Evidence map›Paper›PMID 37858794›Full record

ArticleJournal of substance use and addiction treatment2024

Usability and feasibility of a take-home methadone web-application for opioid treatment program patients: A Small Business Innovation Research mixed methods study.

Michael Giles, Lucy Reynales, Avinash Jayaraman, Omer Kaplan, Kshitij Verma, Katharina Wiest, Samuel Denney, Cora Hart, Steffani R Bailey, Dongseok Choi and 3 more

Abstract read
In one paragraph

Article in Journal of substance use and addiction treatment, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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. Article
  2. Article
  3. 'I'm on the coast and I'm on methadone': A qualitative study examining access to opioid agonist treatment in rural and coastal British Columbia.Canadian journal of rural medicine : the official journal of the Society of Rural Physicians of Canada = Journal canadien de la medecine rurale : le journal officiel de la Societe de medecine rurale du Canada · 2024
    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

13 authors.

Michael GilesSonara Health, Inc., Dallas, TX, United States of America.
Lucy ReynalesSonara Health, Inc., Dallas, TX, United States of America.
Avinash JayaramanSonara Health, Inc., Dallas, TX, United States of America.
Omer KaplanSonara Health, Inc., Dallas, TX, United States of America.
Kshitij VermaSonara Health, Inc., Dallas, TX, United States of America.
Katharina WiestSonara Health, Inc., Dallas, TX, United States of America.
Samuel DenneyAdapt Integrated Health System, Roseburg, OR, United States of America.
Cora HartAdapt Integrated Health System, Roseburg, OR, United States of America.
Steffani R BaileySchool of Medicine, Department of Family Medicine, Oregon Health & Science University, Portland, OR, United States of America.
Dongseok ChoiOHSU - PSU School of Public Health, Oregon Health & Science University, Portland, OR, United States of America.
Kim A HoffmanSchool of Medicine, Department of General and Internal Medicine, Oregon Health & Science University, Portland, OR, United States of America.
Mark P McGovernStanford University School of Medicine, Department of Psychiatry & Behavioral Sciences, Stanford, CA, United States of America.
Dennis McCartySchool of Medicine, Department of General and Internal Medicine, Oregon Health & Science University, Portland, OR, United States of America; OHSU - PSU School of Public Health, Oregon Health & Science University, Portland, OR, United States of America. Electronic address: mccartyd@ohsu.edu.

Funding

Western States Node of the National Drug Abuse Treatment Clinical Trials NetworkU10DA015815 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MCCARTY, DENNIS, SORENSEN, JAMES L · 2002 to 2015
$25.2M
Western States Node of the National Drug Abuse Treatment Clinical Trials Network (TMS for CUD) UG1DA015815 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Keith N. Humphreys, Philip Todd Korthuis · 2015 to 2026
$24.6M
Transforming health equity rhetoric to rigor: Development and validation of a novel measure assessing health equity in implementation of health interventionsP50DA054072 · NIDA · STANFORD UNIVERSITY · PI Mark P McGovern · 2022 to 2026
$18.1M
Peer-based Retention of people who Use Drugs in Rural Research (PROUD-R2)U01TR002631 · NCATS · OREGON HEALTH & SCIENCE UNIVERSITY · PI KORTHUIS, PHILIP TODD, YOUNG, APRIL MARIE · 2018 to 2023
$5.2M
Oregon HIV/Hepatitis and Opioid Prevention and Engagement (OR-HOPE) Study Cost ExtensionUH3DA044831 · NIDA · OREGON HEALTH & SCIENCE UNIVERSITY · PI KORTHUIS, PHILIP TODD · 2019 to 2022
$4.0M
Stagewise Implementation-To-Target- Medications for Addiction Treatment (SITT-MAT)R01DA052975 · NIDA · STANFORD UNIVERSITY · PI FORD, JAMES H, MCGOVERN, MARK P · 2021 to 2025
$3.3M
CONNECT: COmpreheNsive traiNing and Engagement in Cessation TreatmentR01CA255016 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI Steffani R Bailey · 2021 to 2026
$3.1M
EpiCenter ? EPIdemiology of opioid prescribing in community health CENTERsR01DA046468 · NIDA · OREGON STATE UNIVERSITY · PI HARTUNG, DANIEL M · 2018 to 2022
$2.5M
PAST-DUE (Prevention and Social Determinants: Disparities and Utilization in Latino Elders)R01AG056337 · NIA · OREGON HEALTH & SCIENCE UNIVERSITY · PI HEINTZMAN, JOHN · 2018 to 2022
$2.3M
FRONTIERS: Foreign-Born Latinos Cancer ScreeningR01CA258464 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI HEINTZMAN, JOHN D. · 2022 to 2025
$2.2M
FOCUS: Foreign Born Latinos Cardiovascular ScreeningR01MD014120 · NIMHD · OREGON HEALTH & SCIENCE UNIVERSITY · PI HEINTZMAN, JOHN · 2020 to 2024
$2.0M
Evaluating the Usability, Efficacy and Commercial Utility of a Digital Platform to Deliver Comprehensive Treatment for Opioid Use DisorderR44DA050354 · NIDA · BOULDER CARE, INC. · PI PAPES, STEPHANIE · 2019 to 2022
$1.7M
NCATS NIH HHS U01 TR002631NCI NIH HHS R01 CA255016NCI NIH HHS R01 CA258464NIA NIH HHS R01 AG056337NIDA NIH HHS P50 DA054072NIDA NIH HHS R01 DA046468NIDA NIH HHS R01 DA052975NIDA NIH HHS R21 DA054261NIDA NIH HHS R43 DA056259NIDA NIH HHS R44 DA050354NIDA NIH HHS U10 DA015815NIDA NIH HHS UG1 DA015815NIDA NIH HHS UG3 DA044831NIDA NIH HHS UH3 DA044831NIMHD NIH HHS R01 MD014120
6 · The paper itself

Abstract

backgroundMost patients in opioid treatment programs (OTPs) attend daily for observed dosing. A Stage IA (create and adapt) and a Stage IB (feasibility and pilot) mixed method studies tested a web-application (app) designed to facilitate access to take-home methadone.

methodsA Stage IA, intervention development study, used qualitative interviews to assess the usability (ease of use) and feasibility (ability to implement) of a take-home methadone app. The Stage IA market research was a two-week test with 96 patient participants from four OTPs. Qualitative interviews were completed with 20 systematically selected individuals who used the take-home app and 20 OTP clinicians (five each from the four OTPs). The Stage IB Small Business Innovation Research (SBIR) study (24 patients and 8 clinicians in a single OTP) included quantitative assessments of the app's usability, acceptability, appropriateness, and feasibility. Thematic analysis coded participant and staff assessments of the take-home app.

resultsStage IA patients (mean age = 41 years; 52 % men, 57 % White) and IB patients (mean age = 38 years, 54 % men, 79 % White) described the app as "easy to use." Compared to unsupervised take-homes, some patients preferred using the take-home app. In Stage IB, patients rated the app highly on standardized measures of usability, acceptability, appropriateness, and feasibility. Clinician ratings were more ambivalent. Patients rated in-clinic dosing as more disruptive than unsupervised take-homes and take-homes using the app. DISCUSSION: A Stage IA study informed the development and maturation of a Stage IB feasibility pilot study. Overall, the take-home app's usability, acceptability, appropriateness, and feasibility were rated positively. Clinical staff ratings were less positive, but individuals commented that using the app a) enhanced patient quality of life, b) provided new tools for counselors, and c) offered competitive advantages. The SBIR award enhanced market research with more complete and systematic data collection and analysis.

Indexed as

Analgesics, OpioidMobile ApplicationsAdultFeasibility StudiesFemaleHumansMaleMethadonePilot ProjectsQuality of LifeSmall BusinessAnalgesics, OpioidMethadoneDigital health platformMethadoneOpioid treatment programTake-home

Identifiers

PMID37858794
PMCPMC10932827

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Registered trials

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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.