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The OPTIMUS International Consensus Guidance for Monitoring User‑Reported Outcomes of Opioid Maintenance Treatment: a Delphi Study

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dc.contributor.authorWiessing, Lucas
dc.contributor.authorAkartuna, Deniz
dc.contributor.authorAntoine, Jérôme
dc.contributor.authorBanka‑Cullen, Prakashini
dc.contributor.authorBarbaglia, María Gabriela
dc.contributor.authorBelackova, Vendula
dc.contributor.authorBelbaisi, Saed A. S.
dc.contributor.authorBernardini, Claudia
dc.contributor.authorBitri, Sonila
dc.contributor.authorBlanken, Peter
dc.contributor.authorCarrieri, Patricia
dc.contributor.authorČelojević, Saša
dc.contributor.authorComiskey, Catherine
dc.contributor.authorDacosta‑Sánchez, Daniel
dc.contributor.authorDale, Laura
dc.contributor.authorDom, Geert
dc.contributor.authorFabricius, Venus
dc.contributor.authorFaria, Hugo
dc.contributor.authorFischer, Gabriele
dc.contributor.authorFotopoulos, Dimos
dc.contributor.authorHijazi, Lina
dc.contributor.authorIčanović, Dario
dc.contributor.authorIgnjatova, Liljana
dc.contributor.authorInić, Nemanja
dc.contributor.authorJacobsen, Britta
dc.contributor.authorJakavicius, Haris
dc.contributor.authorJaníková, Barbara
dc.contributor.authorJavakhishvili, Jana D.
dc.contributor.authorKamendi, Zuzana
dc.contributor.authorKapitány‑Fövény, Máté
dc.contributor.authorKarczewska, Roksana
dc.contributor.authorKiss, Anna
dc.contributor.authorKrasias, Andreas
dc.contributor.authorKyprianou, Evi
dc.contributor.authorLamy, Dominique
dc.contributor.authorLandsmane, Inga
dc.contributor.authorMacLeod, Katy
dc.contributor.authorMarchand, Kirsten
dc.contributor.authorMartinelli, Thomas
dc.contributor.authorMillar, Tim
dc.contributor.authorMravcik, Viktor
dc.contributor.authorMustafa, Naser J. Y.
dc.contributor.authorNikolovski, Bojan
dc.contributor.authorPartanen, Markus
dc.contributor.authorPedersen, Mads Uffe
dc.contributor.authorPericoli, Filippo Maria
dc.contributor.authorPuhach, Olena
dc.contributor.authorPutkonen, Hanna
dc.contributor.authorRazmadze, Mariam
dc.contributor.authorReifenstein, Rebecca
dc.contributor.authorRoux, Perrine
dc.contributor.authorSchulte, Bernd
dc.contributor.authorSchwarz, Tanja
dc.contributor.authorSeabra, Paulo
dc.contributor.authorSilva, María
dc.contributor.authorSkocibusic, Sinisa
dc.contributor.authorSordo, Luis
dc.contributor.authorŠpringelová, Dana
dc.contributor.authorStrada, Lisa
dc.contributor.authorStelmaszczyk, Beata
dc.contributor.authorSubata, Emilis
dc.contributor.authorTerykh, Kateryna
dc.contributor.authorThoma, Esmeralda
dc.contributor.authorTorrens, Marta
dc.contributor.authorTubelewicz, Piotr
dc.contributor.authorVanaga‑Arāja, Diāna
dc.contributor.authorWalley, Alexander Y.
dc.contributor.authorYiasemi, Ioanna
dc.contributor.authorOPTIMUS study group
dc.date.accessioned2026-03-30T11:13:18Z
dc.date.available2026-03-30T11:13:18Z
dc.date.issued2025
dc.description.abstractOpioid use disorder is a major cause of drug-related harm and mortality. These can be reduced by expanded access to evidence-based and highly effective opioid agonist maintenance treatment or therapy (OMT). There is a lack of consensus on how to assess opioid use disorder treatment outcomes, and key health outcomes are often omitted. We report the results of a Delphi study to produce service user- and public health–centred international consensus guidance for OMT outcomes monitoring. An international group of 110 substance use specialists in 32 countries, including service providers, researchers and people with lived experience of OMT, produced draft guidance over multiple meetings. The guidance includes a service user-reported OMT outcomes questionnaire, based on 26 core questions, plus optional questions, in six domains (treatment, physical health, mental health, social functioning, substance use, quality of life). A Delphi panel of 757 OMT professionals and service users (46%) from 29 countries, of which 40% were female, reviewed the questionnaire over two survey rounds, supporting and improving it (round 2 mean agreement score on a 1-6 Likert scale: 5.2; 95%CI 5.1–5.3). By focusing on service user– reported and public health–centred outcomes of OMT, the OPTIMUS consensus guidance aims to facilitate the communication between service providers and service users and improve the quality of care and the survival, health and quality of life of OMT service users.eng
dc.identifier.doi10.1007/s11469-024-01426-6
dc.identifier.urihttp://hdl.handle.net/10400.26/62532
dc.language.isoeng
dc.peerreviewedyes
dc.publisherSpringer Nature
dc.relation.hasversionhttps://link.springer.com/article/10.1007/s11469-024-01426-6#citeas
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectOpioid Agonist Maintenance Therapy (OMT)
dc.subjectTreatment outcomes
dc.subjectMonitoring
dc.subjectPeople who use drugs (PWUD)
dc.subjectPeople who use opioids (PWUO)
dc.subjectPublic health
dc.subjectSubstance Use
dc.subjectOverdose
dc.subjectLived Experience
dc.subjectDelphi
dc.titleThe OPTIMUS International Consensus Guidance for Monitoring User‑Reported Outcomes of Opioid Maintenance Treatment: a Delphi Studyeng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleInternational Journal of Mental Health and Addiction
oaire.citation.volume2025
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameSeabra
person.givenNamePaulo
person.identifier1178705
person.identifier.ciencia-id0F17-FF1F-E4FF
person.identifier.orcid0000-0001-8296-1021
person.identifier.scopus-author-id57194716231
relation.isAuthorOfPublication159d6aa5-85ac-400d-bd74-4446fab18b50
relation.isAuthorOfPublication.latestForDiscovery159d6aa5-85ac-400d-bd74-4446fab18b50

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