A qualitative exploration of the potential role of using online social media support communities to increase initiation of Medications for Opioid Use Disorder (MOUD)

Abstract

ABSTRACT Objectives This study sought to explore the potential role of peer-led online communities to increase use of medications for opioid use disorder. Methods From January through March 2020, participants with opioid use disorder and their family members/friends were recruited from paid Facebook ads; public health key stakeholders were recruited from referrals from the study team and opioid experts. Thirty participants from California were interviewed; 23 persons reporting opioid misuse, 3 family members/friends of persons misusing opioids, and 4 public health key stakeholders. We conducted semi-structured interviews asking about preferences, barriers to and facilitators of treatment options for opioid use disorder, and perspectives around the use of digital/online communities. The categories of participants interviewed were each asked slightly different questions depending upon their role. Results Results suggest that participants who misuse opioids: (1) may prefer to engage in online communities rather than in-person meetings to discuss their opioid use, (2) generally prefer to receive opioid-related information from other patients with opioid use disorder and/or those in recovery rather than from health providers or other individuals, and (3) thought that an online community could be beneficial for helping address their opioid use. Conclusion Results suggest an openness and interest in a peer-led online community to discuss opioid use and treatment among people who misuse opioids.