Emergency-Department Initiated Buprenorphine: Impact on Quality of Life Factors

Abstract Background: Emergency department (ED)-initiated medications for opioid use disorder (MOUD) have emerged as an effective strategy against the opioid epidemic. Opioid use disorder (OUD) patients engaged in ED-initiated MOUD programs have higher retention in treatment programs and improved outcomes with regard to overdose rates and mortality. It is unclear however, how engagement in ED-initiated MOUD programs might affect quality of life (QoL). We sought to describe demographic characteristics and QoL factors reported by patients engaged in ED-initiated MOUD and referral services. Methods: An ED MOUD-initiation program was launched in July 2019, with subsequent referral to definitive services. Enrolled patients were interviewed at intake, 3-months, and 6-months to ascertain QoL indices via the Government Performance and Results Act (GPRA) measures. Descriptive statistics and Fisher’s Exact were utilized to assess the data. Results: Through 12/2020, 89 participants were enrolled. The majority were white (85.4%), male (61.8%), and between the ages of 25-44 (75.3%). To-date, 31 participants (43.7% eligible) have completed 3-month follow-up and 28 (45.2% eligible) have competed 6-month follow-up. With regards to assessed QoL factors, over half demonstrated significant improvement, including 5 of 7 psychosocial factors, to include satisfaction with personal relationships, QoL self-rating, satisfaction with personal health, energy for everyday life, and satisfaction with self (p <.05). Financial needs met was the only objective QoL factor to demonstrate significant improvement during the follow-up time period. While not significant, homelessness also decreased, specifically 14 (15.7%) identified as homeless at intake as compared to one (3.7%) at 6-month follow-up. Additional trends toward decreased violence exposure and increased employment rates were also noted.Conclusions: In addition to decreasing illicit opioid drug use, maintenance of ED-initiated MOUD may positively impact broad QoL measures.

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Comparison of LORETA Z Score Neurofeedback and Cognitive Rehabilitation in Terms of Their Effectiveness in Reducing Craving in Opioid Addicts

Basic and Clinical Neuroscience Journal ◽

10.32598/bcn.2021.1946.1 ◽

2021 ◽

Author(s):

Alireza Faridi ◽

◽

Farhad Taremian ◽

Robert W Thatcher ◽

Mohsen Dadashi ◽

...

Keyword(s):

Quality Of Life ◽

Attentional Bias ◽

Cognitive Rehabilitation ◽

Opioid Use Disorder ◽

Z Score ◽

Opioid Use ◽

Cognitive Rehabilitation Therapy ◽

Post Test

Background: Previous studies have shown that conventional neurofeedback and cognitive modification treatments have led to numerous psychological improvements in patients suffering from substance use disorders. However, effectiveness of LORETA (Low-Resolution Brain Electromagnetic Tomography) Z score neurofeedback (LZNFB) and Cognitive rehabilitation therapy on reducing of opium craving has yet to be investigated. Thus, aim of the present study was to compare effectiveness of LZNFB and Cognitive rehabilitation therapy with methadone maintenance treatment (MMT) in reduction of opium craving in patients with opioid use disorder. Methods: Thirty patients with opioid use disorder undergoing MMT were randomly assigned into three groups: LZNFB with MMT, Cognitive rehabilitation with MMT (as experimental groups), and MMT alone Control group. The LZNFB and Cognitive rehabilitation groups received 20 and 15 sessions of treatment, respectively. The three groups were assessed using a number of questionnaires as well as Dot-Probe Task at pre-test, post-test, and one-month follow-up. Results: The results showed that both experimental groups accomplished significantly greater reduction in opium craving than MMT alone group at post-test and follow up (P<0.05). The LZNFB with MMT group showed higher decrease in opioid craving than the Cognitive rehabilitation with MMT group. In addition, Cognitive rehabilitation group experienced greater improvement on attentional bias towards craving cues than LZNFB with MMT group at post-test and follow up. Finally, LZNFB with MMT group and Cognitive rehabilitation with MMT group got higher scores on the recovery assessment scale than MMT alone group at post-test and follow up. According to results of this study, LZNFB training is more effective than Cognitive Rehabilitation in decreasing of craving and improving quality of life in addiction to opioids. Conclusion: The findings of the current study provided preliminary support for the effectiveness of LZNFB and Cognitive rehabilitation on reduction of opium craving, improvement of attentional bias towards craving cues and quality of life among Iranian opioids use patients.

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Alcohol risk drinking, quality of life and health state among patients treated at the Sobering Unit in the emergency department – One year follow-up study

International Emergency Nursing ◽

10.1016/j.ienj.2016.06.003 ◽

2017 ◽

Vol 31 ◽

pp. 22-29 ◽

Cited By ~ 5

Author(s):

Marita Koivunen ◽

Sanna Harju ◽

Tommi Kauko ◽

Maritta Välimäki

Keyword(s):

Quality Of Life ◽

Emergency Department ◽

Health State ◽

Follow Up Study ◽

One Year ◽

Alcohol Risk ◽

Drinking Quality

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Do Sex Differences Among Adults With Opioid Use Disorder Reflect Sex-specific Vulnerabilities? A Study of Behavioral Health Comorbidities, Pain, and Quality of Life

Journal of Addiction Medicine ◽

10.1097/adm.0000000000000662 ◽

2020 ◽

Vol 14 (6) ◽

pp. 502-509 ◽

Cited By ~ 2

Author(s):

Taeho Greg Rhee ◽

MacKenzie R. Peltier ◽

Mehmet Sofuoglu ◽

Robert A. Rosenheck

Keyword(s):

Quality Of Life ◽

Sex Differences ◽

Behavioral Health ◽

Opioid Use Disorder ◽

Opioid Use ◽

Health Comorbidities

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Characterizing Long-Term Health Related Quality of Life Trajectories of Individuals With Opioid Use Disorder

Journal of Substance Abuse Treatment ◽

10.1016/j.jsat.2016.05.001 ◽

2016 ◽

Vol 67 ◽

pp. 30-37 ◽

Cited By ~ 6

Author(s):

Emanuel Krebs ◽

Thomas Kerr ◽

Evan Wood ◽

Bohdan Nosyk

Keyword(s):

Quality Of Life ◽

Opioid Use Disorder ◽

Health Related Quality ◽

Opioid Use ◽

Life Trajectories ◽

Related Quality ◽

Health Related

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Comparison of impact of family stigma on quality of life among caregivers of male inpatients with alcohol and opioid use disorder

Industrial Psychiatry Journal ◽

10.4103/ipj.ipj_83_19 ◽

2019 ◽

Vol 28 (2) ◽

pp. 278

Author(s):

Rohit Garg ◽

Abhishek Gupta ◽

Deepam Kundal

Keyword(s):

Quality Of Life ◽

Opioid Use Disorder ◽

Opioid Use

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PMH74 - QUALITY OF LIFE ACCORDING TO TEMPORAL ILLICIT OPIOID USE AND RESPONDER RATE IN ADULTS RECEIVING BUPRENORPHINE DEPOT INJECTIONS (CAM2038) TO TREAT OPIOID USE DISORDER IN A 48-WEEK OPEN LABEL STUDY

Value in Health ◽

10.1016/j.jval.2018.09.2885 ◽

2018 ◽

Vol 21 ◽

pp. S286-S287

Author(s):

M.A. Rasmussen ◽

M. Frost ◽

R. Jensen ◽

N. Budilovsky ◽

S. Kim ◽

...

Keyword(s):

Quality Of Life ◽

Opioid Use Disorder ◽

Responder Rate ◽

Opioid Use ◽

Open Label ◽

Open Label Study ◽

Label Study ◽

Depot Injections ◽

Illicit Opioid Use

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Quality of life as an outcome of opioid use disorder treatment: A systematic review

Journal of Substance Abuse Treatment ◽

10.1016/j.jsat.2017.01.019 ◽

2017 ◽

Vol 76 ◽

pp. 88-93 ◽

Cited By ~ 21

Author(s):

Jeremy W. Bray ◽

Brandon Aden ◽

Ashley A. Eggman ◽

Leah Hellerstein ◽

Eve Wittenberg ◽

...

Keyword(s):

Quality Of Life ◽

Systematic Review ◽

Opioid Use Disorder ◽

Opioid Use ◽

Disorder Treatment

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Sociodemographic and Clinical Characteristics Associated with Improvements in Quality of Life for Participants with Opioid Use Disorder

Healthcare ◽

10.3390/healthcare10010167 ◽

2022 ◽

Vol 10 (1) ◽

pp. 167

Author(s):

Assaf Gottlieb ◽

Christine Bakos-Block ◽

James R. Langabeer ◽

Tiffany Champagne-Langabeer

Keyword(s):

Quality Of Life ◽

Clinical Characteristics ◽

Opioid Use Disorder ◽

Opioid Use ◽

Professional Counseling ◽

Factors Associated ◽

Multiple Dimensions ◽

Average Improvement ◽

Engagement System

Background: The Houston Emergency Opioid Engagement System was established to create an access pathway into long-term recovery for individuals with opioid use disorder. The program determines effectiveness across multiple dimensions, one of which is by measuring the participant’s reported quality of life (QoL) at the beginning of the program and at successive intervals. Methods: A visual analog scale was used to measure the change in QoL among participants after joining the program. We then identified sociodemographic and clinical characteristics associated with changes in QoL. Results: 71% of the participants (n = 494) experienced an increase in their QoL scores, with an average improvement of 15.8 ± 29 points out of a hundred. We identified 10 factors associated with a significant change in QoL. Participants who relapsed during treatment experienced minor increases in QoL, and participants who attended professional counseling experienced the largest increases in QoL compared with those who did not. Conclusions: Insight into significant factors associated with increases in QoL may inform programs on areas of focus. The inclusion of counseling and other services that address factors such as psychological distress were found to increase participants’ QoL and success in recovery.

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