Knowledge, Attitudes, and Beliefs About Opioid Use Disorder Treatment in Primary Care

del Pozo, Brandon; Park, Ju Nyeong; Taylor, Bruce G.; Wakeman, Sarah E.; Ducharme, Lori; Pollack, Harold A.; Rich, Josiah D.

doi:10.1001/jamanetworkopen.2024.19094

Cited by 3 publications

References 6 publications

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Commentary on D'Agata Mount et al.: Higher dose buprenorphine to improve retention in opioid use disorder treatment, prevent relapse, and optimize integrated care interventions

Mannelli

2024

Addiction

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Using buprenorphine doses higher than currently recommended by opioid use disorder guidelines is effective, it may help distinguish triggers of relapse and differentiate the role of pharmacologic and socio-environmental interventions. This choice can increase acceptability among patients and providers, and validate the practice in community services, starting with primary care. D'Agata Mount et al.[1] offer convincing proofs of the superiority of 32 mg/day buprenorphine for the low-threshold treatment of opioid use disorder (OUD), despite a non-randomized uncontrolled design. The study is a retrospective longitudinal observation and provides within group and between group comparisons with the 24 mg/ day dose, identifying strong differences in a relatively small sample.

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Commentary on D'Agata Mount et al.: Higher dose buprenorphine to improve retention in opioid use disorder treatment, prevent relapse, and optimize integrated care interventions

Mannelli

2024

Addiction

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Empowering Primary Care Nurse Practitioners: A Multilevel Approach to Combating the Opioid Crisis

Coffee,

Speight,

Reyes‐Walsh

et al. 2024

Journal of Advanced Nursing

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AimsWe offer a literature‐driven, empirically informed, and highly warranted recommendation for a multilevel approach tailored to nurse practitioners. This approach aimed to drive change at the individual level (nurse practitioner), dyadic level (nurse–patient therapeutic relationship), and systems level (organisational culture, education, and policy) to strengthen nurse practitioners' capacity to deliver optimal opioid use disorder care.BackgroundThe opioid overdose epidemic is a global public health crisis, with the United States facing the most severe impact. Access to evidence‐based treatment for opioid use disorder remains a significant barrier. Primary care nurse practitioners can play a crucial role in expanding access and bridging the treatment gap. Addressing factors influencing access to, quality of, and effectiveness of treatment requires urgent and careful consideration.DesignThis position paper highlights the multilevel barriers that inhibit nurse practitioners in managing opioid use disorder, negatively impacting treatment access and opioid use disorder‐related outcomes.MethodThe Advanced Practice Provider conceptual model was adapted to guide this paper. This adapted model illustrates the interconnected layers among nurse practitioners, clinical care, education, professional development, and organisational culture and policy in caring for patients with opioid use disorder.ConclusionsEquipping primary care nurse practitioners with the necessary tools to both understand opioid addiction and empower patients experiencing it can have a profound impact. This impact benefits the provider and patient and extends to addressing the opioid crisis at multiple levels. Future research should explore nurse practitioners' experiences when working with individuals with opioid use disorder, identify barriers that hinder positive interactions with patients seeking treatment, and pragmatically test and implement multilevel interventions designed to holistically benefit providers and patient outcomes.Impact to NursingThis American‐based reflection offers valuable insights to nurse practitioners worldwide as they consider effective strategies for addressing opioid use disorder in primary care settings.

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Global burden on drug use disorders from 1990 to 2021 and projections to 2046

Chen,

Sun,

et al. 2024

Preprint

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Despite extensive research, there remains a paucity of comprehensive reports on the spatiotemporal distribution, driving factors, and future trends of drug use disorders (DUDs). We used data from the Global Burden of Diseases, Injuries, and Risk Factors Study 2021 to address this gap. In 2021, the global prevalence of DUDs reached 53,115,936 (95% UI: 46,999,805 – 60,949,054), marking a 35.50% increase since 1990 and is projected to continue rising over the next 25 years. The increment in incidence, deaths, and DALYs was 35.50%, 122.22%, and 74.65%, respectively. Despite the declining trends in global rates of incidence, prevalence, and DALYs, mortality still shows an upward trend, increasing from 1.26 to 1.65 per 100,000. Opioid and cocaine use disorders were the primary contributors to the overall increase in DUDs DALYs. Population growth was the primary driver of the increase in DUDs burden (35.31%). Health inequality regarding DUDs remain prominent issues.

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Knowledge, Attitudes, and Beliefs About Opioid Use Disorder Treatment in Primary Care

Abstract: This survey study assesses the US public’s perception and awareness regarding medication for opioid use disorder and its availability in primary care settings.

Cited by 3 publications

References 6 publications

Commentary on D'Agata Mount et al.: Higher dose buprenorphine to improve retention in opioid use disorder treatment, prevent relapse, and optimize integrated care interventions

Commentary on D'Agata Mount et al.: Higher dose buprenorphine to improve retention in opioid use disorder treatment, prevent relapse, and optimize integrated care interventions

Empowering Primary Care Nurse Practitioners: A Multilevel Approach to Combating the Opioid Crisis

Global burden on drug use disorders from 1990 to 2021 and projections to 2046

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