Assessment of Co-Occurring Substance Use During Opiate Treatment Programs in the United States

被引：4

作者：

Gormley, Mirinda Ann ^{[1
]}

Blondino, Courtney T. ^{[1
]}

Taylor, DaShaunda D. H. ^{[1
,2
]}

Lowery, Elizabeth ^{[1
]}

Clifford, James S. ^{[1
]}

Burkart, Benjamin ^{[1
]}

Graves, Whitney C. ^{[1
]}

Prom-Wormley, Elizabeth C. ^{[1
]}

Lu, Juan ^{[1
]}

机构：

[1] Virginia Commonwealth Univ, Sch Med, Dept Family Med & Populat Hlth, Div Epidemiol, POB 980212, Richmond, VA 23298 USA

[2] Virginia Commonwealth Univ, Ctr Soc & Hlth, Richmond, VA 23298 USA

来源：

EPIDEMIOLOGIC REVIEWS | 2020年 / 42卷 / 01期

关键词：

analgesics; opioids; patient compliance; patient dropout; substance abuse detection; treatment outcome; METHADONE-MAINTENANCE TREATMENT; RANDOMIZED CONTROLLED-TRIAL; INJECTION-DRUG USERS; CONTINGENCY MANAGEMENT; TREATMENT RETENTION; TREATMENT OUTCOMES; BUPRENORPHINE TREATMENT; DEPENDENT PATIENTS; OPIOID DEPENDENCE; CLINICAL-TRIALS;

D O I：

10.1093/epirev/mxaa009

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

The effectiveness of opiate treatment programs (OTPs) can be significantly influenced by co-occurring substance use, yet there are no standardized guidelines for assessing the influence of co-occurring substance use on treatment outcomes. In this review, we aim to provide an overview on the status of the assessment of co-occurring substance use during participation in OTPs in the United States. We searched 4 databases-MEDLINE/PubMed, EMBASE, PsychINFO, and the Cumulative Index to Nursing and Allied Health Literature (CINAHL)-from database inception to November 2018 to select relevant publications on OTPs that assessed participants' co-occurring substance use. We used a standardized protocol to extract study, intervention, and co-occurring substance use characteristics. Methodological quality was assessed using the Quality in Prognosis Studies tool. Of the 3,219 titles screened, 614 abstracts and 191 full-text original publications were assessed, leaving 85 eligible articles. Co-occurring substance use was most often assessed during opioid treatments using combined (pharmacological and behavioral) (n = 57 studies) and pharmacological (n = 25 studies) interventions. Cocaine, alcohol, marijuana, and benzodiazepines were frequently measured, while amphetamines and tobacco were rarely assessed. Great variation existed between studies in the timing and measurement of co-occurring substance use, as well as definitions for substances and polysubstance/polydrug use. Inconsistencies in the investigation of co-occurring substance use make comparison of results across studies challenging. Standardized measures and consensus on research on co-occurring substance use is needed to produce the evidence required to develop personalized treatment programs for persons using multiple substances and to inform best-practice guidelines for addressing polydrug use during participation in OTPs.

引用

页码：79 / 102

页数：24

共 111 条

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