Evidence map›Paper›PMID 39026326›Full record

ArticleAddiction science & clinical practice2024

Patient experiences of buprenorphine dispensing from a mobile medical unit.

Sarah E Messmer, Abigail T Elmes, Alexander F Infante, Anna Patterson, Mackenzie Smith, Albert Leon Murphy, Antonio D Jimenez, Stockton Mayer, Dennis P Watson, Kevin Whitfield and 2 more

Abstract read
In one paragraph

Article in Addiction science & clinical practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. 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

12 authors.

Sarah E MessmerDepartment of Medicine, University of Illinois at Chicago, Westside Research Office Building, Rm 256, 1747 W Roosevelt Rd, Chicago, IL, 60608, USA. messmer2@uic.edu.ORCID 0000-0001-9509-3219
Abigail T ElmesDepartment of Pharmacy Practice, College of Pharmacy, University of Illinois at Chicago, 833 S. Wood St, Chicago, IL, 60612, USA.
Alexander F InfanteDepartment of Pharmacy Practice, College of Pharmacy, University of Illinois at Chicago, 833 S. Wood St, Chicago, IL, 60612, USA.
Anna PattersonCollege of Medicine, University of Illinois at Chicago, 1853 W Polk St, Chicago, IL, 60612, USA.
Mackenzie SmithCollege of Medicine, University of Illinois at Chicago, 1853 W Polk St, Chicago, IL, 60612, USA.
Albert Leon MurphySchool of Public Health, Community Outreach Intervention Projects, University of Illinois at Chicago, 1603 W Taylor St, Rm 851, Chicago, IL, 60612, USA.
Antonio D JimenezSchool of Public Health, Community Outreach Intervention Projects, University of Illinois at Chicago, 1603 W Taylor St, Rm 851, Chicago, IL, 60612, USA.
Stockton MayerDepartment of Medicine, University of Illinois at Chicago, 808 S Wood St, Rm 888, MC 735, Chicago, IL, 60612, USA.
Dennis P WatsonCenter for Dissemination and Implementation Science, Chestnut Health Systems & University of Illinois at Chicago, 221 W Walton St, Chicago, IL, 60610, USA.
Kevin WhitfieldSchool of Public Health, Community Outreach Intervention Projects, University of Illinois at Chicago, 1603 W Taylor St, Rm 851, Chicago, IL, 60612, USA.
Steven J FisherDepartment of Medicine, University of Illinois at Chicago, Westside Research Office Building, Rm 256, 1747 W Roosevelt Rd, Chicago, IL, 60608, USA.
Jennie B JarrettCollege of Pharmacy, Department of Pharmacy Practice & American Medical Association, University of Illinois at Chicago, 833 S. Wood St, Chicago, IL, 60612, USA.

Funding

Institutional Career DevelopmentKL2TR002002 · NCATS · UNIVERSITY OF ILLINOIS AT CHICAGO · PI PHILLIPS, SHANE A · 2016 to 2024
$6.8M
Implementation of Contingency Management in a Mobile Low-Threshold Buprenorphine ClinicK23DA060314 · NIDA · UNIVERSITY OF ILLINOIS AT CHICAGO · PI Sarah Messmer · 2024 to 2026
$606k
NCATS NIH HHS KL2 TR002002NCATS NIH HHS KL2TR002002NIDA NIH HHS K23 DA060314
6 · The paper itself

Abstract

backgroundOverdose deaths continue to rise within the United States, despite effective treatments such as buprenorphine and methadone for opioid use disorder (OUD). Mobile medical units with the ability to dispense buprenorphine have been developed to engage patients and eliminate barriers to accessing OUD treatment. This study reports survey responses of patients of a mobile medical unit dispensing buprenorphine in areas of Chicago, IL with high overdose rates.

methodsAll patients who were dispensed buprenorphine via the mobile medical unit were invited to participate in a 7-item anonymous survey between May 24, 2023, and August 25, 2023. The survey included 5-point satisfaction scale, multiple-choice, and open-ended questions. Outcomes included satisfaction with buprenorphine dispensing from the mobile medical unit, satisfaction with filling buprenorphine at a pharmacy in the past, barriers experienced at pharmacies when filling buprenorphine, and whether the client would have started treatment that day if the mobile medical unit had not been present. Satisfaction scale and multiple-choice question responses were assessed using descriptive statistics. Wilcoxon signed-rank test was used to compare median satisfaction levels between receiving buprenorphine from the mobile medical unit versus filling a buprenorphine prescription at a community pharmacy. Open-ended questions were analyzed qualitatively using inductive thematic analysis.

results106 unique patients were dispensed buprenorphine from the mobile unit during the study period. Of these patients, 54 (51%) completed the survey. Respondents reported high satisfaction with the buprenorphine dispensing process as a part of a mobile medical unit. Of those who had previously filled buprenorphine at a pharmacy, 83% reported at least one barrier, with delays in prescription dispensing from a community pharmacy, lack of transportation to/from the pharmacy, and opioid withdrawal symptoms being the most common barriers. 87% reported they would not have started buprenorphine that same day if the mobile medical unit had not been present. Nearly half of survey participants reported having taken buprenorphine that was not prescribed to them. Qualitative analysis of open-ended survey responses noted the importance of convenient accessibility, comprehensive care, and a non-judgmental environment.

conclusionsMobile medical units that dispense buprenorphine are an innovative model to reach patients with OUD who have significant treatment access barriers. This study found that patients who experienced barriers to accessing buprenorphine from a pharmacy were highly satisfied with the mobile medical unit's buprenorphine dispensing process. Programs seeking to develop mobile buprenorphine dispensing programs should consider patient priorities of accessibility, comprehensive care, and welcoming, non-judgmental environments.

Indexed as

BuprenorphineMobile Health UnitsOpiate Substitution TreatmentOpioid-Related DisordersPatient SatisfactionAdultChicagoFemaleHumansMaleMiddle AgedNarcotic AntagonistsSurveys and QuestionnairesBuprenorphineNarcotic AntagonistsBuprenorphineHarm reductionLow-thresholdMobile medical unitOpioid use disorder

Identifiers

PMID39026326
PMCPMC11264859

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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.