Aversion to injection limits acceptability of extended-release naltrexone among homeless, alcohol-dependent patients

Peter D. Friedmann, Dawn Mello, Sean Lonergan, Claire Bourgault, Thomas P. Otoole

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Ending homelessness is a major priority of the Department of Veteran Affairs (VA), and alcohol use can be a barrier to stable housing. Clinical trials suggest that depot extended-release naltrexone (XR-NTX) is efficacious in reducing alcohol consumption among alcohol-dependent subjects. Methods: An open-label, randomized pilot study sought to examine the feasibility and effectiveness of XR-NTX versus oral naltrexone to improve alcohol consumption and housing stability among homeless, alcohol-dependent veterans at the Providence Veteran Affairs Medical Center. Results: Of 215 potential candidates approached over a 16-month recruitment period, only 15 agreed to consider study entry and 7 were randomized. The primary reasons given for refusal were not wanting an injection; fear of needles; and not wanting to change drinking habits. Only 1 participant in the XR-NTX group returned after the first injection. Three participants in the oral naltrexone group attended all 7 visits and had good outcomes. Conclusions: Although XR-NTX has demonstrated efficacy in reducing heavy drinking, limited acceptance of the injection might reduce its effectiveness among homeless, alcohol-dependent patients.

Original languageEnglish (US)
Pages (from-to)94-96
Number of pages3
JournalSubstance Abuse
Volume34
Issue number2
DOIs
StatePublished - Apr 1 2013
Externally publishedYes

Keywords

  • alcohol dependence
  • Homelessness
  • naltrexone
  • substance abuse
  • veterans

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Psychiatry and Mental health
  • Medicine(all)

Fingerprint Dive into the research topics of 'Aversion to injection limits acceptability of extended-release naltrexone among homeless, alcohol-dependent patients'. Together they form a unique fingerprint.

Cite this