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Healthcare staff’s perspectives on long-acting injectable buprenorphine treatment: a qualitative interview study
Malmö University, Faculty of Health and Society (HS), Department of Social Work (SA). Malmö University, Faculty of Health and Society (HS), People, Places and Prevention.ORCID iD: 0000-0002-6975-6645
Department of Social Work, Jönköping University, Jönköping, Sweden.
School of Social Work, Lund University, Lund, Sweden.ORCID iD: 0000-0002-1601-2706
Department of Social Work, Jönköping University, Jönköping, Sweden.
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2024 (English)In: Addiction science & clinical practice, ISSN 1940-0632, E-ISSN 1940-0640, Vol. 19, no 1, article id 25Article in journal (Refereed) Published
Abstract [en]

Background: Long-acting injectable buprenorphine (LAIB) formulations are a novel treatment approach in opioid agonist treatment (OAT), which provide patients with a steady dose administered weekly or monthly and thus reduce the need for frequent clinic visits. Several studies have analyzed patient experiences of LAIB but the perspective of OAT staff is unknown. This study aimed to explore how healthcare staff working in OAT clinics in Sweden perceive and manage treatment with LAIB.

Methods: Individual qualitative interviews were conducted with OAT physicians (n = 10) in tandem with nine focus group sessions with OAT nurses and other staff categories (n = 41). The data was analyzed with thematic text analysis.

Results: Five central themes were identified in the data: (1) advantages and disadvantages of LAIB, (2) patient categories that may or may not need LAIB, (3) patients’ degrees of medication choice, (4) keeping tabs, control and treatment alliance, and (5) LAIB’s impact on risk and enabling environments in OAT. Overall staff found more advantages than disadvantages with LAIB and considered that patients with ongoing substance use and low adherence were most likely to benefit from LAIB. However, less frequent visits were viewed as problematic in terms of developing a treatment alliance and being able to keep tabs on patients’ clinical status. Clinics differed regarding patients' degrees of choice in medication, which varied from limited to extensive. LAIB affected both risk and enabling environments in OAT.

Conclusions: LAIB may strengthen the enabling environment in OAT for some patients by reducing clinic visits, exposure to risk environments, and the pressure to divert medication. A continued discussion about the prerequisites and rationale for LAIB implementation is needed in policy and practice.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2024. Vol. 19, no 1, article id 25
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Substance Abuse
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URN: urn:nbn:se:mau:diva-66637DOI: 10.1186/s13722-024-00458-6ISI: 001197406200001PubMedID: 38581022Scopus ID: 2-s2.0-85189818905OAI: oai:DiVA.org:mau-66637DiVA, id: diva2:1849611
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2022-00228Medical Research Council of Southeast Sweden (FORSS), 931904Available from: 2024-04-08 Created: 2024-04-08 Last updated: 2024-05-21Bibliographically approved

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Nordgren, JohanJohnson, Björn

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