{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T09:13:00Z","timestamp":1772356380642,"version":"3.50.1"},"reference-count":43,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T00:00:00Z","timestamp":1693180800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100006093","name":"Patient-Centered Outcomes Research Institute","doi-asserted-by":"publisher","award":["IHS\u20101507\u201031640"],"award-info":[{"award-number":["IHS\u20101507\u201031640"]}],"id":[{"id":"10.13039\/100006093","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>People who use drugs (PWUD) frequently delay or avoid obtaining medical care in traditional healthcare settings. Through a randomized controlled trial, we investigated facilitated telemedicine for hepatitis C virus (HCV) integrated into opioid treatment programmes. We sought to understand the experiences and meanings of facilitated telemedicine and an HCV cure among PWUD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We utilized purposive sampling to interview 25 participants, 6\u201340 months after achieving an HCV cure. We interpreted and explicated common meanings of participants' experiences of an HCV cure obtained through facilitated telemedicine.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants embraced facilitated telemedicine integrated into opioid treatment programmes as patient\u2010centred care delivered in \u2018safe spaces\u2019 (Theme 1). Participants elucidated their experiences of substance use and HCV while committing to treatment for both entities. Facilitated telemedicine integrated into opioid treatment programmes enabled participants to avoid stigma encountered in conventional healthcare settings (Theme 2). Participants conveyed facing negative perceptions of HCV and substance use disorder. Improved self\u2010awareness, acquired through HCV and substance use treatment, enabled participants to develop strategies to address shame and stigma (Theme 3). An HCV cure, considered by PWUD as a victory over a lethal infectious disease, promotes self\u2010confidence, enabling participants to improve their health and lives (Theme 4).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Integrating facilitated telemedicine into opioid treatment programmes addresses several healthcare barriers for PWUD. Similarly, obtaining an HCV cure increases their self\u2010confidence, permissive to positive lifestyle changes and mitigating the negative consequences of substance use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patient and Public Contribution<\/jats:title><jats:p>In this study of patient involvement, we interviewed patient\u2010participants to understand the meaning of an HCV cure through facilitated telemedicine. Participants from a facilitated telemedicine pilot study provided essential input on the design and outcomes of a randomized controlled trial. Pilot study participants endorsed facilitated telemedicine in a testimonial video. They attended site initiation meetings to guide trial implementation. A Patient Advisory Committee (PAC) ensured that patient participants were active members of the research team.\u00a0The PAC represented patients' voices through feedback on study procedures. A\u00a0Sustainability Committee supported public involvement in the research process, including educational opportunities, feedback on implementation, and future sustainability considerations.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hex.13854","type":"journal-article","created":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T05:19:06Z","timestamp":1693286346000},"page":"2594-2607","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Facilitated telemedicine for hepatitis C virus: Addressing challenges for improving health and life for people with opioid use disorder"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5565-7515","authenticated-orcid":false,"given":"Andrew H.","family":"Talal","sequence":"first","affiliation":[{"name":"Department of Medicine Jacobs School of Medicine,\u00a0Division of Gastroenterology, Hepatology, and Nutrition, University at Buffalo Buffalo New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Urmo","family":"Jaanim\u00e4gi","sequence":"additional","affiliation":[{"name":"Department of Medicine Jacobs School of Medicine,\u00a0Division of Gastroenterology, Hepatology, and Nutrition, University at Buffalo Buffalo New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arpan","family":"Dharia","sequence":"additional","affiliation":[{"name":"Department of Medicine Jacobs School of Medicine,\u00a0Division of Gastroenterology, Hepatology, and Nutrition, University at Buffalo Buffalo New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzanne S.","family":"Dickerson","sequence":"additional","affiliation":[{"name":"School of Nursing,\u00a0Division of Biobehavioral Health and Clinical Sciences, University at Buffalo Buffalo New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,8,28]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41591-020-0855-y"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2019.4765"},{"key":"e_1_2_11_4_1","unstructured":"World Health Organization. Combating Hepatitis B and C to Reach Elimination by 2030: Advocacy Brief.\u00a02016. Accessed May 24 2023.https:\/\/apps.who.int\/iris\/handle\/10665\/206453"},{"key":"e_1_2_11_5_1","unstructured":"US Department of Health and Human Services. Viral Hepatitis National Strategic Plan for the United States: a Roadmap to Elimination (2021\u20132025).\u00a02020. 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