RUA: Analyzing Published Research
Clinical Question
The assigned group topic is the opioid crisis, which is an epidemic of overuse or misuse addictive opioid drugs. The focus of the group is on the prognosis of opioid addiction in the young population and opioid agonist therapies relative to behavioural interventions. The epidemic has resulted in a rise in cases of overdoses and misuse as well as an increasing number of newborns with opioid withdrawal symptoms. The U.S. Department of Health and Human Services reported that more than 130 people die daily from opioid drug overdoses. The purpose of this paper to summarize two articles from RUA Unit 3 that accurately respond to the PICOT question. Don't use plagiarised sources.Get your custom essay just from $11/page
Description of Findings
Concepts
The quantitative study establishes the efficacy of using physical management approach or Cognitive Behavior Therapy (CBT) or both for the treatment of Opioid Use Disorder (OUD) (Moore, Fiellin, Cutter, Buono, Barry, Fiellin & Schottenfeld, 2016). These approaches are measured against one another to determine the efficiency of both in treating opioid addiction. On the other hand, the qualitative study reviews articles about buprenorphine treatment for opioid addiction in the young population (Borodovsky, Levy, Fishman & Marsch, 2018). These articles both conceptualize and justify the group topic of research by giving consistent data.
| Article | Reference | Purpose Hypothesis Study Question | Variables Independent(I) Dependent(D) | Study Design | Sample Size and Selection | Data Collection Methods | Major Findings |
| 1 | Moore, B. A., Fiellin, D. A., Cutter, C. J., Buono, F. D., Barry, D. T., Fiellin, L. E., & Schottenfeld, R. S. (2016). Cognitive-behavioural therapy improves treatment outcomes for prescription opioid users in primary care buprenorphine treatment. Journal of substance abuse treatment, 71, 54-57.
| To establish the difference between the treatments outcomes for Opioid disorder patients using physical management and or Cognitive behavioural therapy in buprenorphine treatment. | I – Treatment Outcomes D-Physical Management, Cognitive Behavior Therapy | Quantitative | N= 140 Diagnostic and Statistical Manual (DSM)-IV criteria for opioid dependence | Clinical trials and analysis | PM with CBT led to better abstinence outcomes for all drugs of abuse compared with PM alone.
CBT did not lead to better outcomes for heroin-dependent patients.
|
| 2 | Borodovsky, J. T., Levy, S., Fishman, M., & Marsch, L. A. (2018). Buprenorphine treatment for adolescents and young adults with opioid use disorders: a narrative review. Journal of addiction medicine, 12(3), 170.
| To inform clinical practice by summarizing results of primary and secondary analyses from randomized controlled clinical trials and observational studies that have evaluated the use of buprenorphine to treat adolescents and young adults with OUD | I-Treatment Outcomes D-Buprenorphine treatment
| Qualitative | 3RCTs and Observational studies | Randomized clinical trials and Observational Studies | Treatment plans need to be tailored to the needs of each patient.
|
Methods
The qualitative study reviews articles on buprenorphine treatment with data collected on clinical trials and observational studies. Their credibility influenced the choice of those studies. On the contrary, the quantitative paper collected data using observational studies and clinical trials in hospital settings. The inclusion criteria dictated that only opioid patients that met the Diagnostic and Statistical Manual participated (Moore et al., 2016).
Participants
The qualitative study included nurses and patients in their review to collect doses and prescriptions of their treatment. A lot of focus was on information from the clinical setting or community rather than individual perspectives. The quantitative analysis included 140 OUD patients who met the inclusion criteria for the research. (Moore et al., 2016). They were passed through trials and observations through which the researchers obtained data.
Instruments
A systematic review was the instrument used for the qualitative study. This was used to gather information related to the efficacy of opioid agonist treatments in the young population. This also helped the researcher to determine the effects of such therapies and make relevant conclusions. Patient self-reports, testing of samples and screening assessments are the instruments used in the quantitative study on OUD treatment (Moore et al., 2016). These instruments, in both articles, were mentioned as reliable and valid by the researchers. This is because they succeeded to meet the research objectives and purpose using those instruments.
Purpose
Both papers give insight into the clinical question. The qualitative article provided valid and credible evidence concerning opioid use disorder treatment suing agonists, specifically buprenorphine. Therefore, the question of the efficacy of such treatment adequately answered from the review. On the contrary, the quantitative study compares the outcomes of the physical management treatment procedure to CBT approach and both in an OUD patient (Moore et al., 2016). The answer to the clinical question is also given quite sensibly. Hence, both articles answer the purposes and objectives of this research.
To guide the research to the next step, more articles about opioid agonist treatment and behaviours should be sought. The articles should give enough evidence and significance to the clinical questions and illustrate relevance to the PICOT question.
Conclusion
This paper summarized two articles to establish their relevance to the clinical question and research topic. The quantitative paper revealed a proper relation between behaviour therapies and opioid agonist, buprenorphine that gives insight into the problem. However, the qualitative article does not provide a proper relationship between the two intended variables making it evidence non-substantial. Thus, it will not be adopted for RUA research.
References
Moore, B. A., Fiellin, D. A., Cutter, C. J., Buono, F. D., Barry, D. T., Fiellin, L. E., & Schottenfeld, R. S. (2016). Cognitive behavioral therapy improves treatment outcomes for prescription opioid users in primary care buprenorphine treatment. Journal of substance abuse treatment, 71, 54-57.
Borodovsky, J. T., Levy, S., Fishman, M., & Marsch, L. A. (2018). Buprenorphine treatment for adolescents and young adults with opioid use disorders: a narrative review. Journal of addiction medicine, 12(3), 170.
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. What is the U.S. Opioid Epidemic? Retrieved from https://www.hhs.gov/opioids/about-the-epidemic/index.html