Melinda M Davis, Margaret Spurlock, Katrina Ramsey, Jamie Smith, Beth Ann Beamer, Susan Aromaa, Paul B McGinnis
Milk Options Observation (MOO): A Mixed-Methods Study of Chocolate Milk Removal on Beverage Consumption and Student/Staff Behaviors in a Rural Elementary School
The Journal of school nursing : the official publication of the National Association of School Nurses
selfmanagement opioid use disorder oud important component treatment many patients receiving opioid agonist treatment methadone maintenance treatment settings benefit counseling treatments help improve recovery skills insufficient access treatments clinic appointments addition many addiction medicine clinicians treating patients oud general medical clinic setting consistent access counseling referrals patients lead decreases treatment retention overall progress patients recovery substance misuse digital apps may help bridge gap coaching supporting reinforcing behavioral change initiated directed psychosocial medical providers study aimed conduct acceptability usability utility pilot study kios app address clinical needs developed unique patientcentered computational software system kios biomedical development corporation assist managing oud outpatient methadone maintenance clinic setting kios tracks interacting selfreported symptoms craving depressed mood anxiety irritability pain agitation restlessness difficulty sleeping absenteeism difficulty usual activities conflicts others determine changes trajectory severity symptom patterns time kios applies proprietary algorithm assess individuals patterns symptom interaction accordance models previously established oud experts analysis kios provides specific behavioral advice addressing individuals changing trajectory symptoms help person selfmanage symptoms kios software also provides analytics selfreported data used patients clinicians researchers track outcomes 4week acceptability usability mean system usability scalemodified score 895 sd 92 maximum 100 utility mean kios utility questionnaire score 632 sd 025 maximum 70 pilot study 15 methadonemaintained participants oud user experience usability softwaregenerated advice received high positive assessment scores kios clinical variables closely correlated craving selfreport measures therefore managing variables advice generated kios software could impact craving ultimately substance use kios tracks key clinical variables generates advice specifically relevant patients current changing clinical state patients pilot study assigned high positive values kios user experience ease use appropriateness relevance usefulness specific behavioral guidance received match evolving experiences kios may therefore useful augment inperson treatment opioid agonist patients help fill treatment gaps currently exist continuum care national institute drug abusefunded randomized controlled trial kios augment inperson treatment patients oud currently conducted