Understanding patterns of use and preferences for technology among people who use opioids in Colombia: implications for mHealth interventions

Abstract

ABSTRACT Background Colombia has seen an increase in heroin use, leading to higher HIV rates and challenges in accessing treatment for people who use opioids (PWUO). With widespread mobile phone ownership, technology-based interventions show promise in Colombia. This study aims to understand technology use patterns among PWUO in Colombia, aiding the development of targeted mHealth interventions for better treatment outcomes. Methods A cross-sectional study was conducted among adults with Opioid Use Disorder (OUD) from harm reduction centers, inpatient detoxification units, and methadone maintenance treatment programs in three Colombian cities with high OUD prevalence. The survey covered sociodemographic characteristics, OUD treatment receipt, technology ownership and use patterns, and preferences for technology-based interventions. Results Among 247 participants, the majority were men, single, with a mean age of 29.9 years, and mainly had high school education. Smartphone ownership was reported by 43.6%, with preferences for social networking apps, internet browsers, and text messaging. Bivariate analysis showed associations between technology ownership and factors such as age, education, sex, and household stability. Conclusion These findings provide insights into the technology use patterns and preferences among PWUO in Colombia, highlighting implications for designing and implementing effective technology-based interventions to enhance OUD treatment outcomes.