Quality of life during a randomized trial of a therapeutic-workplace intervention for opioid use disorder: Web-based mobile assessments reveal effects of drug abstinence and access to paid work.
Cocaine
Contingency management
Opioid use disorder
Quality of life
Smartphone
Urinalysis
Journal
Drug and alcohol dependence reports
ISSN: 2772-7246
Titre abrégé: Drug Alcohol Depend Rep
Pays: Netherlands
ID NLM: 9918350383506676
Informations de publication
Date de publication:
Dec 2021
Dec 2021
Historique:
received:
16
09
2021
revised:
25
11
2021
accepted:
01
12
2021
entrez:
27
2
2023
pubmed:
4
12
2021
medline:
4
12
2021
Statut:
epublish
Résumé
Employment and improved quality of life (QOL) are, separately, valued outcomes of substance use disorder (SUD) treatment. It is also important to understand QOL changes caused by employment itself; therefore, we assessed QOL during a randomized trial of a contingency-management-based Therapeutic Workplace for people with opioid use disorder. For 12 weeks, participants ( DWG and/or IWG reported improvements in several QOL areas (sleep, transportation, recreation); however, they also reported increased money-related difficulties and less time spent with friends/family. These changes did not coincide with DWG's work access, but some (more sleep, money-related difficulties) coincided with the urinalysis contingencies. Greater opiate- and/or cocaine-abstinence was also associated with several improvements: sleep, paying bills, time spent with friends/family, and exercising. Surprisingly, intermediate cocaine abstinence was associated with reductions in work-capacity satisfaction and recreation. Participants reported complex QOL differences during their experimental employment and associated with drug abstinence. Future work should help participants address issues that may be relevant to employment generally (e.g., time with friends/family) or contingency management specifically (e.g., money-related issues for non-abstinent participants).
Sections du résumé
Background
UNASSIGNED
Employment and improved quality of life (QOL) are, separately, valued outcomes of substance use disorder (SUD) treatment. It is also important to understand QOL changes caused by employment itself; therefore, we assessed QOL during a randomized trial of a contingency-management-based Therapeutic Workplace for people with opioid use disorder.
Methods
UNASSIGNED
For 12 weeks, participants (
Results
UNASSIGNED
DWG and/or IWG reported improvements in several QOL areas (sleep, transportation, recreation); however, they also reported increased money-related difficulties and less time spent with friends/family. These changes did not coincide with DWG's work access, but some (more sleep, money-related difficulties) coincided with the urinalysis contingencies. Greater opiate- and/or cocaine-abstinence was also associated with several improvements: sleep, paying bills, time spent with friends/family, and exercising. Surprisingly, intermediate cocaine abstinence was associated with reductions in work-capacity satisfaction and recreation.
Conclusions
UNASSIGNED
Participants reported complex QOL differences during their experimental employment and associated with drug abstinence. Future work should help participants address issues that may be relevant to employment generally (e.g., time with friends/family) or contingency management specifically (e.g., money-related issues for non-abstinent participants).
Identifiants
pubmed: 36843907
doi: 10.1016/j.dadr.2021.100011
pii: S2772-7246(21)00011-1
pmc: PMC9948824
doi:
Types de publication
Journal Article
Langues
eng
Pagination
100011Commentaires et corrections
Type : ErratumIn
Informations de copyright
© 2021 Published by Elsevier B.V.
Déclaration de conflit d'intérêts
Marie-Louise Murville and Michael Sullivan declare financial interests in Delight Me Inc.: Marie-Louise Murville is the founder & CEO of Delight Me Inc., and Michael Sullivan is Vice President of Engineering of Delight Me Inc. All other authors have no interests to declare.
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