Influence of patient trust in provider and health literacy on receipt of guideline-concordant chronic opioid therapy in HIV care settings
OBJECTIVE: Persons with HIV (PWH) frequently receive opioids for pain. Health literacy and trust in provider may impact patient-provider communication, and thus receipt of guideline-concordant opioid monitoring. We analyzed baseline data of HIV-positive patients on chronic opioid therapy (COT) in a trial to improve guideline-concordant COT in HIV clinics.
DESIGN: Retrospective cohort study.
SETTING: Two hospital-based safetynet HIV clinics in Boston and Atlanta.
PATIENTS AND PARTICIPANTS: A cohort of patients who were ≥18 years, HIV-positive, had received ≥ 3 opioid prescriptions from a study site ≥21 days apart within a 6-month period during the prior year and had ≥1 visit at the HIV clinic in the prior 18 months.
MAIN OUTCOME MEASURES: Adjusted logistic regression models examined whether health literacy and trust in provider (scale scored 11-55, higher indicates more trust) were associated with: (1) ≥ 2 urine drug tests (UDTs) and (2) presence of an opioid treatment agreement.
RESULTS: Among 166 PWH, mean trust in provider was 47.4 (SD 6.6); 117 (70 percent) had adequate health literacy. Fifty patients (30 percent) had ≥ 2 UDTs and 20 (12 percent) had a treatment agreement. The adjusted odds ratio (aOR) for a one-point increase in trust in provider was 0.97 for having ≥ 2 UDTs (95 percent CI 0.92-1.02) and 1.03 for opioid treatment agreement (95 percent CI 0.95-1.12). The aOR for adequate health literacy was 0.89 for having ≥ 2 UDTs (95 percent CI 0.42-1.88) and 1.66 for an opioid treatment agreement (95 percent CI 0.52-5.31).
CONCLUSIONS: Health literacy and trust in provider were not associated with chronic opioid therapy quality outcomes.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:19 |
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| Enthalten in: |
Journal of opioid management - 19(2023), 5 vom: 15. Sept., Seite 385-393 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Williams, Emily C [VerfasserIn] |
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| Links: |
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| Themen: |
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| Anmerkungen: |
Date Completed 17.11.2023 Date Revised 26.04.2024 published: Print Citation Status MEDLINE |
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| doi: |
10.5055/jom.0812 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM364605510 |
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| 100 | 1 | |a Williams, Emily C |e verfasserin |0 (orcid)https://orcid.org/0000-0002-8210-6137 |4 aut | |
| 245 | 1 | 0 | |a Influence of patient trust in provider and health literacy on receipt of guideline-concordant chronic opioid therapy in HIV care settings |
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| 500 | |a Date Revised 26.04.2024 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a OBJECTIVE: Persons with HIV (PWH) frequently receive opioids for pain. Health literacy and trust in provider may impact patient-provider communication, and thus receipt of guideline-concordant opioid monitoring. We analyzed baseline data of HIV-positive patients on chronic opioid therapy (COT) in a trial to improve guideline-concordant COT in HIV clinics | ||
| 520 | |a DESIGN: Retrospective cohort study | ||
| 520 | |a SETTING: Two hospital-based safetynet HIV clinics in Boston and Atlanta | ||
| 520 | |a PATIENTS AND PARTICIPANTS: A cohort of patients who were ≥18 years, HIV-positive, had received ≥ 3 opioid prescriptions from a study site ≥21 days apart within a 6-month period during the prior year and had ≥1 visit at the HIV clinic in the prior 18 months | ||
| 520 | |a MAIN OUTCOME MEASURES: Adjusted logistic regression models examined whether health literacy and trust in provider (scale scored 11-55, higher indicates more trust) were associated with: (1) ≥ 2 urine drug tests (UDTs) and (2) presence of an opioid treatment agreement | ||
| 520 | |a RESULTS: Among 166 PWH, mean trust in provider was 47.4 (SD 6.6); 117 (70 percent) had adequate health literacy. Fifty patients (30 percent) had ≥ 2 UDTs and 20 (12 percent) had a treatment agreement. The adjusted odds ratio (aOR) for a one-point increase in trust in provider was 0.97 for having ≥ 2 UDTs (95 percent CI 0.92-1.02) and 1.03 for opioid treatment agreement (95 percent CI 0.95-1.12). The aOR for adequate health literacy was 0.89 for having ≥ 2 UDTs (95 percent CI 0.42-1.88) and 1.66 for an opioid treatment agreement (95 percent CI 0.52-5.31) | ||
| 520 | |a CONCLUSIONS: Health literacy and trust in provider were not associated with chronic opioid therapy quality outcomes | ||
| 650 | 4 | |a Journal Article | |
| 650 | 7 | |a Analgesics, Opioid |2 NLM | |
| 700 | 1 | |a Frost, Madeline C |e verfasserin |4 aut | |
| 700 | 1 | |a Lodi, Sara |e verfasserin |4 aut | |
| 700 | 1 | |a Forman, Leah S |e verfasserin |4 aut | |
| 700 | 1 | |a Lira, Marlene C |e verfasserin |4 aut | |
| 700 | 1 | |a Tsui, Judith I |e verfasserin |4 aut | |
| 700 | 1 | |a Lunze, Karsten |e verfasserin |4 aut | |
| 700 | 1 | |a Kim, Theresa |e verfasserin |4 aut | |
| 700 | 1 | |a Liebschutz, Jane M |e verfasserin |4 aut | |
| 700 | 1 | |a Rio, Carlos Del |e verfasserin |4 aut | |
| 700 | 1 | |a Samet, Jeffrey H |e verfasserin |4 aut | |
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