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Language of Resource
Full Text Available
Open Access / OK to Reproduce
Peer Reviewed
Objective
We conducted a qualitative evaluation of a clinical pilot program of video observed therapy (VOT) via smartphone that was rapidly implemented between April and August 2020 during the COVID-19 pandemic within three opioid treatment programs.
Findings/Key points
Overall, patients were enthusiastic about VOT, noting multiple benefits over traditional treatment experiences, including avoiding frequent travel to the clinic. Some noted how this allowed them to better meet recovery goals by avoiding a potentially triggering environment. Most appreciated having increased time to devote to other life priorities, including maintaining consistent employment. Participants described how VOT increased their autonomy, allowed them to keep treatment private, and normalized treatment to align with other medications that do not require in-person dosing. Participants did not describe major usability issues or privacy concerns with submitting videos. Some participants reported feeling disconnected from counselors while others felt more connected. Counselors felt some discomfort in their new role confirming medication ingestion but saw VOT as a useful tool for select patients.
Design/methods
Interviews with 12 participants and 3 counsellors