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, Kristen; Zittleman, Linda; Fisher, Mary; Nease, Donald E.; Dickinson, L. Miriam; Cerda, Dionisia de la; Sutter, Christin; Ancona, Jen; Rank, James; Westfall, John M.

doi:10.1111/jrh.12545

Cited by 13 publications

(5 citation statements)

References 16 publications

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“…First, the IT MATTTRs communitylevel interventions were associated with community members' awareness of treatment for OUD in primary care. 17 Second, the IT MATTTRs Practice Team Training reached 441 team members. Across roles, participants reported high levels of satisfaction and significantly higher self-rated ability to deliver treatment components after the training.…”

Section: Discussionmentioning

confidence: 99%

“…Community-focused interventions were developed and implemented to create conversations about OUD while increasing knowledge of OUD, treatment with buprenorphine, and treatment-seeking behaviors. 17 Clinicians were offered the required DEA waiver training at no cost. The program also delivered a training for practice teams about OUD treatment with buprenorphine to increase patients ability to receive treatment locally.…”

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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

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

et al. 2022

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“…Culturally-competent educational interventions addressing misconceptions about OUD and buprenorphine should be targeted toward rural areas. For example, the Implementing Technology and Medication Assisted Treatment Team Training in Rural Colorado (IT MATTTRs) study collaborated with rural community members to develop an effective intervention tailored for rural communities that increased awareness and promoted positive attitudes toward buprenorphine treatment ( Curcija et al., 2022 ).…”

Section: Discussionmentioning

confidence: 99%

Differences in medicaid expansion effects on buprenorphine treatment utilization by county rurality and income: A pharmacy data claims analysis from 2009–2018

Golan,

Sheng,

Dick

et al. 2023

Drug and Alcohol Dependence Reports

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“…(1) BCT to adapt and tailor D1D for the rural setting; and (2) technical assistance and workflow design. Grounded in the principles of community-based participatory research, BCT is a process used by partnerships of community members and academic researchers to translate medical information and guidelines into concepts and messages that partnerships believe will be relevant and actionable to local communities [27][28][29][30]. Partnerships develop materials and dissemination strategies that use and reflect local culture and assets to effectively move messages and materials to the desired audience.…”

Section: Implementation Strategiesmentioning

confidence: 99%

A Telehealth Diabetes Intervention for Rural Populations: Protocol for a Randomized Controlled Trial (Preprint)

Litchman¹,

Kwan²,

Zittleman³

et al. 2021

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BACKGROUND Diabetes self-management education and support (DSMES) is a crucial component of diabetes care associated with improved clinical, psychosocial, and behavioral outcomes. The American Association of Diabetes Care and Education Specialists, the American Diabetes Association, and the American Academy of Family Physicians all recommend DSMES,1 yet accessing linguistically and culturally appropriate DSMES is challenging in rural areas. The Diabetes One-Day (D1D) program is an established DSMES group intervention that has not been adapted or evaluated in rural communities. OBJECTIVE The specific aims are: 1) adapt the existing D1D program for use in rural communities, called rural D1D (R-D1D) and 2) Conduct a patient-level randomized control trial to examine effects of R-D1D and standard patient education, guided by the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework. METHODS This is a protocol for a pilot type II hybrid implementation-effectiveness trial of a culturally adapted virtual DSMES program for rural populations, R-D1D. We will use Boot Camp Translation, a process grounded in the principles of community-based participatory research, to adapt an existing DSMES program for rural populations, in both English and Spanish. Participants at two rural primary care clinics (4 cohorts of N=16 plus care partners, 2 in English and 2 in Spanish) will be randomized to the intervention or standard education control. The evaluation is guided by the RE-AIM framework. Patient-level effectiveness outcomes (A1c, diabetes distress and diabetes self-care behaviors) will be assessed using patient-reported outcomes measures and a home A1c test kit. Practice- and patient-level acceptability and feasibility will be assessed using surveys and interviews. RESULTS This study is supported by the National Institute of Nursing. Study procedures were approved, and adaptation processes have been completed. Recruitment and enrollment started in July 2021. CONCLUSIONS To our knowledge, this will be the first study to evaluate both effectiveness and implementation outcomes for virtually delivered DSMES culturally adapted for rural populations. This research has implications for delivery to other rural locations where access to specialty diabetes care is limited. CLINICALTRIAL ClinicalTrials.gov NCT04600622; https://clinicaltrials.gov/ct2/show/NCT04600622

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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

Cited by 13 publications

References 16 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

Differences in medicaid expansion effects on buprenorphine treatment utilization by county rurality and income: A pharmacy data claims analysis from 2009–2018

A Telehealth Diabetes Intervention for Rural Populations: Protocol for a Randomized Controlled Trial (Preprint)

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