Madeline C. Frost
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View article: Patient Attitudes Toward Substance Use Screening and Discussion in Primary Care: Comparison Across Demographic Characteristics
Patient Attitudes Toward Substance Use Screening and Discussion in Primary Care: Comparison Across Demographic Characteristics Open
Introduction: Screening for unhealthy alcohol and drug use is recommended in primary care, and effective implementation requires understanding patients’ perspectives. Failure to identify and address potential differences in attitudes towar…
View article: Implementing buprenorphine for opioid use disorder in veterans health administration primary care: a qualitative analysis
Implementing buprenorphine for opioid use disorder in veterans health administration primary care: a qualitative analysis Open
Background Medications for opioid use disorder are evidence-based, guideline-recommended treatments. While buprenorphine can be prescribed in nonspecialized office-based settings, it is underutilized. Using a multifaceted implementation in…
View article: Impact of an opioid use disorder medication implementation intervention on hospitalization and emergency department utilization in the Veterans Health Administration
Impact of an opioid use disorder medication implementation intervention on hospitalization and emergency department utilization in the Veterans Health Administration Open
This evaluation did not find evidence that SCOUTT substantially impacted hospitalization or ED utilization relative to comparison clinics, though there may have been positive impacts for patients with longer engagement in SCOUTT clinics an…
View article: Primary Care Patient and Clinician Perspectives on Safer Use Strategies for Opioids and/or Stimulants: A Mixed-Method Study
Primary Care Patient and Clinician Perspectives on Safer Use Strategies for Opioids and/or Stimulants: A Mixed-Method Study Open
View article: Comparison of Treatment Receipt and Hospitalization Among Patients With Stimulant Use Disorder and/or Opioid Use Disorder in the Veterans Health Administration
Comparison of Treatment Receipt and Hospitalization Among Patients With Stimulant Use Disorder and/or Opioid Use Disorder in the Veterans Health Administration Open
Objectives Stimulant use is a growing problem, but little is known about service utilization among patients with stimulant use disorder (StUD). In the context of the overdose crisis, much research has focused on patients with opioid use di…
View article: Telehealth and delivery of alcohol use disorder treatment in the Veterans Health Administration
Telehealth and delivery of alcohol use disorder treatment in the Veterans Health Administration Open
Background The use of telehealth treatment of alcohol use disorder (AUD) has increased since the start of the COVID‐19 pandemic. However, it is unclear which patients are using telehealth and how telehealth visits are associated with treat…
View article: Perspectives of clinical stakeholders and patients from four VA liver clinics to tailor practice facilitation for implementing evidence-based alcohol-related care
Perspectives of clinical stakeholders and patients from four VA liver clinics to tailor practice facilitation for implementing evidence-based alcohol-related care Open
Background Unhealthy alcohol use (UAU) is particularly dangerous for people with chronic liver disease. Liver clinics may be an important setting in which to provide effective alcohol-related care by integrating evidence-based strategies, …
View article: Influence of patient trust in provider and health literacy on receipt of guideline-concordant chronic opioid therapy in HIV care settings
Influence of patient trust in provider and health literacy on receipt of guideline-concordant chronic opioid therapy in HIV care settings Open
Objective: Persons with HIV (PWH) frequently receive opioids for pain. Health literacy and trust in provider may impact patient–provider communication, and thus receipt of guideline-concordant opioid monitoring. We analyzed baseline data o…
View article: Impact of an intervention to implement provision of opioid use disorder medication among patients with and without co-occurring substance use disorders
Impact of an intervention to implement provision of opioid use disorder medication among patients with and without co-occurring substance use disorders Open
View article: Impact of COVID-19 on stimulant use disorder treatment: A national cohort study in the Veterans Health Administration
Impact of COVID-19 on stimulant use disorder treatment: A national cohort study in the Veterans Health Administration Open
View article: Treating opioid use disorder in veterans with co-occurring substance use: a qualitative study with buprenorphine providers in primary care, mental health, and pain settings
Treating opioid use disorder in veterans with co-occurring substance use: a qualitative study with buprenorphine providers in primary care, mental health, and pain settings Open
View article: The impact of COVID‐19 on trends in alcohol use disorder treatment in Veterans Health Administration
The impact of COVID‐19 on trends in alcohol use disorder treatment in Veterans Health Administration Open
Background and Aims The COVID‐19 pandemic disrupted health‐care provision in the United States and prompted increases in telehealth‐delivery of care. This study measured alcohol use disorder (AUD) treatment trends across visit modalities b…
View article: Associations Between Distinct Co-occurring Substance Use Disorders and Receipt of Medications for Opioid Use Disorder in the Veterans Health Administration
Associations Between Distinct Co-occurring Substance Use Disorders and Receipt of Medications for Opioid Use Disorder in the Veterans Health Administration Open
Objectives Among people with opioid use disorder (OUD), having a co-occurring substance use disorder (SUD) is associated with lower likelihood of receiving OUD treatment medications (MOUD). However, it is unclear how distinct co-occurring …
View article: Use of and Retention on Video, Telephone, and In-Person Buprenorphine Treatment for Opioid Use Disorder During the COVID-19 Pandemic
Use of and Retention on Video, Telephone, and In-Person Buprenorphine Treatment for Opioid Use Disorder During the COVID-19 Pandemic Open
Importance The coronavirus disease 2019 (COVID-19) pandemic prompted policy changes to allow increased telehealth delivery of buprenorphine, a potentially lifesaving medication for opioid use disorder (OUD). It is unclear how characteristi…
View article: Barriers to engaging people who use drugs in harm reduction services during the COVID-19 pandemic: A mixed methods study of syringe services program perspectives
Barriers to engaging people who use drugs in harm reduction services during the COVID-19 pandemic: A mixed methods study of syringe services program perspectives Open
View article: Syringe Service Program Perspectives on Barriers, Readiness, and Programmatic Needs to Support Rollout of the COVID-19 Vaccine
Syringe Service Program Perspectives on Barriers, Readiness, and Programmatic Needs to Support Rollout of the COVID-19 Vaccine Open
Background We explored syringe service program (SSP) perspectives on barriers, readiness, and programmatic needs to support coronavirus disease 2019 (COVID-19) vaccine uptake among people who use drugs. Methods We conducted an exploratory …
View article: Impact of COVID-19 Telehealth Policy Changes on Buprenorphine Treatment for Opioid Use Disorder
Impact of COVID-19 Telehealth Policy Changes on Buprenorphine Treatment for Opioid Use Disorder Open
The number of patients receiving buprenorphine continued to increase after the COVID-19 policy changes, but the delivery of care shifted to telehealth visits, suggesting that any reversal of COVID-19 policies must be carefully considered.
View article: Responding to a surge in overdose deaths: perspectives from US syringe services programs
Responding to a surge in overdose deaths: perspectives from US syringe services programs Open
Background US overdose deaths have reached a record high. Syringe services programs (SSPs) play a critical role in addressing this crisis by providing multiple services to people who use drugs (PWUD) that help prevent overdose death. This …
View article: Comparison of Substance Use Disorder Diagnosis Rates From Electronic Health Record Data With Substance Use Disorder Prevalence Rates Reported in Surveys Across Sociodemographic Groups in the Veterans Health Administration
Comparison of Substance Use Disorder Diagnosis Rates From Electronic Health Record Data With Substance Use Disorder Prevalence Rates Reported in Surveys Across Sociodemographic Groups in the Veterans Health Administration Open
The results of this survey study suggest that existing diagnostic procedures and tools are insufficient to capture SUD prevalence rates, particularly among younger patients and Hispanic and Latinx patients. Clinics and health systems shoul…
View article: Prevalence of social and economic stressors among transgender veterans with alcohol and other drug use disorders
Prevalence of social and economic stressors among transgender veterans with alcohol and other drug use disorders Open
View article: Association between clinically recognized suicidality and subsequent initiation or continuation of medications for opioid use disorder
Association between clinically recognized suicidality and subsequent initiation or continuation of medications for opioid use disorder Open
View article: Influence of a national transgender health care directive on receipt of alcohol-related care among transgender Veteran Health Administration patients with unhealthy alcohol use
Influence of a national transgender health care directive on receipt of alcohol-related care among transgender Veteran Health Administration patients with unhealthy alcohol use Open
View article: Barriers and Facilitators to Changing Drinking and Receiving Alcohol-Related Care: Interviews with Veterans Health Administration Primary Care Patients who Indicated Interest but Did Not Enroll in An Alcohol Care Management Intervention Trial
Barriers and Facilitators to Changing Drinking and Receiving Alcohol-Related Care: Interviews with Veterans Health Administration Primary Care Patients who Indicated Interest but Did Not Enroll in An Alcohol Care Management Intervention Trial Open
Background: Most people with alcohol use disorder do not receive treatment, and primary care (PC)-based management of alcohol use disorder is a key strategy to close this gap. Understanding PC patients’ perspectives on changing drinking an…
View article: The impact of methamphetamine/amphetamine use on receipt and outcomes of medications for opioid use disorder: a systematic review
The impact of methamphetamine/amphetamine use on receipt and outcomes of medications for opioid use disorder: a systematic review Open
Background Methamphetamine/amphetamine use has sharply increased among people with opioid use disorder (OUD). It is therefore important to understand whether and how use of these substances may impact receipt of, and outcomes associated wi…
View article: Receipt of evidence-based alcohol-related care in a national sample of transgender patients with unhealthy alcohol use: Overall and relative to non-transgender patients
Receipt of evidence-based alcohol-related care in a national sample of transgender patients with unhealthy alcohol use: Overall and relative to non-transgender patients Open
View article: Program Adaptations to Provide Harm Reduction Services During the COVID-19 Pandemic: A Qualitative Study of Syringe Services Programs in the U.S.
Program Adaptations to Provide Harm Reduction Services During the COVID-19 Pandemic: A Qualitative Study of Syringe Services Programs in the U.S. Open
View article: Patterns of Alcohol Use Among Transgender Patients Receiving Care at the Veterans Health Administration: Overall and Relative to Nontransgender Patients
Patterns of Alcohol Use Among Transgender Patients Receiving Care at the Veterans Health Administration: Overall and Relative to Nontransgender Patients Open
This is the largest study of patterns of alcohol use among transgender persons and among the first to directly compare patterns to nontransgender persons. Findings suggest nuanced associations with patterns of alcohol use and provide a bas…
View article: Disparities in Documented Drug Use Disorders Between Transgender and Cisgender U.S. Veterans Health Administration Patients
Disparities in Documented Drug Use Disorders Between Transgender and Cisgender U.S. Veterans Health Administration Patients Open
Objectives: Transgender people—those whose gender identity differs from their sex assigned at birth—are at risk for health disparities resulting from stressors such as discrimination and violence. Transgender people report more drug use th…
View article: Practice facilitation to implement alcohol-related care in Veterans Health Administration liver clinics: a study protocol
Practice facilitation to implement alcohol-related care in Veterans Health Administration liver clinics: a study protocol Open
View article: Documented brief intervention associated with reduced linkage to specialty addictions treatment in a national sample of VA patients with unhealthy alcohol use with and without alcohol use disorders
Documented brief intervention associated with reduced linkage to specialty addictions treatment in a national sample of VA patients with unhealthy alcohol use with and without alcohol use disorders Open
Background and aims Alcohol screening, brief intervention (BI) and referral to treatment is often considered stepped care, such that BI with referral links patients to treatment. A meta‐analysis of randomized trials found no evidence that …