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Health-related quality of life and recovery capital among recovery residents taking medication for opioid use disorder in Texas

BACKGROUND: Recovery from opioid use disorder (OUD) includes improvements in health-related quality of life (HRQOL) and is supported by recovery capital (RC). Little is known about RC and HRQOL among recovery residents taking medication for OUD. We described HRQOL and RC and identified predictors of...

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Autores principales: Obekpa, Elizabeth O., McCurdy, Sheryl A., Schick, Vanessa, Markham, Christine M., Gallardo, Kathryn R., Wilkerson, Johnny Michael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10694473/
http://dx.doi.org/10.3389/fpubh.2023.1284192
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author Obekpa, Elizabeth O.
McCurdy, Sheryl A.
Schick, Vanessa
Markham, Christine M.
Gallardo, Kathryn R.
Wilkerson, Johnny Michael
author_facet Obekpa, Elizabeth O.
McCurdy, Sheryl A.
Schick, Vanessa
Markham, Christine M.
Gallardo, Kathryn R.
Wilkerson, Johnny Michael
author_sort Obekpa, Elizabeth O.
collection PubMed
description BACKGROUND: Recovery from opioid use disorder (OUD) includes improvements in health-related quality of life (HRQOL) and is supported by recovery capital (RC). Little is known about RC and HRQOL among recovery residents taking medication for OUD. We described HRQOL and RC and identified predictors of HRQOL. METHODS: Project HOMES is an ongoing longitudinal study implemented in 14 recovery homes in Texas. This is a cross-sectional analysis of data from 358 participants’ on HRQOL (five EQ-5D-5L dimensions—mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) and RC (Assessment of Recovery Capital scores) collected from April 2021 to June 2023. Statistical analyses were conducted using T-, Chi-squared, and Fisher’s exact tests. RESULTS: Most participants were 35 years/older (50.7%), male (58.9%), non-Hispanic White (68.4%), heterosexual (82.8%), and reported HRQOL problems, mainly anxiety/depression (78.4%) and pain/discomfort (55.7%). Participants who were 35 years/older [mean (SD) = 42.6 (7.3)] were more likely to report mobility and pain/discomfort problems than younger participants. Female participants were more likely to report pain/discomfort problems than male participants. Sexual minorities were more likely to report anxiety/depression problems than heterosexual participants. Married participants and those in committed relationships were more likely to report problems conducting self-care than single/never-married participants. Comorbid conditions were associated with mobility, pain/discomfort, and usual activities problems. Most participants reported high social (65.4%), personal (69.0%), and total (65.6%) RC. Low personal RC was associated with mobility (aOR = 0.43, CI = 0.24–0.76), self-care (aOR = 0.13, CI = 0.04–0.41), usual activities (aOR = 0.25, CI = 0.11–0.57), pain/discomfort (aOR = 0.37, CI = 0.20–0.68), and anxiety/depression (aOR = 0.33, CI = 0.15–0.73) problems. Low total RC was associated with problems conducting self-care (aOR = 0.20, CI = 0.07–0.60), usual activities (aOR = 0.43, CI = 0.22–0.83), pain/discomfort problems (aOR = 0.55, CI = 0.34–0.90), and anxiety/depression (aOR = 0.20, CI = 0.10–0.41) problems. Social RC was not associated with HRQOL. CONCLUSION: Personal and total RC and comorbid conditions predict HRQOL. Although the opioid crisis and the increasing prevalence of comorbidities have been described as epidemics, they are currently being addressed as separate public health issues. Our findings underscore the importance of ensuring residents are provided with interprofessional care to reduce the burden of comorbidities, which can negatively impact their OUD recovery. Their RC should be routinely assessed and enhanced to support their recovery and improve HRQOL.
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spelling pubmed-106944732023-12-05 Health-related quality of life and recovery capital among recovery residents taking medication for opioid use disorder in Texas Obekpa, Elizabeth O. McCurdy, Sheryl A. Schick, Vanessa Markham, Christine M. Gallardo, Kathryn R. Wilkerson, Johnny Michael Front Public Health Public Health BACKGROUND: Recovery from opioid use disorder (OUD) includes improvements in health-related quality of life (HRQOL) and is supported by recovery capital (RC). Little is known about RC and HRQOL among recovery residents taking medication for OUD. We described HRQOL and RC and identified predictors of HRQOL. METHODS: Project HOMES is an ongoing longitudinal study implemented in 14 recovery homes in Texas. This is a cross-sectional analysis of data from 358 participants’ on HRQOL (five EQ-5D-5L dimensions—mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) and RC (Assessment of Recovery Capital scores) collected from April 2021 to June 2023. Statistical analyses were conducted using T-, Chi-squared, and Fisher’s exact tests. RESULTS: Most participants were 35 years/older (50.7%), male (58.9%), non-Hispanic White (68.4%), heterosexual (82.8%), and reported HRQOL problems, mainly anxiety/depression (78.4%) and pain/discomfort (55.7%). Participants who were 35 years/older [mean (SD) = 42.6 (7.3)] were more likely to report mobility and pain/discomfort problems than younger participants. Female participants were more likely to report pain/discomfort problems than male participants. Sexual minorities were more likely to report anxiety/depression problems than heterosexual participants. Married participants and those in committed relationships were more likely to report problems conducting self-care than single/never-married participants. Comorbid conditions were associated with mobility, pain/discomfort, and usual activities problems. Most participants reported high social (65.4%), personal (69.0%), and total (65.6%) RC. Low personal RC was associated with mobility (aOR = 0.43, CI = 0.24–0.76), self-care (aOR = 0.13, CI = 0.04–0.41), usual activities (aOR = 0.25, CI = 0.11–0.57), pain/discomfort (aOR = 0.37, CI = 0.20–0.68), and anxiety/depression (aOR = 0.33, CI = 0.15–0.73) problems. Low total RC was associated with problems conducting self-care (aOR = 0.20, CI = 0.07–0.60), usual activities (aOR = 0.43, CI = 0.22–0.83), pain/discomfort problems (aOR = 0.55, CI = 0.34–0.90), and anxiety/depression (aOR = 0.20, CI = 0.10–0.41) problems. Social RC was not associated with HRQOL. CONCLUSION: Personal and total RC and comorbid conditions predict HRQOL. Although the opioid crisis and the increasing prevalence of comorbidities have been described as epidemics, they are currently being addressed as separate public health issues. Our findings underscore the importance of ensuring residents are provided with interprofessional care to reduce the burden of comorbidities, which can negatively impact their OUD recovery. Their RC should be routinely assessed and enhanced to support their recovery and improve HRQOL. Frontiers Media S.A. 2023-11-20 /pmc/articles/PMC10694473/ http://dx.doi.org/10.3389/fpubh.2023.1284192 Text en Copyright © 2023 Obekpa, McCurdy, Schick, Markham, Gallardo and Wilkerson. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Obekpa, Elizabeth O.
McCurdy, Sheryl A.
Schick, Vanessa
Markham, Christine M.
Gallardo, Kathryn R.
Wilkerson, Johnny Michael
Health-related quality of life and recovery capital among recovery residents taking medication for opioid use disorder in Texas
title Health-related quality of life and recovery capital among recovery residents taking medication for opioid use disorder in Texas
title_full Health-related quality of life and recovery capital among recovery residents taking medication for opioid use disorder in Texas
title_fullStr Health-related quality of life and recovery capital among recovery residents taking medication for opioid use disorder in Texas
title_full_unstemmed Health-related quality of life and recovery capital among recovery residents taking medication for opioid use disorder in Texas
title_short Health-related quality of life and recovery capital among recovery residents taking medication for opioid use disorder in Texas
title_sort health-related quality of life and recovery capital among recovery residents taking medication for opioid use disorder in texas
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10694473/
http://dx.doi.org/10.3389/fpubh.2023.1284192
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