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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 |
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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. |
doi_str_mv | 10.1111/jrh.12851 |
format | article |
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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><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 & 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</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 & 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 & numerical data</subject><subject>Social networks</subject><subject>Stigma</subject><subject>Substance use disorder</subject><subject>Support networks</subject><subject>treatment beliefs</subject><subject>Treatment programs</subject><subject>Vermont</subject><issn>0890-765X</issn><issn>1748-0361</issn><issn>1748-0361</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>7QJ</sourceid><sourceid>7TQ</sourceid><sourceid>BHHNA</sourceid><recordid>eNqFkUFu1DAUQC0EokNhwQXQl1gAi7S2kzg2O1QBLaqEhApiFznJ94yHJA62QzW7OQIHgKtwmDkJpjOwQEJ4YS_89L6-HiEPGT1h6Zyu_eqEcVmyW2TBqkJmNBfsNllQqWhWifLjEbkXwppSrmRe3CVHuZSSlZwtyI_d9tsFdG58EiGu7Pgp3TqChgE72-po3Qg2wNLZcQnRwQr7CYIb0I0IvRuXu-3XiH6AEPUGnDHgJutsF3bb78_hyqOOA45JOHbgsXVf0G-gwd6iCQkHP3vdw4dkcIkyerD9Js0eGvQ3_xO6qUe4tnF1MMMcEDobnO_Q3yd3jO4DPji8x-T9q5dXZ-fZ5dvXF2cvLrM2l4xljDZcGc51UVU6r7QRplBt1dG2QcNEp7gojWi5FIK3imoqiqaQgpVV04qClvkxebr3Tt59njHEerChxb7XI7o51Dkrc1lUPGf_R6lQrCpVoRL6-C907WY_pkWSkImKMUWLRD3bU613IXg09eTtoP2mZrT-1b9O_eub_ol9dDDOTSr4h_wdPAGne-Da9rj5t6l-8-58r_wJu-C-Ow</recordid><startdate>20240901</startdate><enddate>20240901</enddate><creator>Peasley‐Miklus, Catherine E.</creator><creator>Shaw, Julia G.</creator><creator>Rosingana, Katie</creator><creator>Smith, Mary Lindsey</creator><creator>Sigmon, Stacey C.</creator><creator>Heil, Sarah H.</creator><creator>Jewiss, Jennifer</creator><creator>Villanti, Andrea C.</creator><creator>Harder, Valerie S.</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7T2</scope><scope>7TQ</scope><scope>7U3</scope><scope>BHHNA</scope><scope>C1K</scope><scope>DHY</scope><scope>DON</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>7S9</scope><scope>L.6</scope><orcidid>https://orcid.org/0000-0002-0131-7179</orcidid></search><sort><creationdate>20240901</creationdate><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><author>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.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3811-10b29f22a477a37af6f49c7d0cbef16d9265f6c28662c90a064b486157bc64053</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Addictions</topic><topic>Adult</topic><topic>Aged</topic><topic>Analgesics, Opioid - therapeutic use</topic><topic>Beliefs</topic><topic>Dependency</topic><topic>Drug abuse</topic><topic>Drug addiction</topic><topic>drug therapy</topic><topic>Drugs</topic><topic>education</topic><topic>Families & family life</topic><topic>family</topic><topic>Family - psychology</topic><topic>Female</topic><topic>Health care</topic><topic>Health care industry</topic><topic>Health services</topic><topic>Humans</topic><topic>Interviews</topic><topic>Interviews as Topic - methods</topic><topic>Kinship networks</topic><topic>Male</topic><topic>Medical personnel</topic><topic>Mental health</topic><topic>Mental health care</topic><topic>Mental health services</topic><topic>Middle Aged</topic><topic>Narcotics</topic><topic>opioid use disorder</topic><topic>Opioid-Related Disorders - drug therapy</topic><topic>Opioid-Related Disorders - psychology</topic><topic>Opioids</topic><topic>people</topic><topic>qualitative</topic><topic>Qualitative analysis</topic><topic>Qualitative Research</topic><topic>Recovery</topic><topic>Rehabilitation</topic><topic>Relatives</topic><topic>Residential communities</topic><topic>Residential treatment</topic><topic>rural</topic><topic>Rural areas</topic><topic>Rural communities</topic><topic>rural families</topic><topic>rural health</topic><topic>Rural Population - statistics & numerical data</topic><topic>Social networks</topic><topic>Stigma</topic><topic>Substance use disorder</topic><topic>Support networks</topic><topic>treatment beliefs</topic><topic>Treatment programs</topic><topic>Vermont</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><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><collection>Wiley Open Access</collection><collection>Wiley Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>PAIS Index</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>AGRICOLA</collection><collection>AGRICOLA - Academic</collection><jtitle>The Journal of rural health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Peasley‐Miklus, Catherine E.</au><au>Shaw, Julia G.</au><au>Rosingana, Katie</au><au>Smith, Mary Lindsey</au><au>Sigmon, Stacey C.</au><au>Heil, Sarah H.</au><au>Jewiss, Jennifer</au><au>Villanti, Andrea C.</au><au>Harder, Valerie S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>“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</atitle><jtitle>The Journal of rural health</jtitle><addtitle>J Rural Health</addtitle><date>2024-09-01</date><risdate>2024</risdate><volume>40</volume><issue>4</issue><spage>681</spage><epage>688</epage><pages>681-688</pages><issn>0890-765X</issn><issn>1748-0361</issn><eissn>1748-0361</eissn><abstract>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.</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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