Journal of substance use and addiction treatment · 2026
"They've walked the path that they're wanting me to walk": Patient and stakeholder feedback on a peer-delivered behavioral activation intervention for polysubstance use and rural mobile telemedicine retention.
СтатьяПоддержка NIH: внешняя программаНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Anvari M S, Anane J S, Sacko C A, Atkinson G E, Kihiuria M W, Sonn M R, Anthony J L, Derenoncourt M, Belcher A M, Weintraub E, Tuel J M, Kattakuzhy S M, Magidson J F
Аннотация
INTRODUCTION: Polysubstance use, particularly co-occurring opioid and stimulant use, disproportionately impacts rural communities. Our team has worked to address the inaccessibility of treatment in rural settings by expanding access to medication for opioid use disorder (MOUD) via telemedicine aboard a mobile treatment unit. Long-term retention in MOUD care remains a challenge, particularly for individuals with polysubstance use. Peer recovery specialists (PRSs) may be uniquely suited to support individuals with polysubstance use in MOUD care through their shared experience and ability to deliver brief behavioral interventions, such as behavioral activation (BA). The current qualitative study assessed patient and stakeholder-identified adaptations to PRS-delivered BA to address polysubstance use and support MOUD retention aboard a mobile treatment unit in rural Maryland.
METHODS: Semi-structured interviews were conducted with 30 participants, including patients with polysubstance use and staff members at the mobile treatment unit to assess feasibility, accessibility, and appropriateness of PRS-delivered BA in this context, and transcripts were analyzed using thematic analysis.
RESULTS: PRS-delivered BA was viewed as highly appropriate for addressing polysubstance use in this rural community. Despite potential barriers to effective implementation, such as lack of transportation and activity availability, key adaptations were identified by patients and staff ensure intervention feasibility and acceptability. Findings also highlighted the importance of PRS familiarity with the rural environment, alongside unique training and supervision needs for PRSs working in these contexts.
CONCLUSIONS: Findings support the acceptability, feasibility, and appropriateness of the PRS-delivered intervention in a rural context, addressing key gaps in care for polysubstance use in this community.
METHODS: Semi-structured interviews were conducted with 30 participants, including patients with polysubstance use and staff members at the mobile treatment unit to assess feasibility, accessibility, and appropriateness of PRS-delivered BA in this context, and transcripts were analyzed using thematic analysis.
RESULTS: PRS-delivered BA was viewed as highly appropriate for addressing polysubstance use in this rural community. Despite potential barriers to effective implementation, such as lack of transportation and activity availability, key adaptations were identified by patients and staff ensure intervention feasibility and acceptability. Findings also highlighted the importance of PRS familiarity with the rural environment, alongside unique training and supervision needs for PRSs working in these contexts.
CONCLUSIONS: Findings support the acceptability, feasibility, and appropriateness of the PRS-delivered intervention in a rural context, addressing key gaps in care for polysubstance use in this community.