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The Use of Ecological Momentary Assessment Methods with People Receiving Medication for Opioid Use Disorder: A Systematic Review

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Abstract

Purpose of Review

Ecological Momentary Assessment (EMA) is a data collection method capturing mental states and behavior in participants’ natural contexts. While EMA is used increasingly in studies with individuals with substance use disorders (SUD), a systematic review of EMA use among people with opioid use disorder (OUD) is not present in the literature. This systematic review aims 1) to synthesize the literature describing EMA use and 2) to characterize the EMA methodology in published studies of people receiving medication for OUD. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology was utilized. Without date restriction, we searched three databases (PubMed, CINAHL, Psych Info) and included English, peer-reviewed articles that were: a) intervention or observational studies of people receiving medication for OUD and b) used EMA.

Recent Findings

Included studies (n = 37) were randomized controlled trials (n = 10) and observational studies (n = 27), with primarily African American (41–75%) men (47–81%) as participants (n = 5–309) in all but two studies. Results indicated that response to frequent (2–5 times per day) EMA entries over long periods of time (between 2–25 weeks) during treatment for OUD treatment is feasible. Craving and stress were the most frequent EMA measures investigated for their relationship to drug use and treatment outcomes.

Summary

The literature demonstrated that EMA methodology is heterogeneous and closely linked to the research question. However, frequent EMA assessments were common and feasible to deliver assessments to people receiving medication for OUD. It is important to incorporate EMA as an assessment tool and potential intervention component in future studies to possibly respond to the risk of returning to use or relapse.

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Data Availability

Data is available upon reasonable request.

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Funding

PS is supported by K23AA025094 from National Institute on Alcohol Abuse and Alcoholism. No other authors report funding sources for this work.

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All authors contributed to the study’s conception and design. Literature search, extraction, and the first draft of the manuscript were performed by Karen Alexander. All authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

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Alexander, K., Sanjuan, P. & Terplan, M. The Use of Ecological Momentary Assessment Methods with People Receiving Medication for Opioid Use Disorder: A Systematic Review. Curr Addict Rep 10, 366–377 (2023). https://doi.org/10.1007/s40429-023-00492-5

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