-2574
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papis_id: 1939aebbc9132c23ea8702237f780dec
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ref: Kleinman2023sometimesyou
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times-cited: '1'
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title: '``Sometimes you have to take the person and show them how″: adapting behavioral
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activation for peer recovery specialist-delivery to improve methadone treatment
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retention'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000943647800001
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usage-count-last-180-days: '2'
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usage-count-since-2013: '2'
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volume: '18'
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web-of-science-categories: Substance Abuse
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year: '2023'
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