Evidence map›Paper›PMID 31446893›Full record

Trial reportAddiction science & clinical practice2019

Physicians' satisfaction with providing buprenorphine treatment.

Hannah K Knudsen, Randy Brown, Nora Jacobson, Julie Horst, Jee-Seon Kim, Elizabeth Collier, Sanford Starr, Lynn M Madden, Eric Haram, Alexander Toy and 1 more

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Addiction science & clinical practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02926482 (Test of a Workforce Development Intervention to Expand Buprenorphine Prescribers), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.4field-weighted citation impact, top 11% of its field
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.

NCT02926482 nacompletednot on this map

Test of a Workforce Development Intervention to Expand Buprenorphine Prescribers

TypeinterventionalSponsorUniversity of Wisconsin, MadisonRan2016 to 2019Enrolled76ConditionsOpioid-use DisorderArmsPrescriber Recruitment Bundle (PRB)
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Prescribers' satisfaction with delivering medications for opioid use disorder.Substance abuse treatment, prevention, and policy · 2021
    Trial
  2. Article
  3. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 1 country.

Hannah K KnudsenDepartment of Behavioral Science and Center on Drug and Alcohol Research, University of Kentucky, 845 Angliana Ave., Room 204, Lexington, KY, 40508, USA. hannah.knudsen@uky.edu.
Randy BrownDepartment of Family Medicine and Community Health, University of Wisconsin-Madison, 1100 Delaplaine Ct., Madison, WI, 53715-1896, USA.
Nora JacobsonInstitute for Clinical and Translational Research, University of Wisconsin-Madison, 4116 Signe Skott Cooper Hall, 701 Highland Ave., Madison, WI, 53705, USA.
Julie HorstDepartment of Industrial and Systems Engineering, University of Wisconsin-Madison, 1513 University Ave., Madison, WI, 53706, USA.
Jee-Seon Kim, 1067 Educational Sciences, 1025 West Johnson St., Madison, WI, 53706-1706, USA.
Elizabeth Collier, 1 West Wilson St. Rm 850, Madison, WI, 53703, USA.
Sanford StarrOhio Department of Mental Health and Addiction Services, 30 E. Broad St., 8th Floor, Columbus, OH, 43215, USA.
Lynn M MaddenAPT Foundation, 1 Long Wharf Drive, Suite 321, New Haven, CT, 06511, USA.
Eric HaramHaram Consulting, 413 River Road, Bowdoinham, ME, 04008, USA.
Alexander ToyDepartment of Industrial and Systems Engineering, University of Wisconsin-Madison, 1513 University Ave., Madison, WI, 53706, USA.
Todd MolfenterDepartment of Industrial and Systems Engineering, University of Wisconsin-Madison, 1513 University Ave., Madison, WI, 53706, USA.
University of Wisconsin–Madison · USOhio Department of Mental Health & Addiction Services · USUniversity of Kentucky · USWilson Community College · USYale University · US

Funding

To Test A Payer/Treatment Agency Intervention to Increase Use of BuprenorphineR01DA030431 · NIDA · UNIVERSITY OF WISCONSIN-MADISON · PI MOLFENTER, TODD DAVID · 2012 to 2016
$2.9M
Test of a Workforce Development Intervention to Expand Buprenorphine PrescribersR01DA041415 · NIDA · UNIVERSITY OF WISCONSIN-MADISON · PI MOLFENTER, TODD DAVID · 2016 to 2020
$2.8M
NIDA NIH HHS R01 DA030431NIDA NIH HHS R01 DA041415
6 · The paper itself

Abstract

backgroundBuprenorphine is a critically important treatment for addressing the opioid epidemic, but there are virtually no studies of physicians' job satisfaction with providing buprenorphine. Physicians' job satisfaction has been linked to burnout and turnover as well as patients' adherence to treatment recommendations, so it is important to understand how physicians' satisfaction with providing buprenorphine treatment compares to their overall job satisfaction.

methodsAs part of a cluster randomized clinical trial (RCT) focused on expanding access to medication for opioid use disorder, 55 physicians working in 38 organizations in Florida, Ohio, and Wisconsin completed a baseline web-based survey. Study measures included global job satisfaction, career satisfaction, and specialty satisfaction. Physicians who were waivered to prescribe buprenorphine were asked to rate their satisfaction with their current buprenorphine practice.

resultsOverall, physicians were generally satisfied with their jobs, their careers, and their specialties. When waivered physicians (n = 40) were compared to non-waivered physicians (n = 15) on 13 satisfaction items, there were no statistically significant differences. Among waivered physicians, ratings for buprenorphine work were significantly lower than ratings for general medical practice for finding such work personally rewarding, being pleased with such work, and overall satisfaction.

conclusionsAlthough waivered and non-waivered physicians both reported high global job satisfaction, these data suggest that some waivered physicians may view their buprenorphine work as somewhat less satisfying than their global medical practice. Given that job dissatisfaction is a risk factor for turnover and burnout, managers of treatment organizations should consider whether strategies may be able to mitigate some sources of lower satisfaction in the context of buprenorphine treatment. Trial registration ClinicalTrials.gov. NCT02926482. Date of registration: September 9, 2016. https://clinicaltrials.gov/ct2/show/NCT02926482.

Indexed as

Job SatisfactionAdultAgedBuprenorphineFemaleHumansMaleMiddle AgedNarcotic AntagonistsOpiate Substitution TreatmentOpioid-Related DisordersPhysiciansPractice Patterns, Physicians'BuprenorphineNarcotic AntagonistsBuprenorphineOpioid use disorder treatmentPhysician satisfaction

Identifiers

PMID31446893
PMCPMC6709557
OpenAlexW2969868507

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

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.