Feasibility of Testing Client Preferences for Accessing Injectable Opioid Agonist Treatment (iOAT): A Pilot Study

Figures & data

Table 1 Preliminary List of Items That are Important for iOAT Delivery Informed by iOAT Experts, Stakeholders, and Clients

Attributes	Levels
Choice of medication	I decide the type of iMeds I am prescribed (my drug of choice) The prescriber and the system decide the type of iMeds I am prescribed The prescriber listens to me and then decides the type of iMeds I am prescribed
Choice of dose	I decide the dose of my iMeds including after missed doses The prescriber decides the dose of my iMeds including after missed doses The prescriber listens to me and then decides the dose for my iMeds including after missed doses
Convenience to get iMeds regularly	I receive and inject my medications at different and convenient iOAT locations I only receive and inject the medication at my own site I take my iMeds with me (carries)
Location and spatial area	I get iOAT in a site that is designed for people like me (eg, woman’s only place, youth-centered, similar stage in life) I can use other substances (eg, crack) on site when taking my injection I get iOAT in a place where I like to go (eg, safe, private, welcoming, etc.)
Scheduling and routines around injection	There is a space on site to hang out before and after I inject my iMeds I come to take my iMeds on my own schedule and leave when I see fit The staff decides when and if I can take my iMeds and when I can leave the site
Staff & training in person-centred care	I receive individualized and non-stigmatizing care with my iOAT I am treated by staff that has experience in addiction care The iOAT staff includes people with lived experience
Types of services needed	Most services I need are available on site (eg, primary care, counsellors) and referrals are well coordinated for me Other health or social services I need are located close to the site where I get iOAT The site’s priority is to provide low barrier access to iMeds.

Figure 1 Example of a pilot BWS choice set from the preliminary survey in PowerPoint.

Figure 2 Most and least wanted aspects of iOAT delivery: simulation of 100 participants based on the responses of our 18 participants.