Introduction: Although primary care settings are a promising setting for expansion of medication-assisted treatment (MAT) for opioid use disorder (OUD), currently there is not an established primary care model for MAT. While creating a primary care MAT model, traditional treatment success measures (TSMs), like abstinence, may not be effective for vulnerable populations. This study aims to identify patient-important TSMs and compare their relative importance to traditional TSMs.
Methods: Traditional TSMs for MAT programs were identified with a literature review, while potential patient-important TSMs were identified from qualitative analysis of intake interviews for a MAT program in Philadelphia. Traditional and potential alternative TSMs were used to develop a 28-card pile-sorting activity. Twenty patients in the MAT program were asked to sort the cards into categories of high, medium, and low importance for their evaluation of treatment success, and then rank the cards by importance within the categories.
Results: It is expected that 30 patients will complete the pile-sorting task. From this data, potential patient-important TSMs can be verified among the population. It is expected that patient-important TSMs will remain of high importance to participants as compared to traditional TSMs.
Conclusion: Identifying and validating the importance of patient-important TSMs can provide a discrete list for the evaluation of treatment success in primary care MAT programs. These patient-important TSMs can expand upon traditional TSMs to reflect patient values. Future research could examine the implementation of patient-important TSMs in MAT programs and whether their implementation changes evaluations, patient retention, or patient outcomes.
Ciocco, Francesca and Weinstein, MD, Lara, "Patient Evaluation of Medication-Assisted Treatment for Opioid Dependency" (2021). Phase 1. Paper 18.