Vancouver, British Columbia is in the heart of the opioid overdose crisis. Key aspects to addressing the crisis include increasing access and adherence to opioid agonist therapy (OAT). Improving adherence to OAT can improve health outcomes, decrease health expenditures and decrease the risk of fatal overdose. The purpose of this quantitative quasi-experimental pre-test/post-test design direct practice improvement project was to identify whether and to what degree the use of personalized mobile texting affects individual treatment adherence rates during thirty-days of OAT at an urban primary care clinic. The health belief model and the recovery-oriented framework provided the theoretical foundation for the project. The project used quantitative methodology with quasi-experimental pre-test/post-test design. Participants were provided an adherence questionnaire pre and post intervention of receiving a personalized daily text message for thirty-days. Participants taking OAT (n = 20), received the texting intervention. The pretotal adherence score (M = 3.40, SD = 0.821) and the post-total score (M = 0.37, SD = 0.761) show a significant decrease in the scores after receiving the intervention. The Wilcoxon signed-rank test identified the observed difference in the pre and post scores showing statistically significant (z = −3.869, p = 0.000) results. The results identify that mobile texting can improve treatment adherence with OAT. Utilizing the intervention as part of health care delivery with OAT is recommended at the urban primary care clinic to improve treatment adherence. The results further contribute to the existing literature on OAT.
|Advisor:||McDermott, Sandi, Swalwell-Franks, Alison|
|School:||Grand Canyon University|
|Department:||College of Nursing and Health Care Professions|
|School Location:||United States -- Arizona|
|Source:||DAI-B 81/2(E), Dissertation Abstracts International|
|Keywords:||Opioid agonist therapy, Opioid overdose crisis, Opioid use disorder, Treatment adherence|
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