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Artikel ; Online: Increasing Capacity for Treatment of Opioid Use Disorder in Rural Primary Care Practices.

Zittleman, Linda / Curcija, Kristen / Nease, Donald E / Fisher, Mary / Miriam Dickinson, L / Thomas, John F / Espinoza, Ashley / Sutter, Christin / Ancona, Jennifer / Holtrop, Jodi Summers / Westfall, John M

Annals of family medicine

2022  Band 20, Heft 1, Seite(n) 18–23

Abstract: Purpose: Evidence supports treatment for opioid use disorder (OUD) with buprenorphine in primary care practices (PCPs). Barriers that slow implementation of this treatment include inadequately trained staff. This study aimed to increase the number of ... ...

Abstract Purpose: Evidence supports treatment for opioid use disorder (OUD) with buprenorphine in primary care practices (PCPs). Barriers that slow implementation of this treatment include inadequately trained staff. This study aimed to increase the number of rural PCPs providing OUD treatment with buprenorphine. This evaluation describes the impact of a practice team training on the implementation and delivery of OUD treatment with buprenorphine in PCPs of rural Colorado.
Methods: Implementing Technology and Medication Assisted Treatment Team Training in Rural Colorado (IT MATTTRs) was a multilevel implementation study that included a practice-focused intervention to improve awareness, adoption, and use of buprenorphine treatment for OUD. Participating PCP teams received the IT MATTTRs Practice Team Training and support. Practices' implementation of treatment components was assessed before and after training. Practice-reported and population-level data from the Prescription Drug Monitoring Program were obtained to describe changes in delivery of treatment after training.
Results: Forty-two practices received team training. Practices reported an average of 4.7 treatment-related components in place at baseline compared with 13.0 at 12-month follow-up (F[2,56] = 31.17,
Conclusions: The IT MATTTRs training for PCP teams in OUD treatment with buprenorphine addressed elements beyond clinician waiver training to make implementation feasible and effectively increased implementation and delivery of this treatment in rural Colorado.
Mesh-Begriff(e) Buprenorphine/therapeutic use ; Humans ; Opiate Substitution Treatment ; Opioid-Related Disorders/drug therapy ; Primary Health Care ; Rural Population
Chemische Substanzen Buprenorphine (40D3SCR4GZ)
Sprache Englisch
Erscheinungsdatum 2022-01-05
Erscheinungsland United States
Dokumenttyp Journal Article ; Research Support, U.S. Gov't, P.H.S.
ZDB-ID 2171425-3
ISSN 1544-1717 ; 1544-1709
ISSN (online) 1544-1717
ISSN 1544-1709
DOI 10.1370/afm.2757
Signatur
Zs.A 6065: Hefte anzeigen Standort:
Je nach Verfügbarkeit (siehe Angabe bei Bestand)
bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
ab Jg. 2022: Lesesaal (EG)
Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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