000010073 001__ 10073
000010073 005__ 20240125143600.0
000010073 0247_ $$2DOI$$a10.6083/4q77fs17f
000010073 037__ $$aIR
000010073 245__ $$aAcceptability and feasibility of a shared decision-making tool for medication for opioid use disorder
000010073 260__ $$bOregon Health and Science University
000010073 269__ $$a2023
000010073 336__ $$aCapstone
000010073 502__ $$gMedicine (Undergraduate Medical Education)
000010073 502__ $$bM.D.
000010073 520__ $$aIn 2020, over 26.8 million people around the world were affected by opioid use disorder, with approximately 2.7 million cases of opioid use disorder in the United States alone. Since the beginning of the COVID-19 pandemic, rates of fentanyl use and opioid related overdoses nearly doubling. Effective medications for opioid use disorder (MOUD) have been well studied and have been shown to reduce opioid cravings, to reduce opioid use and to prevent opioid related deaths. Despite the availabilities of these MOUD, the medications are largely underutilized. Much of this lack is due to the many barriers to initiating MOUD treatment, including stigma, access to care, perception of strict oversight, and comorbid mental health issues. Shared decision making (SDM) in clinical practice involves making choices about a treatment plan through partnership between the clinician(s) and the patient. Decision-making tools can help encourage and guide SDM conversation. SDM has been found in initial studies to increase likelihood of MOUD induction. Despite these reports, only an estimated 23% of MOUD clinics invite patients into decision making processes. There are currently no validated SDM tools available to the public directed towards patients for MOUD initiation. Our study aimed to create a SDM tool for MOUD and to evaluate the feasibility and accessibility of this tool to patients and providers.
000010073 650__ $$aOpioid-Related Disorders$$022689
000010073 650__ $$aHealth Services Accessibility$$019904
000010073 650__ $$aFentanyl$$018961
000010073 650__ $$aOpiate Overdose$$013377
000010073 650__ $$aDecision Making, Shared$$013135
000010073 691__ $$aSchool of Medicine$$041369
000010073 7001_ $$aDavid, Rachel$$uOregon Health and Science University$$041354
000010073 7201_ $$aCahen, Viviane$$uOregon Health and Science University$$041354$$7Personal$$eCo-PI
000010073 7201_ $$aChan, Brian L.$$uOregon Health and Science University$$041354$$7Personal$$eCo-PI
000010073 8564_ $$9d3c94d76-baeb-4c1d-aaa2-0aedd437239a$$s522132$$uhttps://digitalcollections.ohsu.edu/record/10073/files/David.Rachel.2023.pdf
000010073 905__ $$a/rest/prod/4q/77/fs/17/4q77fs17f
000010073 909CO $$ooai:digitalcollections.ohsu.edu:10073$$pstudent-work
000010073 980__ $$aScholarly Project Capstones