Acceptability and Feasibility of a Mobile Health Application for Video Directly Observed Therapy of Buprenorphine for Opioid Use Disorders in an Office-based Setting
| العنوان: | Acceptability and Feasibility of a Mobile Health Application for Video Directly Observed Therapy of Buprenorphine for Opioid Use Disorders in an Office-based Setting |
|---|---|
| المؤلفون: | Margo E Godersky, Jeffrey H. Samet, Judith I. Tsui, Joseph O Merrill, Jared W. Klein, Andrew J Saxon, Kendra L Blalock |
| المصدر: | J Addict Med |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, Telemedicine, medicine.medical_specialty, MEDLINE, Pilot Projects, 01 natural sciences, Article, 03 medical and health sciences, 0302 clinical medicine, medicine, Humans, Pharmacology (medical), 030212 general & internal medicine, 0101 mathematics, Directly Observed Therapy, Office based, business.industry, Opioid use, 010102 general mathematics, Usability, Opioid-Related Disorders, Buprenorphine, Test (assessment), Psychiatry and Mental health, Physical therapy, Feasibility Studies, Female, business, medicine.drug |
| الوصف: | INTRODUCTION/BACKGROUND: Video directly observed therapy (video-DOT) through a mobile health platform may improve buprenorphine adherence and decrease diversion. This pilot study tested the acceptability and feasibility of using this technology among patients receiving buprenorphine in an office-based setting. METHODS: Participants were instructed to record videos of themselves taking buprenorphine. Data were collected from weekly in-person visits over a four-week period; assessments included self-report of medication adherence, substance use, satisfaction with treatment and use of the application, as well as urine drug testing. Open-ended questions at the final visit solicited feedback on patients’ experiences using the mobile health application. RESULTS: The sample consisted of 14 patients; a majority were male (86%) and White (79%). All participants except one (93%) were able to use the application successfully to upload videos. Among those who successfully used the application, the percentage of daily videos uploaded per participant ranged from 18 to 96%; on average, daily videos were submitted by participants 72% of the time. Most participants (10/14; 71%) reported being “very satisfied” with the application; of the remaining 4 participants, 2 were “satisfied” and 2 were “neutral.” Participants reported liking the accountability and structure the application provided and its ease of use. Negative feedback included minor discomfort at viewing one’s self during recording and the time required. CONCLUSIONS: Based on these results, use of a mobile health application for video-DOT of buprenorphine appears feasible and acceptable for patients who are treated in an office-based setting. Further research is needed to test whether use of such an application can improve treatment delivery and health outcomes. |
| تدمد: | 1935-3227 1932-0620 |
| DOI: | 10.1097/adm.0000000000000608 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e9f18f5f901ac436c96f8d8298ba9c98 https://doi.org/10.1097/adm.0000000000000608 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....e9f18f5f901ac436c96f8d8298ba9c98 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19353227 19320620 |
|---|---|
| DOI: | 10.1097/adm.0000000000000608 |