Evidence map›Paper›PMID 35850782›Full record

Trial reportAddiction science & clinical practice2022

Patients' experiences of continued treatment with extended-release naltrexone: a Norwegian qualitative study.

Anne Marciuch, Ida Halvorsen Brenna, Bente Weimand, Kristin Klemmetsby Solli, Lars Tanum, Bente K Røstad, Bente Birkeland

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in Addiction science & clinical practice, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03647774 (Long Acting Naltrexone for Opioid Addiction), which is not on this map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03647774 phase4completednot on this map

Long Acting Naltrexone for Opioid Addiction: the Importance of Mental, Physical and Societal Factors for Sustained Abstinence and Recovery

TypeinterventionalSponsorLars TanumRan2018 to 2022Enrolled317ConditionsOpioid-use DisorderArmsExtended release naltrexone
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Anne MarciuchDepartment of Research and Development in Mental Health, Akershus University Hospital, PB. 1000, 1478, Loerenskog, HF, Norway. anne.marciuch@ahus.no.ORCID 0000-0002-0929-9833
Ida Halvorsen BrennaDepartment of Addiction Medicine, Haukeland University Hospital, Bergen, Norway.
Bente WeimandDepartment of Research and Development in Mental Health, Akershus University Hospital, PB. 1000, 1478, Loerenskog, HF, Norway.
Kristin Klemmetsby SolliDepartment of Research and Development in Mental Health, Akershus University Hospital, PB. 1000, 1478, Loerenskog, HF, Norway.
Lars TanumDepartment of Research and Development in Mental Health, Akershus University Hospital, PB. 1000, 1478, Loerenskog, HF, Norway.
Bente K RøstadRIO-a Norwegian users' association in the field of alcohol and drugs, Oslo, Norway.
Bente BirkelandDepartment of Psychosocial Health, University of Agder, Kristiansand, Norway.
University of Oslo · NOAkershus University Hospital · NOHaukeland University Hospital · NOOsloMet – Oslo Metropolitan University · NOUniversity of Agder · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe opioid antagonist extended-release naltrexone (XR-NTX) in the treatment of opioid use disorder (OUD) is effective in terms of safety, abstinence from opioid use and retention in treatment. However, it is unclear how patients experience and adjust to losing the possibility of achieving an opioid effect. This qualitative study is the first to explore how people with opioid dependence experience XR-NTX treatment, focusing on the process of treatment over time.

methodsUsing a purposive sampling strategy, semi-structured interviews were undertaken with 19 persons with opioid use disorder (15 men, four women, 22-55 years of age) participating in a clinical trial of XR-NTX in Norway. The interviewees had received at least three XR-NTX injections. Qualitative content analysis with an inductive approach was used.

findingsParticipants described that XR-NTX treatment had many advantages. However they still faced multiple challenges, some of which they were not prepared for. Having to find a new foothold and adapt to no longer gaining an effect from opioids due to the antagonist medication was challenging. This was especially true for those struggling emotionally and transitioning into the harmful use of non-opioid substances. Additional support was considered crucial. Even so, the treatment led to an opportunity to participate in society and reclaim identity. Participants had strong goals for the future and described that XR-NTX enabled a more meaningful life. Expectations of a better life could however turn into broken hopes. Although participants were largely optimistic about the future, thinking about the end of treatment could cause apprehension.

conclusionsXR-NTX treatment offers freedom from opioids and can facilitate the recovery process for people with OUD. However, our findings also highlight several challenges associated with XR-NTX treatment, emphasizing the importance of monitoring emotional difficulties and increase of non-opioid substances during treatment. As opioid abstinence in itself does not necessarily equal recovery, our findings underscore the importance of seeing XR-NTX as part of a comprehensive, individualized treatment approach.

trial registrationClinicaltrials.gov # NCT03647774, first Registered: Aug 28, 2018.

Indexed as

NaltrexoneOpioid-Related DisordersAdultAnalgesics, OpioidDelayed-Action PreparationsFemaleHumansInjections, IntramuscularMaleMiddle AgedNarcotic AntagonistsYoung AdultAnalgesics, OpioidDelayed-Action PreparationsNaltrexoneNarcotic AntagonistsExtended-release naltrexoneOpioidsOpioid use disorderPatient experienceQualitativeRecoveryTreatment of opioid dependence

Identifiers

PMID35850782
PMCPMC9290197
OpenAlexW4285802238

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.