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Telehealth for opioid use disorder: retention as a function of demographics and rurality.

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Title: Telehealth for opioid use disorder: retention as a function of demographics and rurality.
Authors: Williams, Arthur Robin (AUTHOR), Aronowitz, Shoshana V. (AUTHOR), Rowe, Christopher (AUTHOR), Gallagher, Ryan (AUTHOR), Behar, Emily (AUTHOR), Bisaga, Adam (AUTHOR)
Source: American Journal of Drug & Alcohol Abuse. 2023, Vol. 49 Issue 2, p260-265. 6p.
Subjects: Opioid abuse, COVID-19 pandemic, Telemedicine, Rurality, Race
Geographic Terms: New York (State), Pennsylvania
Abstract: Background: Despite lifesaving medications such as buprenorphine and methadone, the majority of individuals with opioid use disorder (OUD) face access barriers to evidence-based treatment. COVID-19 era regulatory reforms have shown that telehealth can improve access to care, although disparities in clinical outcomes are likely to persist. Objective: We aimed to analyze 180-day and 365-day retention in treatment with buprenorphine for OUD overall and by demographics, hypothesizing that retention would be lower among racial/ethnic minorities and rural patients. Methods: We analyzed data from a cohort of individuals with OUD enrolled in treatment from April 1, 2020 to September 30, 2021, in Pennsylvania and New York using a virtual-first telehealth OUD treatment platform to assess rates of 180-day and 365-day retention. Associations between demographic characteristics and retention were assessed using unadjusted and adjusted logistic regression models. Results: Among 1,378 patients (58.8% male), 180-day retention was 56.4%, and 365-day retention was 48.3%. Adjusted analyses found that only an association between older age and greater odds of 180-day retention was significant (aOR for patients aged 30–50 vs. <30: 1.83 [1.37–2.45]). There were no significant associations between sex, race/ethnicity, state, or rurality with retention. Conclusion: While we were unable to control for socioeconomic variables, we found retention within telehealth services for buprenorphine was high irrespective of geography or race/ethnicity, but disparities with age indicate a subset of patients who may benefit from more intensive services early in care. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Drug & Alcohol Abuse is the property of Taylor & Francis Ltd 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: Psychology and Behavioral Sciences Collection
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  Data: Telehealth for opioid use disorder: retention as a function of demographics and rurality.
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– Name: Abstract
  Label: Abstract
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  Data: Background: Despite lifesaving medications such as buprenorphine and methadone, the majority of individuals with opioid use disorder (OUD) face access barriers to evidence-based treatment. COVID-19 era regulatory reforms have shown that telehealth can improve access to care, although disparities in clinical outcomes are likely to persist. Objective: We aimed to analyze 180-day and 365-day retention in treatment with buprenorphine for OUD overall and by demographics, hypothesizing that retention would be lower among racial/ethnic minorities and rural patients. Methods: We analyzed data from a cohort of individuals with OUD enrolled in treatment from April 1, 2020 to September 30, 2021, in Pennsylvania and New York using a virtual-first telehealth OUD treatment platform to assess rates of 180-day and 365-day retention. Associations between demographic characteristics and retention were assessed using unadjusted and adjusted logistic regression models. Results: Among 1,378 patients (58.8% male), 180-day retention was 56.4%, and 365-day retention was 48.3%. Adjusted analyses found that only an association between older age and greater odds of 180-day retention was significant (aOR for patients aged 30–50 vs. &lt;30: 1.83 [1.37–2.45]). There were no significant associations between sex, race/ethnicity, state, or rurality with retention. Conclusion: While we were unable to control for socioeconomic variables, we found retention within telehealth services for buprenorphine was high irrespective of geography or race/ethnicity, but disparities with age indicate a subset of patients who may benefit from more intensive services early in care. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of American Journal of Drug &amp; Alcohol Abuse is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;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.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=163231633
RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/00952990.2023.2180382
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 6
        StartPage: 260
    Subjects:
      – SubjectFull: Opioid abuse
        Type: general
      – SubjectFull: COVID-19 pandemic
        Type: general
      – SubjectFull: Telemedicine
        Type: general
      – SubjectFull: Rurality
        Type: general
      – SubjectFull: Race
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      – SubjectFull: New York (State)
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      – SubjectFull: Pennsylvania
        Type: general
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      – TitleFull: Telehealth for opioid use disorder: retention as a function of demographics and rurality.
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              Text: 2023
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