Building Capacity for Medication Assisted Treatment in Rural Primary Care Practices: The IT MATTTRs Practice Team Training

Zittleman, Linda; Curcija, Kristen; Sutter, Christin; Dickinson, L. Miriam; Thomas, John F.; Cerda, Dionisia de la; Nease, Donald E.; Westfall, John M.

doi:10.1177/2150132720953723

Cited by 10 publications

(16 citation statements)

References 21 publications

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“…Across roles, participants reported high levels of satisfaction and significantly higher self-rated ability to deliver treatment components after the training. 18 Third, practices implemented many of the processes and components necessary for delivering treatment. Across participating practices, treatment components implemented significantly increased.…”

Section: Discussionmentioning

confidence: 99%

“…This study was conducted in the HPRN The IT MATTTRs Practice Team Training was developed by the research team, local medication-assisted treatment experts, community members, and professional practice facilitators. 18 Based on the American Society of Addiction Medicine and Center for Disease Control and Prevention guidelines, the training covered the epidemiology of OUD, pharmacology of buprenorphine, neurobiology of addiction, and detailed treatment steps. The training included facilitated discussion among office staff, nurses, medical assistants, clinicians, and billing and coding staff to encourage the identification of existing resources on which to build and guide implementation.…”

Section: Methodsmentioning

confidence: 99%

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Increasing Capacity for Treatment of Opioid Use Disorder in Rural Primary Care Practices

et al. 2022

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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 inRural 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. RESULTSForty-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, P <.001). The proportion of participating practices providing or referring patients for treatment increased from 18.8% to 74.4%. The increase in number of people with a prescription for buprenorphine was significantly greater in the study region over a 4-year period compared with the rest of the state (Wald χ 2 = 15.73, P <.001). CONCLUSIONSThe 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.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Increasing Capacity for Treatment of Opioid Use Disorder in Rural Primary Care Practices

et al. 2022

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“…Thus, we identified 58 opioid jargon used in the anonymous marketplaces and forums (Table 2). Combining opioid jargon with known opioid product names [25][26][27], we generated an opioid keyword data set consisting of 311 opioid keywords with 13 categories. We manually validated all keywords and the corresponding categories to guarantee their correctness.…”

Section: Opioid Jargon Identificationmentioning

confidence: 99%

Demystifying the Dark Web Opioid Trade: Content Analysis on Anonymous Market Listings and Forum Posts

Li¹,

Du²,

Liao³

et al. 2021

J Med Internet Res

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Background Opioid use disorder presents a public health issue afflicting millions across the globe. There is a pressing need to understand the opioid supply chain to gain new insights into the mitigation of opioid use and effectively combat the opioid crisis. The role of anonymous online marketplaces and forums that resemble eBay or Amazon, where anyone can post, browse, and purchase opioid commodities, has become increasingly important in opioid trading. Therefore, a greater understanding of anonymous markets and forums may enable public health officials and other stakeholders to comprehend the scope of the crisis. However, to the best of our knowledge, no large-scale study, which may cross multiple anonymous marketplaces and is cross-sectional, has been conducted to profile the opioid supply chain and unveil characteristics of opioid suppliers, commodities, and transactions. Objective We aimed to profile the opioid supply chain in anonymous markets and forums via a large-scale, longitudinal measurement study on anonymous market listings and posts. Toward this, we propose a series of techniques to collect data; identify opioid jargon terms used in the anonymous marketplaces and forums; and profile the opioid commodities, suppliers, and transactions. Methods We first conducted a whole-site crawl of anonymous online marketplaces and forums to solicit data. We then developed a suite of opioid domain–specific text mining techniques (eg, opioid jargon detection and opioid trading information retrieval) to recognize information relevant to opioid trading activities (eg, commodities, price, shipping information, and suppliers). Subsequently, we conducted a comprehensive, large-scale, longitudinal study to demystify opioid trading activities in anonymous markets and forums. Results A total of 248,359 listings from 10 anonymous online marketplaces and 1,138,961 traces (ie, threads of posts) from 6 underground forums were collected. Among them, we identified 28,106 opioid product listings and 13,508 opioid-related promotional and review forum traces from 5147 unique opioid suppliers’ IDs and 2778 unique opioid buyers’ IDs. Our study characterized opioid suppliers (eg, activeness and cross-market activities), commodities (eg, popular items and their evolution), and transactions (eg, origins and shipping destination) in anonymous marketplaces and forums, which enabled a greater understanding of the underground trading activities involved in international opioid supply and demand. Conclusions The results provide insight into opioid trading in the anonymous markets and forums and may prove an effective mitigation data point for illuminating the opioid supply chain.

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“…The study used a multilevel approach that included training for primary care practice teams to build capacity to provide MAT for OUD and support for clinicians to become waivered to prescribe buprenorphine for OUD. The results of those study activities will be reported elsewhere 12 . Another component of IT MATTTRs was the development of 2 community interventions to change the local conversation about OUD and MAT.…”

Section: Purposementioning

confidence: 99%

“…The results of those study activities will be reported elsewhere. 12 Another component of IT MATTTRs was the development of 2 community interventions to change the local conversation about OUD and MAT. This manuscript describes the development and implementation of the community‐based interventions created by rural community members and researchers and explores change in knowledge, attitudes, and beliefs related to OUD and MAT in community members living in a rural and frontier agricultural region.…”

Section: Purposementioning

confidence: 99%

Does a Rural Community‐Based Intervention Improve Knowledge and Attitudes of Opioid Use Disorder and Medication‐Assisted Treatment? A Report From the IT MATTTRs Study

Curcija

Zittleman

Fisher

et al. 2020

The Journal of Rural Health

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Purpose Understanding knowledge of and attitudes toward medication‐assisted treatment (MAT) for opioid use disorder (OUD) is important to changing the conversation about this devastating public health problem. While several studies report clinician knowledge and attitudes and training, less is known about community member perspectives. As part of the Implementing Technology and Medication Assisted Treatment Team Training in Rural Colorado study (IT MATTTRs), this study describes the implementation of community‐based interventions developed by rural community members and researchers to increase awareness and promote positive attitudes toward MAT for OUD and explores changes in community members’ OUD and MAT knowledge and beliefs. Methods Using the Boot Camp Translation process, the High Plains Research Network and Colorado Research Network MAT Advisory Councils developed multicomponent interventions on MAT for OUD. Baseline and postintervention surveys were administered using venue‐based sampling of community members in rural communities. Findings Surveys were completed by 789 community members at baseline and 798 at postintervention. Nearly half (49%) reported exposure to at least 1 intervention product. Greater exposure to intervention materials was associated with beliefs that using opioids to get high in rural communities is a problem (P < .0001), that opioid addiction is a chronic disease (P = .0032), and that OUD can be treated locally (P = .0003). Conclusions Partnering with local community members resulted in the successful development and implementation of community‐based interventions, exposure to which was associated with OUD knowledge and beliefs. Locally created interventions should be included in comprehensive approaches to stem the OUD epidemic.

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Building Capacity for Medication Assisted Treatment in Rural Primary Care Practices: The IT MATTTRs Practice Team Training

Cited by 10 publications

References 21 publications

Increasing Capacity for Treatment of Opioid Use Disorder in Rural Primary Care Practices

Increasing Capacity for Treatment of Opioid Use Disorder in Rural Primary Care Practices

Demystifying the Dark Web Opioid Trade: Content Analysis on Anonymous Market Listings and Forum Posts

Does a Rural Community‐Based Intervention Improve Knowledge and Attitudes of Opioid Use Disorder and Medication‐Assisted Treatment? A Report From the IT MATTTRs Study

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