Evidence map›Paper›PMID 29845513›Full record

ArticleThe journal of behavioral health services & research2019

Overcoming Barriers to Adopting and Implementing Pharmacotherapy: the Medication Research Partnership.

Raina Croff, Kim Hoffman, Kelly Alanis-Hirsch, Jay Ford, Dennis McCarty, Laura Schmidt

Abstract read
In one paragraph

Article in The journal of behavioral health services & research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Raina CroffOregon Health and Science University-Portland State University School of Public Health, 3181 Sam Jackson Park Rd. CB669, Portland, OR, 97230, USA.
Kim HoffmanOregon Health and Science University-Portland State University School of Public Health, 3181 Sam Jackson Park Rd. CB669, Portland, OR, 97230, USA. hoffmaki@ohsu.edu.ORCID 0000-0003-3063-7881
Kelly Alanis-HirschDuke University School of Medicine, DUMC, Box 3071, Durham, NC, 27710, USA.
Jay FordCenter for Health Systems Research and Analysis, University of Wisconsin-Madison, 610 Walnut St, Madison, WI, 53726, USA.
Dennis McCartyOregon Health and Science University-Portland State University School of Public Health, 3181 Sam Jackson Park Rd. CB669, Portland, OR, 97230, USA.
Laura SchmidtSchool of Medicine, University of California at San Francisco, 505 Parnassus Ave, San Francisco, CA, 94143, USA.

Funding

Western States Node of the National Drug Abuse Treatment Clinical Trials Network (TMS for CUD) UG1DA015815 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Keith N. Humphreys, Philip Todd Korthuis · 2015 to 2026
$24.6M
Traditional Service Core [Translational Service Core (TSC)]P50DA018165 · NIDA · OREGON HEALTH & SCIENCE UNIVERSITY · PI PHILLIPS, TAMARA J. · 2006 to 2016
$13.0M
Integrating Addiction Treatment and Medical Care in a Commercial Health PlanR01DA029716 · NIDA · OREGON HEALTH & SCIENCE UNIVERSITY · PI MCCARTY, DENNIS · 2011 to 2015
$3.3M
Oregon's Coordinated Care Organizations Integrate Care for Drug Use DisordersR33DA035640 · NIDA · OREGON HEALTH & SCIENCE UNIVERSITY · PI LIND, BONNIE · 2014 to 2017
$2.4M
Evaluating Coordinated Care OrganizationsR01MH100001 · NIMH · OREGON HEALTH & SCIENCE UNIVERSITY · PI LINDROOTH, RICHARD C., MCCONNELL, KENNETH JOHN · 2012 to 2015
$2.2M
EFFECTIVENESS OF PRESCRIPTION MONITORING PROGRAM USE IN EMERGENCY DEPARTMENTSR01DA036522 · NIDA · OREGON HEALTH & SCIENCE UNIVERSITY · PI SUN, BENJAMIN C · 2014 to 2017
$1.5M
NIDA NIH HHS P50 DA018165NIDA NIH HHS R01 DA029716NIDA NIH HHS R01 DA036522NIDA NIH HHS R33 DA035640NIDA NIH HHS UG1 DA015815NIMH NIH HHS R01 MH100001
6 · The paper itself

Abstract

Pharmacotherapy includes a growing number of clinically effective medications for substance use disorder, yet there are significant barriers to its adoption and implementation in routine clinical practice. The Medication Research Partnership (MRP) was a successful effort to promote adoption of pharmacotherapy for opioid and alcohol use disorders in nine substance abuse treatment centers and a commercial health plan. This qualitative analysis of interviews (n = 39) conducted with change leaders at baseline and at the end/beginning of 6-month change cycles explains how treatment centers overcame obstacles to the adoption, implementation, and sustainability of pharmacotherapy. Results show that barriers to adopting, implementing, and sustaining pharmacotherapy can be overcome through incremental testing of organizational change strategies, accompanied by expert coaching and a learning community of like-minded professionals. The greatest challenges lie in overcoming abstinence-only philosophies, establishing a business case for pharmacotherapy, and working with payers and pharmaceutical representatives.

Indexed as

Attitude of Health PersonnelOrganizational InnovationAlcohol-Related DisordersAnalgesics, OpioidBuprenorphineHealth PersonnelHumansInterprofessional RelationsInterviews as TopicOpioid-Related DisordersSubstance Abuse Treatment CentersAnalgesics, OpioidBuprenorphine

Identifiers

PMID29845513
PMCPMC6265123

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.