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Rethink Recovery: A Qualitative Approach to Exploring Messaging for Medication-Assisted Recovery (MAR)

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Title: Rethink Recovery: A Qualitative Approach to Exploring Messaging for Medication-Assisted Recovery (MAR)
Language: English
Authors: Dawnyéa D. Jackson (ORCID 0000-0001-9793-769X), Dana E. Wagner (ORCID 0000-0003-2015-4106), Penny Norman, Gray Abarca, Kim Zambole
Source: Health Education & Behavior. 2025 52(1):7-16.
Availability: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
Peer Reviewed: Y
Page Count: 10
Publication Date: 2025
Sponsoring Agency: Substance Abuse and Mental Health Services Administration (SAMHSA) (DHHS/PHS)
Document Type: Journal Articles
Reports - Research
Descriptors: Adults, Males, Blacks, Drug Addiction, Drug Rehabilitation, Pain, Prevention, Rehabilitation Programs, Program Implementation, Program Effectiveness, Program Evaluation, Program Development, Community Health Services, Health Education, Drug Education, Behavior Change, Health Promotion, Racism, Access to Health Care, Access to Information, Outcomes of Treatment
Geographic Terms: Illinois
DOI: 10.1177/10901981241266846
ISSN: 1090-1981
1552-6127
Abstract: Similar to national trends, in Illinois, fatal opioid overdoses have risen. Black men (35+) outrank all other racial subgroups for the highest rate of fatal opioid overdoses in the state. To address this, Prevention First and the Illinois Department of Human Services developed a public health education campaign to support increasing enrollment in recovery services, with a focus on Black men (35+). Self-reported Black participants with opioid use disorder (OUD) made up the analytic sample. Study goals were to understand lived experiences of the campaign audience; investigate knowledge, attitudes, and beliefs regarding OUD and treatment; explore perceived barriers and facilitators to treatment; and evaluate messaging that showcased medication-assisted recovery (MAR) as a viable tool for treatment and recovery. Interviews were recorded and transcribed for thematic analysis. Participants shared long and cyclical journeys of use and recovery. Participants had low levels of knowledge of available treatment options and struggled to imagine themselves in recovery because of the fear of cravings and withdrawal. Messaging that was realistic about the cyclical nature of recovery, showed the varying options for MAR, and addressed cravings and withdrawals were well received. These findings illustrate the importance of understanding an audience and involving them in campaign development to create messaging that promotes behavior change and sustained health. Through the "Decision Blocks" strategic framework, we discovered information gaps, barriers to treatment, and practical solutions to increase access to treatment for Black men with OUD that has been limited due to inequities caused by structural racism.
Abstractor: As Provided
Entry Date: 2025
Accession Number: EJ1467196
Database: ERIC
FullText Text:
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  Data: Rethink Recovery: A Qualitative Approach to Exploring Messaging for Medication-Assisted Recovery (MAR)
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  Data: English
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  Data: <searchLink fieldCode="AR" term="%22Dawnyéa+D%2E+Jackson%22">Dawnyéa D. Jackson</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0001-9793-769X">0000-0001-9793-769X</externalLink>)<br /><searchLink fieldCode="AR" term="%22Dana+E%2E+Wagner%22">Dana E. Wagner</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0003-2015-4106">0000-0003-2015-4106</externalLink>)<br /><searchLink fieldCode="AR" term="%22Penny+Norman%22">Penny Norman</searchLink><br /><searchLink fieldCode="AR" term="%22Gray+Abarca%22">Gray Abarca</searchLink><br /><searchLink fieldCode="AR" term="%22Kim+Zambole%22">Kim Zambole</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Health+Education+%26+Behavior%22"><i>Health Education & Behavior</i></searchLink>. 2025 52(1):7-16.
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  Data: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
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  Data: 10
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  Data: 2025
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  Data: Substance Abuse and Mental Health Services Administration (SAMHSA) (DHHS/PHS)
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  Data: <searchLink fieldCode="DE" term="%22Adults%22">Adults</searchLink><br /><searchLink fieldCode="DE" term="%22Males%22">Males</searchLink><br /><searchLink fieldCode="DE" term="%22Blacks%22">Blacks</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+Addiction%22">Drug Addiction</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+Rehabilitation%22">Drug Rehabilitation</searchLink><br /><searchLink fieldCode="DE" term="%22Pain%22">Pain</searchLink><br /><searchLink fieldCode="DE" term="%22Prevention%22">Prevention</searchLink><br /><searchLink fieldCode="DE" term="%22Rehabilitation+Programs%22">Rehabilitation Programs</searchLink><br /><searchLink fieldCode="DE" term="%22Program+Implementation%22">Program Implementation</searchLink><br /><searchLink fieldCode="DE" term="%22Program+Effectiveness%22">Program Effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Program+Evaluation%22">Program Evaluation</searchLink><br /><searchLink fieldCode="DE" term="%22Program+Development%22">Program Development</searchLink><br /><searchLink fieldCode="DE" term="%22Community+Health+Services%22">Community Health Services</searchLink><br /><searchLink fieldCode="DE" term="%22Health+Education%22">Health Education</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+Education%22">Drug Education</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+Change%22">Behavior Change</searchLink><br /><searchLink fieldCode="DE" term="%22Health+Promotion%22">Health Promotion</searchLink><br /><searchLink fieldCode="DE" term="%22Racism%22">Racism</searchLink><br /><searchLink fieldCode="DE" term="%22Access+to+Health+Care%22">Access to Health Care</searchLink><br /><searchLink fieldCode="DE" term="%22Access+to+Information%22">Access to Information</searchLink><br /><searchLink fieldCode="DE" term="%22Outcomes+of+Treatment%22">Outcomes of Treatment</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Illinois%22">Illinois</searchLink>
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  Data: 10.1177/10901981241266846
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  Data: 1090-1981<br />1552-6127
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  Data: Similar to national trends, in Illinois, fatal opioid overdoses have risen. Black men (35+) outrank all other racial subgroups for the highest rate of fatal opioid overdoses in the state. To address this, Prevention First and the Illinois Department of Human Services developed a public health education campaign to support increasing enrollment in recovery services, with a focus on Black men (35+). Self-reported Black participants with opioid use disorder (OUD) made up the analytic sample. Study goals were to understand lived experiences of the campaign audience; investigate knowledge, attitudes, and beliefs regarding OUD and treatment; explore perceived barriers and facilitators to treatment; and evaluate messaging that showcased medication-assisted recovery (MAR) as a viable tool for treatment and recovery. Interviews were recorded and transcribed for thematic analysis. Participants shared long and cyclical journeys of use and recovery. Participants had low levels of knowledge of available treatment options and struggled to imagine themselves in recovery because of the fear of cravings and withdrawal. Messaging that was realistic about the cyclical nature of recovery, showed the varying options for MAR, and addressed cravings and withdrawals were well received. These findings illustrate the importance of understanding an audience and involving them in campaign development to create messaging that promotes behavior change and sustained health. Through the "Decision Blocks" strategic framework, we discovered information gaps, barriers to treatment, and practical solutions to increase access to treatment for Black men with OUD that has been limited due to inequities caused by structural racism.
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