{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T02:57:19Z","timestamp":1791341839335,"version":"4.3.1"},"reference-count":47,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2022,5,16]],"date-time":"2022-05-16T00:00:00Z","timestamp":1652659200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["1K08HS025701\u201001A1"],"award-info":[{"award-number":["1K08HS025701\u201001A1"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["K23HL155895\u201001A1"],"award-info":[{"award-number":["K23HL155895\u201001A1"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Academic Emergency Medicine"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Medications for opioid use disorder (MOUD) prescribed in the emergency department (ED) have the potential to save lives and help people start and maintain recovery. We sought to explore patient perspectives regarding the initiation of buprenorphine and methadone in the ED with the goal of improving interactions and fostering shared decision making (SDM) around these important treatment options.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted semistructured interviews with a purposeful sample of people with opioid use disorder (OUD) regarding ED visits and their experiences with MOUD. The interview guide was based on the Ottawa Decision Support Framework, a framework for examining decisional needs and tailoring decisional support, and the research team's experience with MOUD and SDM. Interviews were recorded, transcribed, and analyzed in an iterative process using both the Ottawa Framework and a social\u2013ecological framework. Themes were identified and organized and implications for clinical care were noted and discussed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010six participants were interviewed, seven in person in the ED and 19 via video conferencing software. The majority had tried both buprenorphine and methadone, and almost all had been in an ED for an issue related to opioid use. Participants reported social, pharmacological, and emotional factors that played into their decision making. Regarding buprenorphine, they noted advantages such as its efficacy and logistical ease and disadvantages such as the need to wait to start it (risk of precipitated withdrawal) and that one could not use other opioids while taking it. Additionally, participants felt that: (1) both buprenorphine and methadone should be offered; (2) because \u201cone person's pro is another person's con,\u201d clinicians will need to understand the facets of the options; (3) clinicians will need to have these conversations without appearing judgmental; and (4) many patients may not be \u201cready\u201d for MOUD, but it should still be offered.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Although participants were supportive of offering buprenorphine in the ED, many felt that methadone should also be offered. They felt that treatment should be tailored to an individual's needs and circumstances and clarified what factors might be important considerations for people with OUD.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acem.14507","type":"journal-article","created":{"date-parts":[[2022,4,15]],"date-time":"2022-04-15T13:22:49Z","timestamp":1650028969000},"page":"928-943","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["\u201cJust give them a choice\u201d: Patients' perspectives on starting medications for opioid use disorder in the <scp>ED<\/scp>"],"prefix":"10.1111","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3661-4023","authenticated-orcid":false,"given":"Elizabeth M.","family":"Schoenfeld","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine UMASS Chan Medical School\u2013Baystate  Springfield Massachusetts USA"},{"name":"Department for Healthcare Delivery and Population Science UMASS Chan Medical School\u2013Baystate  Springfield Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2292-045X","authenticated-orcid":false,"given":"Lauren M.","family":"Westafer","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine UMASS Chan Medical School\u2013Baystate  Springfield Massachusetts USA"},{"name":"Department for Healthcare Delivery and Population Science UMASS Chan Medical School\u2013Baystate  Springfield Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha A.","family":"Beck","sequence":"additional","affiliation":[{"name":"UMASS Chan Medical School  Worcester Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin G.","family":"Potee","sequence":"additional","affiliation":[{"name":"UMASS Chan Medical School  Worcester Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sravanthi","family":"Vysetty","sequence":"additional","affiliation":[{"name":"Lincoln Memorial University DeBusk College of Osteopathic Medicine  Harrogate Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caty","family":"Simon","sequence":"additional","affiliation":[{"name":"Urban Survivors Union  Greensboro North Carolina USA"},{"name":"Whose Corner Is It Anyway  Holyoke Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jillian M.","family":"Tozloski","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine UMASS Chan Medical School\u2013Baystate  Springfield Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abigail L.","family":"Girardin","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine UMASS Chan Medical School\u2013Baystate  Springfield Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William E.","family":"Soares","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine UMASS Chan Medical School\u2013Baystate  Springfield Massachusetts USA"},{"name":"Department for Healthcare Delivery and Population Science UMASS Chan Medical School\u2013Baystate  Springfield Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,5,16]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Drug overdose deaths in the U.S. top 100 000 annually. 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