Publications by authors named "Rachel L Graves"

Background: Stigma among medical trainees toward people with opioid use disorder (OUD) compounds the problems associated with opioid addiction. People with OUD who experience overt and implicit stigma from healthcare providers are less likely to seek and receive treatment, further restricting their access to already limited resources. The objective of our study was to assess an educational strategy to mitigate stigma toward people with OUD among first-year medical students.

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Background: Narratives are effective tools for communicating with patients about opioid prescribing for acute pain and improving patient satisfaction with pain management. It remains unclear, however, whether specific narrative elements may be particularly effective at influencing patient perspectives.

Methods: This study was a secondary analysis of data collected for Life STORRIED, a multicenter RCT.

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Article Synopsis
  • Opioid use disorder (OUD) is a significant public health issue, and buprenorphine-naloxone is an effective treatment, with Reddit serving as a valuable source of firsthand experiences from users.
  • The study analyzed 16,146 posts from the /r/suboxone subreddit, focusing on themes like tapering strategies, withdrawal symptoms, and adjunctive substances to enhance treatment outcomes.
  • Findings showed that most users shared personal experiences, common tapering doses were low, and frequent side effects included fatigue and gastrointestinal issues, highlighting the potential of Reddit data to inform better treatment practices.
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Objective: To assess the availability and price of naloxone as well as pharmacy staff knowledge of the standing order for naloxone in Pennsylvania pharmacies.

Methods: We conducted a telephone audit study from December 2016 to April 2017 in which staff from Pennsylvania pharmacies were surveyed to evaluate naloxone availability, staff understanding of the naloxone standing order, and out-of-pocket cost of naloxone.

Results: Responses were obtained from 682 of 758 contacted pharmacies (90% response rate).

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Background: The rise in opioid use and overdose has increased the importance of improving data collection methods for the purpose of targeting resources to high-need populations and responding rapidly to emerging trends.

Objective: To determine whether Twitter data could be used to identify geographic differences in opioid-related discussion and whether opioid topics were significantly correlated with opioid overdose death rate.

Methods: We filtered approximately 10 billion tweets for keywords related to opioids between July 2009 and October 2015.

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Aim: To characterize Yelp reviews about pain management and opioids.

Methods: We manually coded and applied natural language processing to 836 Yelp reviews of US hospitals mentioning an opioid medication.

Results: Yelp reviews by patients and caregivers describing experiences with pain management and opioids had lower ratings compared with other reviews.

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