Patient and Provider Perspectives on Processes of Engagement in Outpatient Treatment for Opioid Use Disorder: A Scoping Review

Elizabeth J Austin; Quentin E O'Brien; Monica S Ruiz; Anna D Ratzliff; Emily C Williams; Ulrich Koch

doi:10.1007/s10597-023-01175-1

Patient and Provider Perspectives on Processes of Engagement in Outpatient Treatment for Opioid Use Disorder: A Scoping Review

Community Ment Health J. 2024 Feb;60(2):330-339. doi: 10.1007/s10597-023-01175-1. Epub 2023 Sep 5.

Authors

Elizabeth J Austin^{1

2

3}, Quentin E O'Brien⁴, Monica S Ruiz⁵, Anna D Ratzliff^{6

7}, Emily C Williams^{8

9}, Ulrich Koch⁴

Affiliations

¹ Department of Health Systems and Population Health, School of Public Health, University of Washington, Box 351621, Seattle, WA, 98105, USA. [email protected].
² Department of Clinical Research and Leadership, School of Medicine and Health Sciences, The George Washington University, Washington, D.C, USA. [email protected].
³ Department of Prevention and Community Health, Milken Institute School of Public Health, The George Washington University, Washington, D.C, USA. [email protected].
⁴ Department of Clinical Research and Leadership, School of Medicine and Health Sciences, The George Washington University, Washington, D.C, USA.
⁵ Department of Prevention and Community Health, Milken Institute School of Public Health, The George Washington University, Washington, D.C, USA.
⁶ Department of Psychiatry and Behavioral Sciences, School of Medicine, University of Washington, Seattle, WA, USA.
⁷ Advancing Integrated Mental Health Solutions (AIMS) Center, University of Washington, Seattle, WA, USA.
⁸ Department of Health Systems and Population Health, School of Public Health, University of Washington, Box 351621, Seattle, WA, 98105, USA.
⁹ Center of Innovation for Veteran-Centered and Value-Driven Care, Health Services Research & Development, VA Puget Sound, Seattle, WA, USA.

PMID: 37668745
DOI: 10.1007/s10597-023-01175-1

Abstract

Effective treatment for opioid use disorder (OUD) is available, but patient engagement is central to achieving care outcomes. We conducted a scoping review to describe patient and provider-reported strategies that may contribute to patient engagement in outpatient OUD care delivery. We searched PubMed and Scopus for articles reporting patient and/or provider experiences with outpatient OUD care delivery. Analysis included: (1) describing specific engagement strategies, (2) mapping strategies to patient-centered care domains, and (3) identifying themes that characterize the relationship between engagement and patient-centered care. Of 3,222 articles screened, 30 articles met inclusion criteria. Analysis identified 14 actionable strategies that facilitate patient engagement and map to all patient-centered care domains. Seven themes emerged that characterize interpersonal approaches to OUD care engagement. Interpersonal interactions between patients and providers play a pivotal role in encouraging engagement throughout OUD treatment. Future research is needed to further evaluate promising engagement strategies.

Keywords: Opioid Use Disorder; Patient Engagement; Patient-Centered Care; Primary Care.

Publication types

Review
Research Support, Non-U.S. Gov't

MeSH terms

Analgesics, Opioid / therapeutic use
Delivery of Health Care
Humans
Opioid-Related Disorders* / drug therapy
Outpatients*
Patient-Centered Care
Treatment Outcome

Substances

Analgesics, Opioid

Grants and funding

Small Grant Program/Alcohol and Drug Abuse Institute, University of Washington