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“I don't think that a medication is going to help someone long‐term stay off opioids”: Treatment and recovery beliefs of rural Vermont family members of people with opioid use disorder

Purpose Few studies have addressed beliefs about treatment for opioid use disorder (OUD) among family members of people with OUD, particularly in rural communities. This study examined the beliefs of rural family members of people with OUD regarding treatment, including medication for OUD (MOUD), an...

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Published in:The Journal of rural health 2024-09, Vol.40 (4), p.681-688
Main Authors: Peasley‐Miklus, Catherine E., Shaw, Julia G., Rosingana, Katie, Smith, Mary Lindsey, Sigmon, Stacey C., Heil, Sarah H., Jewiss, Jennifer, Villanti, Andrea C., Harder, Valerie S.
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container_issue 4
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container_title The Journal of rural health
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creator Peasley‐Miklus, Catherine E.
Shaw, Julia G.
Rosingana, Katie
Smith, Mary Lindsey
Sigmon, Stacey C.
Heil, Sarah H.
Jewiss, Jennifer
Villanti, Andrea C.
Harder, Valerie S.
description Purpose Few studies have addressed beliefs about treatment for opioid use disorder (OUD) among family members of people with OUD, particularly in rural communities. This study examined the beliefs of rural family members of people with OUD regarding treatment, including medication for OUD (MOUD), and recovery. Methods Semi‐structured qualitative interviews were conducted with rural Vermont family members of people with OUD. Twenty family members completed interviews, and data were analyzed using thematic analysis. Results Four primary themes related to beliefs about OUD treatment emerged: (1) MOUD is another form of addiction or dependency and should be used short‐term; (2) essential OUD treatment components include residential and mental health services and a strong support network involving family; (3) readiness as a precursor to OUD treatment initiation; and (4) stigma as an impediment to OUD treatment and other health care services. Conclusions Rural family members valued mental health services and residential OUD treatment programs while raising concerns about MOUD and stigma in health care and the community. Several themes (e.g., MOUD as another form of addiction, residential treatment, and treatment readiness) were consistent with prior research. The belief that MOUD use should be short‐term was inconsistent with the belief that OUD is a disease. Findings suggest a need for improved education on the effectiveness of MOUD for family members and on stigma for health care providers and community members.
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This study examined the beliefs of rural family members of people with OUD regarding treatment, including medication for OUD (MOUD), and recovery. Methods Semi‐structured qualitative interviews were conducted with rural Vermont family members of people with OUD. Twenty family members completed interviews, and data were analyzed using thematic analysis. Results Four primary themes related to beliefs about OUD treatment emerged: (1) MOUD is another form of addiction or dependency and should be used short‐term; (2) essential OUD treatment components include residential and mental health services and a strong support network involving family; (3) readiness as a precursor to OUD treatment initiation; and (4) stigma as an impediment to OUD treatment and other health care services. Conclusions Rural family members valued mental health services and residential OUD treatment programs while raising concerns about MOUD and stigma in health care and the community. Several themes (e.g., MOUD as another form of addiction, residential treatment, and treatment readiness) were consistent with prior research. The belief that MOUD use should be short‐term was inconsistent with the belief that OUD is a disease. Findings suggest a need for improved education on the effectiveness of MOUD for family members and on stigma for health care providers and community members.</description><identifier>ISSN: 0890-765X</identifier><identifier>ISSN: 1748-0361</identifier><identifier>EISSN: 1748-0361</identifier><identifier>DOI: 10.1111/jrh.12851</identifier><identifier>PMID: 38881521</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Addictions ; Adult ; Aged ; Analgesics, Opioid - therapeutic use ; Beliefs ; Dependency ; Drug abuse ; Drug addiction ; drug therapy ; Drugs ; education ; Families &amp; family life ; family ; Family - psychology ; Female ; Health care ; Health care industry ; Health services ; Humans ; Interviews ; Interviews as Topic - methods ; Kinship networks ; Male ; Medical personnel ; Mental health ; Mental health care ; Mental health services ; Middle Aged ; Narcotics ; opioid use disorder ; Opioid-Related Disorders - drug therapy ; Opioid-Related Disorders - psychology ; Opioids ; people ; qualitative ; Qualitative analysis ; Qualitative Research ; Recovery ; Rehabilitation ; Relatives ; Residential communities ; Residential treatment ; rural ; Rural areas ; Rural communities ; rural families ; rural health ; Rural Population - statistics &amp; numerical data ; Social networks ; Stigma ; Substance use disorder ; Support networks ; treatment beliefs ; Treatment programs ; Vermont</subject><ispartof>The Journal of rural health, 2024-09, Vol.40 (4), p.681-688</ispartof><rights>2024 The Author(s). published by Wiley Periodicals LLC on behalf of National Rural Health Association.</rights><rights>2024 The Author(s). The Journal of Rural Health published by Wiley Periodicals LLC on behalf of National Rural Health Association.</rights><rights>2024. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3811-10b29f22a477a37af6f49c7d0cbef16d9265f6c28662c90a064b486157bc64053</cites><orcidid>0000-0002-0131-7179</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782,27849,27907,27908,30982,33757</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38881521$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Peasley‐Miklus, Catherine E.</creatorcontrib><creatorcontrib>Shaw, Julia G.</creatorcontrib><creatorcontrib>Rosingana, Katie</creatorcontrib><creatorcontrib>Smith, Mary Lindsey</creatorcontrib><creatorcontrib>Sigmon, Stacey C.</creatorcontrib><creatorcontrib>Heil, Sarah H.</creatorcontrib><creatorcontrib>Jewiss, Jennifer</creatorcontrib><creatorcontrib>Villanti, Andrea C.</creatorcontrib><creatorcontrib>Harder, Valerie S.</creatorcontrib><title>“I don't think that a medication is going to help someone long‐term stay off opioids”: Treatment and recovery beliefs of rural Vermont family members of people with opioid use disorder</title><title>The Journal of rural health</title><addtitle>J Rural Health</addtitle><description>Purpose Few studies have addressed beliefs about treatment for opioid use disorder (OUD) among family members of people with OUD, particularly in rural communities. This study examined the beliefs of rural family members of people with OUD regarding treatment, including medication for OUD (MOUD), and recovery. Methods Semi‐structured qualitative interviews were conducted with rural Vermont family members of people with OUD. Twenty family members completed interviews, and data were analyzed using thematic analysis. Results Four primary themes related to beliefs about OUD treatment emerged: (1) MOUD is another form of addiction or dependency and should be used short‐term; (2) essential OUD treatment components include residential and mental health services and a strong support network involving family; (3) readiness as a precursor to OUD treatment initiation; and (4) stigma as an impediment to OUD treatment and other health care services. Conclusions Rural family members valued mental health services and residential OUD treatment programs while raising concerns about MOUD and stigma in health care and the community. Several themes (e.g., MOUD as another form of addiction, residential treatment, and treatment readiness) were consistent with prior research. The belief that MOUD use should be short‐term was inconsistent with the belief that OUD is a disease. Findings suggest a need for improved education on the effectiveness of MOUD for family members and on stigma for health care providers and community members.</description><subject>Addictions</subject><subject>Adult</subject><subject>Aged</subject><subject>Analgesics, Opioid - therapeutic use</subject><subject>Beliefs</subject><subject>Dependency</subject><subject>Drug abuse</subject><subject>Drug addiction</subject><subject>drug therapy</subject><subject>Drugs</subject><subject>education</subject><subject>Families &amp; family life</subject><subject>family</subject><subject>Family - psychology</subject><subject>Female</subject><subject>Health care</subject><subject>Health care industry</subject><subject>Health services</subject><subject>Humans</subject><subject>Interviews</subject><subject>Interviews as Topic - methods</subject><subject>Kinship networks</subject><subject>Male</subject><subject>Medical personnel</subject><subject>Mental health</subject><subject>Mental health care</subject><subject>Mental health services</subject><subject>Middle Aged</subject><subject>Narcotics</subject><subject>opioid use disorder</subject><subject>Opioid-Related Disorders - drug therapy</subject><subject>Opioid-Related Disorders - psychology</subject><subject>Opioids</subject><subject>people</subject><subject>qualitative</subject><subject>Qualitative analysis</subject><subject>Qualitative Research</subject><subject>Recovery</subject><subject>Rehabilitation</subject><subject>Relatives</subject><subject>Residential communities</subject><subject>Residential treatment</subject><subject>rural</subject><subject>Rural areas</subject><subject>Rural communities</subject><subject>rural families</subject><subject>rural health</subject><subject>Rural Population - statistics &amp; 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This study examined the beliefs of rural family members of people with OUD regarding treatment, including medication for OUD (MOUD), and recovery. Methods Semi‐structured qualitative interviews were conducted with rural Vermont family members of people with OUD. Twenty family members completed interviews, and data were analyzed using thematic analysis. Results Four primary themes related to beliefs about OUD treatment emerged: (1) MOUD is another form of addiction or dependency and should be used short‐term; (2) essential OUD treatment components include residential and mental health services and a strong support network involving family; (3) readiness as a precursor to OUD treatment initiation; and (4) stigma as an impediment to OUD treatment and other health care services. Conclusions Rural family members valued mental health services and residential OUD treatment programs while raising concerns about MOUD and stigma in health care and the community. Several themes (e.g., MOUD as another form of addiction, residential treatment, and treatment readiness) were consistent with prior research. The belief that MOUD use should be short‐term was inconsistent with the belief that OUD is a disease. Findings suggest a need for improved education on the effectiveness of MOUD for family members and on stigma for health care providers and community members.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>38881521</pmid><doi>10.1111/jrh.12851</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-0131-7179</orcidid><oa>free_for_read</oa></addata></record>
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source Applied Social Sciences Index & Abstracts (ASSIA); Wiley-Blackwell Read & Publish Collection; PAIS Index; Sociological Abstracts
subjects Addictions
Adult
Aged
Analgesics, Opioid - therapeutic use
Beliefs
Dependency
Drug abuse
Drug addiction
drug therapy
Drugs
education
Families & family life
family
Family - psychology
Female
Health care
Health care industry
Health services
Humans
Interviews
Interviews as Topic - methods
Kinship networks
Male
Medical personnel
Mental health
Mental health care
Mental health services
Middle Aged
Narcotics
opioid use disorder
Opioid-Related Disorders - drug therapy
Opioid-Related Disorders - psychology
Opioids
people
qualitative
Qualitative analysis
Qualitative Research
Recovery
Rehabilitation
Relatives
Residential communities
Residential treatment
rural
Rural areas
Rural communities
rural families
rural health
Rural Population - statistics & numerical data
Social networks
Stigma
Substance use disorder
Support networks
treatment beliefs
Treatment programs
Vermont
title “I don't think that a medication is going to help someone long‐term stay off opioids”: Treatment and recovery beliefs of rural Vermont family members of people with opioid use disorder
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