Evidence map›Paper›PMID 36879304›Full record

ArticleSubstance abuse treatment, prevention, and policy2023

"Sometimes you have to take the person and show them how": adapting behavioral activation for peer recovery specialist-delivery to improve methadone treatment retention.

Mary B Kleinman, Morgan S Anvari, Valerie D Bradley, Julia W Felton, Annabelle M Belcher, C J Seitz-Brown, Aaron D Greenblatt, Dwayne Dean, Melanie Bennett, Jessica F Magidson

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Substance abuse treatment, prevention, and policy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.5field-weighted citation impact, top 8% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 12 citations in OpenAlex.

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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

10 authors at 3 institutions in 1 country.

Mary B KleinmanDepartment of Psychology, University of Maryland at College Park, College Park, Maryland, USA. mkleinm@umd.edu.
Morgan S AnvariDepartment of Psychology, University of Maryland at College Park, College Park, Maryland, USA.
Valerie D BradleyDepartment of Psychology, University of Maryland at College Park, College Park, Maryland, USA.
Julia W FeltonCenter for Health Policy and Health Services Research, Henry Ford Health System, Detroit, MI, USA.
Annabelle M BelcherDepartment of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA.
C J Seitz-BrownDepartment of Psychology, University of Maryland at College Park, College Park, Maryland, USA.
Aaron D GreenblattDepartment of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA.
Dwayne DeanDepartment of Psychology, University of Maryland at College Park, College Park, Maryland, USA.
Melanie BennettDepartment of Psychiatry, University of Maryland School of Medicine, Baltimore, MD, USA.
Jessica F MagidsonDepartment of Psychology, University of Maryland at College Park, College Park, Maryland, USA.
University of Maryland, College Park · USUniversity of Maryland, Baltimore · USHenry Ford Health System · US

Funding

Understanding the Impact of COVID-19 on Methadone Treatment Retention and Adherence in an Underserved, Minority Population with OUDR61AT010799 · NCCIH · UNIV OF MARYLAND, COLLEGE PARK · PI MAGIDSON, JESSICA F · 2019 to 2020
$1.2M
NCCIH NIH HHS R61 AT010799
6 · The paper itself

Abstract

backgroundDespite efficacy of medication for opioid use disorder, low-income, ethno-racial minoritized populations often experience poor opioid use disorder treatment outcomes. Peer recovery specialists, individuals with lived experience of substance use and recovery, are well-positioned to engage hard-to-reach patients in treatment for opioid use disorder. Traditionally, peer recovery specialists have focused on bridging to care rather than delivering interventions. This study builds on research in other low-resource contexts that has explored peer delivery of evidence-based interventions, such as behavioral activation, to expand access to care.

methodsWe sought feedback on the feasibility and acceptability of a peer recovery specialist-delivered behavioral activation intervention supporting retention in methadone treatment by increasing positive reinforcement. We recruited patients and staff at a community-based methadone treatment center and peer recovery specialist working across Baltimore City, Maryland, USA. Semi-structured interviews and focus groups inquired about the feasibility and acceptability of behavioral activation, recommendations for adaptation, and acceptability of working with a peer alongside methadone treatment.

resultsParticipants (N = 32) shared that peer recovery specialist-delivered behavioral activation could be feasible and acceptable with adaptations. They described common challenges associated with unstructured time, for which behavioral activation could be particularly relevant. Participants provided examples of how a peer-delivered intervention could fit well in the context of methadone treatment, emphasizing the importance of flexibility and specific peer qualities.

conclusionsImproving medication for opioid use disorder outcomes is a national priority that must be met with cost-effective, sustainable strategies to support individuals in treatment. Findings will guide adaptation of a peer recovery specialist-delivered behavioral activation intervention to improve methadone treatment retention for underserved, ethno-racial minoritized individuals living with opioid use disorder.

Indexed as

Behavior TherapyOpioid-Related DisordersFocus GroupsHumansMethadoneMethadoneBehavioral activationHealth disparitiesMethadoneOpioid use disorderPeer recovery specialist

Identifiers

PMID36879304
PMCPMC9990281
OpenAlexW4323305875

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.