ABSTRACT

Background

Opioid addiction continues to be a crisis within the United States. Pharmacological treatments have been studied extensively and are considered superior treatment methods for opioid use disorder (OUD). Adjunctive therapy to pharmacological interventions, including peer recovery support services (PRSS), is also available for patients with OUD, but is less studied. PRSS are designed to provide individual coordination services for patients seeking recovery and treatment, administered by individuals who have lived through the substance use disorder and recovery process.

Methods

An observational study looking at differences in demographics and treatment engagement between individuals with OUD who were and were not receiving PRSS was conducted.

Results

ANOVA and chi square analyses indicated no significant demographic differences between groups; however, additional ANOVA analyses demonstrated that patients receiving PRSS attended significantly more OUD medical appointments when compared to their non-PRSS counterparts, F(1, 275) = 8.72, p = .003. A negative binomial regression analysis indicated that receiving PRSS was associated with a greater number of OUD medical appointments attended, even after controlling for length of time in treatment.

Conclusions

While these results suggest that PRSS may increase treatment engagement in patients with OUD, additional research that uses randomized designs is needed to examine the impact of PRSS on treatment engagement.

中文翻译：

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阿片类药物使用障碍患者在接受和不接受同伴康复支持服务的情况下接受丁丙诺啡治疗的比较

摘要

背景

阿片类药物成瘾在美国仍然是一场危机。药物治疗已被广泛研究，被认为是治疗阿片类药物使用障碍 (OUD) 的优越治疗方法。药物干预的辅助治疗，包括同伴康复支持服务 (PRSS)，也可用于 OUD 患者，但研究较少。PRSS 旨在为寻求康复和治疗的患者提供个人协调服务，由经历过物质使用障碍和康复过程的个人管理。

方法

进行了一项观察性研究，研究了接受和未接受 PRSS 的 OUD 患者之间的人口统计学和治疗参与度的差异。

结果

方差分析和卡方分析表明组间没有显着的人口统计学差异；然而，额外的 ANOVA 分析表明，与非 PRSS 患者相比，接受 PRSS 的患者参加了更多的 OUD 医疗预约，  F (1, 275) = 8.72,  p  = .003。负二项式回归分析表明，即使在控制了治疗时间长度之后，接受 PRSS 与更多的 OUD 医疗预约相关。

结论

虽然这些结果表明 PRSS 可能会增加 OUD 患者的治疗参与度，但需要使用随机设计的额外研究来检验 PRSS 对治疗参与度的影响。