Diversion of Methadone and Buprenorphine from Opioid Substitution Treatment: The Importance of Patients’ Attitudes and Norms

Johnson, Björn; Richert, Torkel

doi:10.1016/j.jsat.2015.01.013

Cited by 26 publications

(27 citation statements)

References 29 publications

(33 reference statements)

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“…Using a higher‐yield callback procedure appears to save clinical time and resources, and minimizes undue burden of a callback for stable patients. It may also increase patient perception of effective diversion control which has been recently linked to lower rates of diversion . The finding that for‐cause callbacks among the Low THD group also detected potential diversion or medication misuse supports the use of callbacks in MMT programs as part of the diversion control plan.…”

Section: Discussionmentioning

confidence: 84%

Methadone “callbacks” within a veterans affairs opioid treatment program: Detecting methadone misuse

et al. 2016

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Section: Discussionmentioning

confidence: 84%

Methadone “callbacks” within a veterans affairs opioid treatment program: Detecting methadone misuse

et al. 2016

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“…This was corroborated by our data. Accordingly, from a moral perspective, it ought to be a more sensitive issue to have sold medication, than to have traded or given it away (Johnson & Richert 2014, Johnson & Richert 2015b). This was also corroborated by our data.…”

Section: Discussionmentioning

confidence: 99%

A comparison of privileged access interviewing and traditional interviewing methods when studying drug users in treatment

Johnson

Richert

2016

Addiction Research & Theory

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Aims: Privileged Access Interviewing (PAI) has traditionally been used to reach illicit drug users and other 'hidden' populations. How PAI data compare to other self-reported data has seldom been discussed. We compare data from patients in opioid substitution treatment (OST), gathered through PAI and researcher interviews, respectively, to investigate whether PAIs and researchers are reaching comparable populations, and whether differences in answers are due to the sensitive nature of the questions.Methods: Structured interviews were conducted with 368 patients from nine OST clinics in three Swedish cities. 237 interviews were carried out by researchers, and 131 by nine PAIs (OST patients). Data were analyzed with χ 2 test, Fisher's exact test, t-test, and logistic regression analysis.Results: PAIs and researchers recruited comparable populations, with few differences in terms of individual, treatment, and social factors. However, self-reported behaviors revealed several significant differences. Alcohol consumption and drinking to intoxication was more commonly reported among patients interviewed through PAI (p<0.001 and p=0.001, respectively). Furthermore, the PAI group reported selling medication (p<0.001 last month, p<0.001 during treatment episode), and snorting buprenorphine (p=0.010 last month, p=0.001 during treatment episode) more frequently.Conclusions: PAI is a useful method in studies of illicit drug use and a valuable complement to more traditional interviewing methods. Specifically as regards revelations of a sensitive or controversial nature, PAI seems to produce different results than researcher interviews, and possibly also more truthful responses. PAI may have considerable potential as a datagathering method also when studying other, more easily accessible populations.

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“…Den sterkeste risikofaktoren for at LAR-pasienter skal selge eller gi bort sine LAR-legemidler, er at de selv bruker rusmidler, og spesielt at de injiserer rusmidler (5,6,8,19). Bruk av rusmidler krever penger, og det å selge (deler av) sin medisin er en måte å tjene penger på (5,6,(19)(20)(21).…”

Section: Illegal Bruk Av Lar-legemidlene «Lar-legemidlene Brukes Illeunclassified

“…Noen trapper ned dosen, enten fordi de ikke trenger hele dosen selv (6,21), eller de lar vaere å ta forskrevet dose for å oppnå ruseffekt av heroin ved å unngå den blokkerende effekten av buprenorfin (20). Andre motiver kan vaere å hjelpe en venn eller partner.…”

Section: Illegal Bruk Av Lar-legemidlene «Lar-legemidlene Brukes Illeunclassified

Sykepleiere kan forebygge lekkasje av LAR-legemidler

Bech¹

2018

Sykepleien

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Diversion of Methadone and Buprenorphine from Opioid Substitution Treatment: The Importance of Patients’ Attitudes and Norms

Cited by 26 publications

References 29 publications

Methadone “callbacks” within a veterans affairs opioid treatment program: Detecting methadone misuse

Methadone “callbacks” within a veterans affairs opioid treatment program: Detecting methadone misuse

A comparison of privileged access interviewing and traditional interviewing methods when studying drug users in treatment

Sykepleiere kan forebygge lekkasje av LAR-legemidler

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