{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T01:22:28Z","timestamp":1769649748604,"version":"3.49.0"},"reference-count":89,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T00:00:00Z","timestamp":1768953600000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Open"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The United States (US) declared drug overdose a public health emergency in 2017. Despite this, two million people reported having an opioid use disorder (OUD) in 2018. However, following the beginning of COVID\u201019 there was a 53% increase in overdose deaths, with American Indian\/Alaska Native (AI\/AN) individuals experiencing the highest rates of all racial groups. In response to the COVID\u201019 pandemic and OUD treatment access challenges, OUD treatment policies were changed to improving access to care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This review examines how the state\u2010 and federal\u2010level policies impacted access to medications for opioid use disorder (MOUD) during the COVID\u201019 pandemic. Due to the devastating impact of overdose and COVID\u201019 on AI\/AN communities, as a secondary aim, we examined the inclusion of these populations in the samples of the included studies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We completed a narrative review using a data\u2010based convergent synthesis design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Forty\u2010four studies met the inclusion criteria. Most of the studies were quantitative descriptive studies (\n                      <jats:italic>n<\/jats:italic>\n                      =\u200925). Only two studies offer AI\/AN as a category for ethnicity and both had less that 4% of the sample that identified as an AI\/AN individual.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion and Implications<\/jats:title>\n                    <jats:p>Telehealth OUD treatment increased initiation and retention for patients taking buprenorphine. No increase in overdose rates was associated with allowing for additional take\u2010home doses of methadone. However, access to treatment, even telehealth, remains difficult for individuals due to a lack of OUD treatment providers and access to the internet. More needs to be done to address the opioid overdose crisis, especially among AI\/AN communities. Research focused on cultural strategies to address this health disparity is desperately needed. We included nursing implications in response to this health disparity among AI\/AN individuals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nop2.70437","type":"journal-article","created":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T04:05:17Z","timestamp":1769054717000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Narrative Review of Opioid Use Disorder Treatment Changes During the\n                    <scp>COVID<\/scp>\n                    \u201019 Pandemic and Their Impact on American Indian\/Alaska Native Communities"],"prefix":"10.1002","volume":"13","author":[{"given":"Chyla","family":"Bingham\u2010Hendricks","sequence":"first","affiliation":[{"name":"Tan Chingfen Graduate School of Nursing UMass Chan Medical School  Worcester Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Autaquay","family":"Peters\u2010Mosquera","sequence":"additional","affiliation":[{"name":"University of Pennsylvania School of Nursing  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shoshana V.","family":"Aronowitz","sequence":"additional","affiliation":[{"name":"University of Pennsylvania School of Nursing  Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cedric","family":"Woods","sequence":"additional","affiliation":[{"name":"Institute of New England Native American Studies UMass Boston  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1121-9193","authenticated-orcid":false,"given":"Teri","family":"Aronowitz","sequence":"additional","affiliation":[{"name":"Tan Chingfen Graduate School of Nursing UMass Chan Medical School  Worcester Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,21]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.4867"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12699"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/00952990.2021.1979991"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2021.108552"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/00952990.2021.1903023"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12954-021-00572-7"},{"key":"e_1_2_10_8_1","volume-title":"Health Coverage and Care for American Indians and Alaska Natives","author":"Artiga S.","year":"2013"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.42531"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/sw\/sww065"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2021.108543"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/00914509211046705"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev\u2010criminol\u2010061020\u2010125715"},{"key":"e_1_2_10_14_1","unstructured":"Center for Connected Health Policy.2020.\u201cTelehealth Coverage Policies in the Time of COVID\u201019.\u201dhttps:\/\/www.cchpca.org\/resources\/covid\u201019\u2010telehealth\u2010coverage\u2010policies."},{"key":"e_1_2_10_15_1","unstructured":"Centers for Disease Control and Prevention (CDC).2022.\u201cProvisional Drug Overdose Death Counts.\u201dhttps:\/\/www.cdc.gov\/nchs\/nvss\/vsrr\/drug\u2010overdose\u2010data.htm."},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606\u2010021\u201007082\u2010y"},{"issue":"12","key":"e_1_2_10_17_1","first-page":"6197","article-title":"Substance Abuse and Developments in Harm Reduction","volume":"162","author":"Cheung Y. 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