Evidence map›Paper›PMID 35074763›Full record

ArticleAnnals of family medicine

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

Linda Zittleman, Kristen Curcija, Donald E Nease, Mary Fisher, L Miriam Dickinson, John F Thomas, Ashley Espinoza, Christin Sutter, Jennifer Ancona, Jodi Summers Holtrop and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.6field-weighted citation impact, top 7% 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.

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

17 citing papers in PubMed, 20 citations in OpenAlex.

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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

11 authors at 3 institutions in 1 country.

Linda ZittlemanUniversity of Colorado School of Medicine, Department of Family Medicine, Aurora, Colorado linda.zittleman@cuanschutz.edu.
Kristen CurcijaUniversity of Colorado School of Medicine, Department of Family Medicine, Aurora, Colorado.
Donald E NeaseUniversity of Colorado School of Medicine, Department of Family Medicine, Aurora, Colorado.
Mary FisherUniversity of Colorado School of Medicine, Department of Family Medicine, Aurora, Colorado.
L Miriam DickinsonUniversity of Colorado School of Medicine, Department of Family Medicine, Aurora, Colorado.
John F ThomasUniversity of Colorado School of Medicine, Department of Pediatrics, Aurora, Colorado.
Ashley EspinozaHigh Plains Research Network, Community Advisory Council, University of Colorado School of Medicine, Department of Family Medicine, Denver, CO.
Christin SutterUniversity of Colorado School of Medicine, Department of Family Medicine, Aurora, Colorado.
Jennifer AnconaUniversity of Colorado School of Medicine, Department of Family Medicine, Aurora, Colorado.
Jodi Summers HoltropUniversity of Colorado School of Medicine, Department of Family Medicine, Aurora, Colorado.
John M WestfallUniversity of Colorado School of Medicine, Department of Family Medicine, Aurora, Colorado.
University of Colorado Denver · USColorado School of Public Health · USResearch Network (United States) · US

Funding

UNC Extension for Community Healthcare Outcomes for Rural Primary Care Medication Assisted Treatment (UNC ECHO for MAT)R18HS025065 · AHRQ · UNIV OF NORTH CAROLINA CHAPEL HILL · PI GREEN, SHERRI LYNN · 2016 to 2016
$2.9M
AHRQ HHS R18 HS025065
6 · The paper itself

Abstract

purposeEvidence 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.

methodsImplementing Technology and Medication Assisted Treatment Team Training in Rural 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,

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.

Indexed as

BuprenorphineOpioid-Related DisordersHumansOpiate Substitution TreatmentPrimary Health CareRural PopulationBuprenorphinebuprenorphineeducationopioid-related disordersprimary health carerural health

Identifiers

PMID35074763
PMCPMC8786417
OpenAlexW4207078179

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.