ArticleResearch square2025
Analysis of the Costs and Reach of Transportation Services to Reduce Barriers to Opioid Use Disorder (OUD) Treatment: Evidence from the Kentucky HEALing Communities Study.
Article in Research square, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04111939 (HEALing Communities Study), which is not on this map. Not yet cited in PubMed.
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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.
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.
HEALing Communities Study: Developing and Testing an Integrated Approach to Address the Opioid Crisis
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10 authors.
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Abstract
Background: Medications for opioid use disorder (MOUD) have been proven to be the most effective method for treating individuals with opioid use disorder (OUD). Individuals who are retained on methadone and buprenorphine treatment have a decreased risk of mortality when compared to others with OUD. However, many individuals in need of MOUD face transportation barriers that prevent them from having the requisite access to treatment. Methods: As part of the evidence-based practices (EBPs) implemented throughout the HEALing (Helping to End Addiction Long-term Results: Throughout 2023, we partnered with thirty agencies across eight counties to administer $437,481.69 in transportation support services to 7,923 individuals. These services were distributed primarily to individuals who were white (81.8%; 6,483), female (51.9%; 4,112) and between the ages of 35-54 (59.8%; 4,737). The number of individuals reached and expenses were largest among the five urban counties (5,999; $318,317.15), which averaged $53.06 per person. Rural counties averaged $61.94 per person reached (1,924; $119,164.54). A survey was administered among a subpopulation of these individuals, and among this group, 813 of 958 (84.9%) identified transportation as a major barrier to obtaining/staying in care with MOUD. Within this subgroup, 262 individuals (27.3%) made 377 unique transportation service requests (27.7% of all subgroup requests), which included vehicle repairs (81), peer recovery drivers for rides directly to MOUD appointments (73), and bus passes (70). Conclusions: By gaining an understanding of the population benefiting from these services and the costs required to address this barrier to care, we may more effectively inform decision-makers on the resources needed to link and retain individuals in treatment. Trial registration: ClinicalTrials.gov, NCT04111939. Registered 30 September 2019, https://clinicaltrials.gov/ct2/show/NCT04111939.
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