2022
Characterizing the social support and functioning of a low-threshold medication for opioid use disorder treatment cohort at intake
Oles W, Alexander M, Kumar N, Howell B, O’Connor P, Madden LM, Barry DT. Characterizing the social support and functioning of a low-threshold medication for opioid use disorder treatment cohort at intake. BMC Psychiatry 2022, 22: 236. PMID: 35366844, PMCID: PMC8976510, DOI: 10.1186/s12888-022-03884-5.Peer-Reviewed Original ResearchMeSH KeywordsAdultCohort StudiesFemaleHumansMaleOpioid-Related DisordersSocial SupportSurveys and QuestionnairesConceptsLow-threshold clinicDemographic characteristicsOpioid use disorder treatmentMultivariate logistic regression modelBrief Pain InventoryPatient demographic characteristicsOpioid use disorderSocial supportSymptom Identification ScaleUse disorder treatmentNon-Hispanic whitesLogistic regression modelsOlder patientsPain InventoryTreatment cohortsSelf-reported social supportLife Events ChecklistMOUD treatmentBaseline disparitiesTreatment accessTreatment needsHigh riskUse disordersMortality rateDisorder treatmentThe Impact of Access to Addiction Specialist on Attitudes, Beliefs and Hospital-Based Opioid Use Disorder Related Care: A Survey of Hospitalist Physicians
Calcaterra SL, Binswanger IA, Edelman EJ, McNair BK, Wakeman SE, O'Connor P. The Impact of Access to Addiction Specialist on Attitudes, Beliefs and Hospital-Based Opioid Use Disorder Related Care: A Survey of Hospitalist Physicians. Substance Use & Addiction Journal 2022, 43: 143-151. PMID: 32267807, PMCID: PMC7541600, DOI: 10.1080/08897077.2020.1748169.Peer-Reviewed Original ResearchMeSH KeywordsAttitudeBuprenorphineHospitalistsHospitalsHumansNaloxoneOpiate Substitution TreatmentOpioid-Related DisordersSurveys and QuestionnairesUnited StatesConceptsOpioid use disorderAddiction specialistsLocal treatment resourcesLife-saving treatmentBuprenorphine initiationMultivariable analysisOUD careScreening practicesHospitalist physiciansUse disordersClinical practicePatientsRelated careTreatment resourcesHospitalistsHarm reductionCareTreatmentUnited StatesSpecialistsOnline surveyHospitalizationBuprenorphineComplicationsPrescribing
2020
Emergency department patients with untreated opioid use disorder: A comparison of those seeking versus not seeking referral to substance use treatment
Coupet E, D’Onofrio G, Chawarski M, Edelman E, O’Connor P, Owens P, Martel S, Fiellin DA, Cowan E, Richardson L, Huntley K, Whiteside LK, Lyons MS, Rothman RE, Pantalon M, Hawk K. Emergency department patients with untreated opioid use disorder: A comparison of those seeking versus not seeking referral to substance use treatment. Drug And Alcohol Dependence 2020, 219: 108428. PMID: 33307301, PMCID: PMC8110210, DOI: 10.1016/j.drugalcdep.2020.108428.Peer-Reviewed Original ResearchConceptsUntreated opioid use disorderOpioid use disorderEmergency department patientsDepartment patientsUse disordersTenth Revision diagnosis codesSevere opioid use disorderConclusions Most patientsInjection-related infectionsRevision diagnosis codesHealth insurance statusSubstance use treatmentCross-sectional analysisOpioid withdrawalClinical characteristicsED visitsMost patientsTreatment initiationUrine toxicologyClinical correlatesDiagnosis codesInsurance statusUnivariate analysisBackground LittleInternational ClassificationBarriers and Facilitators to Clinician Readiness to Provide Emergency Department–Initiated Buprenorphine
Hawk KF, D’Onofrio G, Chawarski MC, O’Connor P, Cowan E, Lyons MS, Richardson L, Rothman RE, Whiteside LK, Owens PH, Martel SH, Coupet E, Pantalon M, Curry L, Fiellin DA, Edelman EJ. Barriers and Facilitators to Clinician Readiness to Provide Emergency Department–Initiated Buprenorphine. JAMA Network Open 2020, 3: e204561. PMID: 32391893, PMCID: PMC7215257, DOI: 10.1001/jamanetworkopen.2020.4561.Peer-Reviewed Original ResearchConceptsOpioid use disorderEmergency departmentAdvanced practice cliniciansED cliniciansClinicians' readinessOngoing treatmentTreatment of OUDEmergency Department-Initiated BuprenorphineUntreated opioid use disorderDrug Addiction Treatment ActDecrease opioid useVisual analog scaleHealth Services frameworkAcademic emergency departmentMixed-methods formative evaluationQuality of careSubset of participantsBuprenorphine initiationClinician typeOpioid useED patientsAnalog scaleOngoing careDepartmental protocolPractice clinicians
2017
An Interventionist Adherence Scale for a Specialized Brief Negotiation Interview Focused on Treatment Engagement for Opioid use Disorders
Pantalon MV, Dziura J, Li FY, Owens PH, O'Connor PG, D'Onofrio G. An Interventionist Adherence Scale for a Specialized Brief Negotiation Interview Focused on Treatment Engagement for Opioid use Disorders. Substance Use & Addiction Journal 2017, 38: 191-199. PMID: 28398192, PMCID: PMC7222694, DOI: 10.1080/08897077.2017.1294548.Peer-Reviewed Original ResearchConceptsTreatment engagementPsychometric propertiesUse disordersPredictive validityBrief Negotiation InterviewGood internal consistencyEnhance motivationBrief interventionDiscriminant validityFair predictive validitySkill performanceValid measureInternal consistencyExcellent interrater reliabilityControl encountersBASFactor itemsMotivationEngagementDisordersCritical actionsOpioid use disorderValidityRatersItems
2005
Problem Drinkers: Find Them, Keep Them, Don't Lose Them—Treat Them
O'Connor PG. Problem Drinkers: Find Them, Keep Them, Don't Lose Them—Treat Them. Journal Of General Internal Medicine 2005, 20: 96-97. PMID: 15693936, PMCID: PMC1490046, DOI: 10.1111/j.1525-1497.2005.04005.x.Peer-Reviewed Original Research
2003
Measuring Alcohol Consumption Among Older Adults: A Comparison of Available Methods
Reid MC, Tinetti ME, O'Connor PG, Kosten TR, Concato J. Measuring Alcohol Consumption Among Older Adults: A Comparison of Available Methods. American Journal On Addictions 2003, 12: 211-219. PMID: 12851017, DOI: 10.1111/j.1521-0391.2003.tb00649.x.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overAgingAlcohol DrinkingAlcoholismFemaleHealth SurveysHumansMaleMedicarePsychometricsSensitivity and SpecificitySurveys and QuestionnairesVeteransConceptsAlcohol exposureVA primary care clinicsOlder adultsCommunity-dwelling Medicare beneficiariesQuantity-frequency questionsPrimary care clinicsAlcohol Use Disorders Identification TestPercentage of participantsDisorders Identification TestCare clinicsAlcohol historyCurrent drinkersOlder veteransMedicare beneficiariesAlcohol consumptionElderly adultsOlder personsLevel of agreementAlcohol useIdentification TestKappa valuesAdultsAlcohol measuresConcordanceExposure
2000
Outpatient management of patients with alcohol problems.
Fiellin DA, Reid MC, O'Connor PG. Outpatient management of patients with alcohol problems. Annals Of Internal Medicine 2000, 133: 815-27. PMID: 11085845, DOI: 10.7326/0003-4819-133-10-200011210-00015.Peer-Reviewed Original ResearchScreening for Alcohol Problems in Primary Care: A Systematic Review
Fiellin DA, Reid MC, O'Connor PG. Screening for Alcohol Problems in Primary Care: A Systematic Review. JAMA Internal Medicine 2000, 160: 1977-1989. PMID: 10888972, DOI: 10.1001/archinte.160.13.1977.Peer-Reviewed Original ResearchConceptsAlcohol Use Disorders Identification TestPrimary careAlcohol problemsFormal screening instrumentsAlcohol abuseHarmful drinkingScreening instrumentQuantity-frequency questionsPrimary care physiciansSearch of MEDLINEDisorders Identification TestCAGE questionsCare physiciansClinical subgroupsClinical measuresCriterion standardDiagnostic test researchSystematic reviewPatient spectrumDiagnostic testsMethodological standardsCareIdentification TestWorkup biasMethodological limitations
1999
Hazardous and Harmful Alcohol Consumption in Primary Care
Reid MC, Fiellin DA, O'Connor PG. Hazardous and Harmful Alcohol Consumption in Primary Care. JAMA Internal Medicine 1999, 159: 1681-1689. PMID: 10448769, DOI: 10.1001/archinte.159.15.1681.Peer-Reviewed Original ResearchMeSH KeywordsAlcohol DrinkingAlcoholismDiagnosis, DifferentialHumansOutpatientsPrevalencePrimary Health CareSeverity of Illness IndexSurveys and QuestionnairesWorld Health OrganizationConceptsPrimary care settingAlcohol Use Disorders Identification TestMichigan Alcoholism Screening TestAdverse health eventsAlcohol consumptionHarmful drinkingCare settingsHazardous drinkingRecent large prospective studyHealth eventsLarge prospective studiesHarmful alcohol consumptionAlcoholism Screening TestDisorders Identification TestHealth-related effectsAdverse eventsHemorrhagic strokeRandomized trialsProspective studyPrimary careCAGE questionnaireBreast cancerAlcohol abuseTreatment approachesPrevalence estimates
1998
Alcohol abusers in primary care: readiness to change behavior
Samet J, O’Connor P. Alcohol abusers in primary care: readiness to change behavior. The American Journal Of Medicine 1998, 105: 302-306. PMID: 9809691, DOI: 10.1016/s0002-9343(98)00258-7.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAlcoholismBehavior TherapyFemaleHealth BehaviorHumansMaleMiddle AgedPrimary Health CareSurveys and QuestionnairesConceptsCAGE questionnaireAlcohol abusePrimary careMean ageUrban primary care clinicAlcohol usePercent of patientsMinority of patientsPrimary care clinicsPrimary care settingSubjects' mean ageContemplation stagePositive responseSubstance abuse treatmentStage of readinessAssessment of stagesMost patientsCare clinicsCare settingsAlcohol abusersLong-term recoveryPatientsRelapse preventionAbuse treatmentFurther evaluation