• Login
    View Item 
    •   Home
    • University of Alaska Fairbanks
    • UAF Graduate School
    • Psychology
    • View Item
    •   Home
    • University of Alaska Fairbanks
    • UAF Graduate School
    • Psychology
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of Scholarworks@UACommunitiesPublication DateAuthorsTitlesSubjectsTypeThis CollectionPublication DateAuthorsTitlesSubjectsType

    My Account

    Login

    First Time Submitters, Register Here

    Register

    Statistics

    Display statistics

    Developing a patient-driven, substantive definition of office-based opioid treatment success

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Thumbnail
    Name:
    Hewell_uaf_0006E_10561.pdf
    Size:
    20.89Mb
    Format:
    PDF
    Download
    Author
    Hewell, Valerie Marie
    Chair
    Gonzalez, Vivian M.
    Lopez, Ellen D. S.
    Committee
    Fitterling, James
    Rivkin, Inna
    Metadata
    Show full item record
    URI
    http://hdl.handle.net/11122/6824
    Abstract
    Patients in office-based opioid treatments’ definitions of treatment success and recovery are not well understood. This is important because traditional ways of defining and measuring success focus on consumption, and usually abstinence. This definition does not encompass medication-assisted treatment, such as office-based opioid treatment, which do not necessitate abstinence. Moreover, there is evidence to support the efficacy of office-based opioid treatment in reducing the harm associated with opioid misuse, which is important as opioid misuse has increased and leads to serious consequences for individuals, families, and society. To address this gap in the literature, using a qualitative design, this dissertation explored patients’ ideas on defining office-based opioid treatment success, recovery, facilitators and barriers to treatment success, and recommendations for measuring success. This was achieved by conducting a focus group with seven participants and subsequent interviews with seven participants, two of whom were also in the focus group, for a total of 12 office-based opioid treatment patients in rural Alaska. Grounded theory, directed content analysis, and a community-based participatory research approach were used to collect and analyze focus group and interview data. Findings suggest that patients’ definitions of office-based opioid treatment success extend beyond consumption and include four main themes: functioning, such as contributing to society and living a functional lifestyle; accomplishing, such as reappraising life goals and having an intrinsic belief that one can accomplish success; relationships, such as family, friendships, and restoring relationships; and psychological factors, such as emotional wellbeing and addiction. Recovery was understood as a construct that was related to success, yet distinct, and involved healing and growth, a process, and a recovery attitude. Facilitators and barriers to treatment success include treatment factors, contextual factors, and psychological factors. Participants also recommended measuring success in a way that is individualized and flexible. This study suggests that providers should take a multifaceted and patient-driven approach when attempting to define and measure office-based opioid treatment success. Specifically, findings suggest that patients experience success in office-based opioid treatment in ways that extend beyond substance consumption. Findings also suggest that contextual barriers, such as availability and accessibility of treatment, should be addressed on a systemic level.
    Description
    Dissertation (Ph.D.) University of Alaska Fairbanks, 2016
    Table of Contents
    Chapter 1: Introduction -- Background -- Defining and Measuring Success -- Patient-Driven Definition of Success -- Study Aims and Research Questions -- Chapter 2: Literature Review -- Section A: Opioid Misuse and Treatment -- Opioids, Opioid Use, and Opioid Misuse -- Models Informing Treatment Approaches -- Substance Use Treatment -- Methadone -- Buprenorphine -- Methadone Compared to Buprenorphine -- Treatment in Alaska -- Conclusion -- Section B: Defining and Measuring Success -- Recovery -- Success -- Measuring Success -- A Case for a Patient-Informed Definition of Success -- Chapter 3: Research Design and Methodology -- Overarching Study Design -- Detailed Methodological Approach -- Eligibility, Recruitment, and Sampling Considerations -- Participant Characteristics -- Data Collection -- Data Analysis -- Rigor -- Chapter 4: Findings -- Qualitative Findings -- Participants’ Experiences of Being in the Study -- Success/Recovery Tree: An Integrated Conceptual Model -- Chapter 5: Discussion -- Success -- Recovery -- Facilitators and Barriers -- Measurement -- Implications -- Other Considerations, Limitations, and Strengths -- Conclusion -- References -- Appendices.
    Date
    2016-08
    Type
    Dissertation
    Collections
    Psychology

    entitlement

     
    ABOUT US|HELP|BROWSE|ADVANCED SEARCH

    The University of Alaska Fairbanks is an affirmative action/equal opportunity employer and educational institution and is a part of the University of Alaska system.

    ©UAF 2013 - 2023 | Questions? ua-scholarworks@alaska.edu | Last modified: September 25, 2019

    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.