View in EDS

Exploring the use of telemedicine to expand addiction and recovery resources in Great Plains Tribal Communities.

Saved in:
Bibliographic Details
Title: Exploring the use of telemedicine to expand addiction and recovery resources in Great Plains Tribal Communities.
Authors: Harding, Michael C.1 (AUTHOR) michael.h@okcic.com, Kihlstrom, Anna C.2 (AUTHOR), Kelliher, Allison1 (AUTHOR), Rosa, Carmen3 (AUTHOR), Kropp, Frankie B.4 (AUTHOR), Winhusen, T. John4 (AUTHOR), Warne, Donald K.1 (AUTHOR)
Source: Journal of Rural Health. Winter2026, Vol. 42 Issue 1, p1-8. 8p.
Subject Terms: *Health services accessibility, *Qualitative research, *Communities, *Health promotion, Medical care use, Substance abuse, Research funding, Descriptive statistics, Telemedicine, Thematic analysis, Convalescence, Data analysis software
Abstract: Purpose: Addressing substance use disorders remains a high priority for many Indigenous communities. Opioid misuse and deaths related to overdose have been increasing sharply in American Indian/Alaska Native populations. Medications for opioid use disorder (MOUD) remain difficult to access in Great Plains Tribal Communities due to the paucity of treatment providers, among other factors. The present study explores the perceived barriers and facilitators to using telehealth to promote access to MOUD and recovery resources in Great Plains Tribal Communities. Methods: This study employed qualitative methods to review policy considerations for using telemedicine to provide buprenorphine. We obtained qualitative data from 5 interviews with 8 total key informants (62.5% women, 25% with tribal affiliations) with local administrators, health care providers, and policymakers. Their responses were transcribed and coded with NVivo software. Findings: After coding and analysis, 6 themes emerged: current access, acceptability in Tribal Communities, facilitators, barriers, payment considerations, and policies that support tele‐MOUD. Participant responses—though specific to Great Plains Tribal Communities—mirrored other recommendations on telemedicine and substance use disorder services such as federal support of reciprocity of state licenses, permanent codification of the regulatory changes enacted during the COVID‐19 public health emergency, increased funding for innovative delivery of services, and considerations of privacy; the need for culture‐ and trauma‐informed providers was also noted. Conclusions: Telemedicine for the provision of MOUD appears, from this qualitative analysis, to be a feasible way to expand access to care for opioid use disorder in Great Plains Tribal Communities. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Rural Health is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
FullText Text:
  Availability: 0
Header DbId: ehh
DbLabel: Education Research Complete
An: 192435526
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: Exploring the use of telemedicine to expand addiction and recovery resources in Great Plains Tribal Communities.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Harding%2C+Michael+C%2E%22">Harding, Michael C.</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> michael.h@okcic.com</i><br /><searchLink fieldCode="AR" term="%22Kihlstrom%2C+Anna+C%2E%22">Kihlstrom, Anna C.</searchLink><relatesTo>2</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kelliher%2C+Allison%22">Kelliher, Allison</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rosa%2C+Carmen%22">Rosa, Carmen</searchLink><relatesTo>3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kropp%2C+Frankie+B%2E%22">Kropp, Frankie B.</searchLink><relatesTo>4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Winhusen%2C+T%2E+John%22">Winhusen, T. John</searchLink><relatesTo>4</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Warne%2C+Donald+K%2E%22">Warne, Donald K.</searchLink><relatesTo>1</relatesTo> (AUTHOR)
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22Journal+of+Rural+Health%22">Journal of Rural Health</searchLink>. Winter2026, Vol. 42 Issue 1, p1-8. 8p.
– Name: Subject
  Label: Subject Terms
  Group: Su
  Data: *<searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br />*<searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br />*<searchLink fieldCode="DE" term="%22Communities%22">Communities</searchLink><br />*<searchLink fieldCode="DE" term="%22Health+promotion%22">Health promotion</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+use%22">Medical care use</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+abuse%22">Substance abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Telemedicine%22">Telemedicine</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Convalescence%22">Convalescence</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: Addressing substance use disorders remains a high priority for many Indigenous communities. Opioid misuse and deaths related to overdose have been increasing sharply in American Indian/Alaska Native populations. Medications for opioid use disorder (MOUD) remain difficult to access in Great Plains Tribal Communities due to the paucity of treatment providers, among other factors. The present study explores the perceived barriers and facilitators to using telehealth to promote access to MOUD and recovery resources in Great Plains Tribal Communities. Methods: This study employed qualitative methods to review policy considerations for using telemedicine to provide buprenorphine. We obtained qualitative data from 5 interviews with 8 total key informants (62.5% women, 25% with tribal affiliations) with local administrators, health care providers, and policymakers. Their responses were transcribed and coded with NVivo software. Findings: After coding and analysis, 6 themes emerged: current access, acceptability in Tribal Communities, facilitators, barriers, payment considerations, and policies that support tele‐MOUD. Participant responses—though specific to Great Plains Tribal Communities—mirrored other recommendations on telemedicine and substance use disorder services such as federal support of reciprocity of state licenses, permanent codification of the regulatory changes enacted during the COVID‐19 public health emergency, increased funding for innovative delivery of services, and considerations of privacy; the need for culture‐ and trauma‐informed providers was also noted. Conclusions: Telemedicine for the provision of MOUD appears, from this qualitative analysis, to be a feasible way to expand access to care for opioid use disorder in Great Plains Tribal Communities. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Rural Health is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ehh&AN=192435526
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1111/jrh.70113
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 8
        StartPage: 1
    Subjects:
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Communities
        Type: general
      – SubjectFull: Health promotion
        Type: general
      – SubjectFull: Medical care use
        Type: general
      – SubjectFull: Substance abuse
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Telemedicine
        Type: general
      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: Convalescence
        Type: general
      – SubjectFull: Data analysis software
        Type: general
    Titles:
      – TitleFull: Exploring the use of telemedicine to expand addiction and recovery resources in Great Plains Tribal Communities.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Harding, Michael C.
      – PersonEntity:
          Name:
            NameFull: Kihlstrom, Anna C.
      – PersonEntity:
          Name:
            NameFull: Kelliher, Allison
      – PersonEntity:
          Name:
            NameFull: Rosa, Carmen
      – PersonEntity:
          Name:
            NameFull: Kropp, Frankie B.
      – PersonEntity:
          Name:
            NameFull: Winhusen, T. John
      – PersonEntity:
          Name:
            NameFull: Warne, Donald K.
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 01
              Text: Winter2026
              Type: published
              Y: 2026
          Identifiers:
            – Type: issn-print
              Value: 0890765X
          Numbering:
            – Type: volume
              Value: 42
            – Type: issue
              Value: 1
          Titles:
            – TitleFull: Journal of Rural Health
              Type: main
ResultId 1