Evidence map›Paper›PMID 37494097›Full record

ArticleJMIR public health and surveillance2023

Co-Constructing a Community-Based Telemedicine Program for People With Opioid Use Disorder During the COVID-19 Pandemic: Lessons Learned and Implications for Future Service Delivery.

Stine Bordier Høj, Catherine de Montigny, Sofiane Chougar, Robert Léandre, Marie-Ève Beauchemin-Nadeau, Geneviève Boyer-Legault, Amélie Goyette, Sara-Kim Lamont, Julie Bruneau

Open access · goldAbstract read
In one paragraph

Article in JMIR public health and surveillance, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 22% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
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

9 authors at 1 institution in 1 country.

Stine Bordier Høj *Centre de recherche du Centre hospitalier de l'Université de Montréal, Montreal, QC, Canada.ORCID 0000-0002-5403-8341
Catherine de Montigny *Service de médecine des toxicomanies, Centre hospitalier de l'Université de Montréal, Montreal, QC, Canada.ORCID 0009-0009-2353-958X
Sofiane ChougarService de médecine des toxicomanies, Centre hospitalier de l'Université de Montréal, Montreal, QC, Canada.ORCID 0009-0000-8135-0982
Robert LéandreCentre de recherche du Centre hospitalier de l'Université de Montréal, Montreal, QC, Canada.ORCID 0009-0005-0888-5311
Marie-Ève Beauchemin-NadeauService de médecine des toxicomanies, Centre hospitalier de l'Université de Montréal, Montreal, QC, Canada.ORCID 0009-0009-9800-7860
Geneviève Boyer-LegaultCACTUS Montréal, Montreal, QC, Canada.ORCID 0009-0006-9522-0525
Amélie GoyetteCACTUS Montréal, Montreal, QC, Canada.
Sara-Kim LamontService de médecine des toxicomanies, Centre hospitalier de l'Université de Montréal, Montreal, QC, Canada.ORCID 0009-0008-2627-5631
Julie BruneauCentre de recherche du Centre hospitalier de l'Université de Montréal, Montreal, QC, Canada.ORCID 0000-0002-3484-6456
Centre Hospitalier de l’Université de Montréal · CA

Funding

CIHR PJT-165880CIHR SMN-139149
6 · The paper itself

Abstract

The COVID-19 pandemic triggered unprecedented expansion of telemedicine, including in the delivery of opioid agonist treatment (OAT) for people with opioid use disorder (OUD). However, many people with OUD lack the technological resources necessary for remote care, have complex needs, and are underserved, with precarious access to mainstream services. To address the needs of these individuals, we devised a unique program to deliver OAT via telemedicine with the support of community outreach workers in Montreal (Quebec, Canada). The program was co-constructed by the service de médecine des toxicomanies of the Centre hospitalier de l'Université de Montréal (CHUM-SMT)-a hospital-based addiction medicine service-and CACTUS Montréal-a community-based harm reduction organization known and trusted by its clientele. All procedures were jointly developed to enable flexible and rapid appointment scheduling. CACTUS Montréal workers promoted the program, facilitated private on-site telemedicine connections to the CHUM-SMT, accompanied patients during web-based appointments if requested, and provided ongoing holistic support and follow-up. The CHUM-SMT offered individualized OAT regimens and other health services as needed. Overall, our experience as clinicians and community-based workers intimately involved in establishing and running this initiative suggests that participants found it to be convenient, nonjudgmental, and responsive to their needs, and that the implication of CACTUS Montréal was highly valued and integral to patient engagement and retention. Beyond the context of the COVID-19 pandemic, similar programs may present a flexible and accessible means to deliver alternative treatment options for people with OUD disengaged from traditional care, bridge gaps between communities and health providers, and improve access to care in rural or remote settings.

Indexed as

COVID-19Opioid-Related DisordersTelemedicineCommunity Health ServicesHumansOpiate Substitution TreatmentPandemicsaccess to carecommunity-based servicesCOVID-19harm reductionhealth care servicehealthcare servicemedications for opioid use disorderopioid agonist treatmentopioid disorderopioid useopioid use disorderremote careretentionsubstance abusetelehealthtelemedicine

Identifiers

PMID37494097
PMCPMC10413226
OpenAlexW4379534386

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.