TY - JOUR
KW - buprenorphine
KW - Buprenorphine/therapeutic use
KW - Health Knowledge, Attitudes, Practice
KW - Humans
KW - opiate dependence
KW - Opioid-Related Disorders/drug therapy
KW - Physicians/psychology
KW - Practice Patterns, Physicians'
KW - psychopharmacology
KW - Stigma
KW - Surveys and Questionnaires
KW - United States
AU - K. MacDonald
AU - K. Lamb
AU - M. L. Thomas
AU - W. Khentigan
A1 - 
AB - BACKGROUND: Despite the existence of evidence-based guidelines, different prescriber practices around buprenorphine maintenance treatment (BMT) of opiate dependence exist. Moreover, certain prescriber beliefs may influence their practice patterns. OBJECTIVE: To understand community BMT practice patterns and discern their relationship to practitioner beliefs. METHOD: Survey of 30 local BMT prescribers about aspects of BMT, and analysis of correlations between practices and practitioner beliefs. RESULTS: Practitioners generally followed standard treatment guidelines, though the most-common maintenance dosages of BMT (4-12 mg) were lower than recommended by some studies. Endorsement of belief in a "spiritual basis" of addiction correlated with lower average BMT doses and less frequent endorsement of the belief that BMT-treated patients are "in recovery." CONCLUSIONS/IMPORTANCE: These data suggest that relatively standardized, longer-term BMT of opiate dependence is accepted among the majority of surveyed prescribers, and certain provider beliefs about addiction may influence prescribing habits and attitudes. Future studies should: (1) assess these findings in larger samples; (2) examine how prescriber beliefs about addiction and BMT compare with those of other addiction treatment providers; and (3) ascertain whether individual prescriber beliefs influence patient outcomes.
BT - Substance use & misuse
C5 - Opioids & Substance Use; Education & Workforce
CP - 1
CY - England
DO - 10.3109/10826084.2015.1089905
IS - 1
JF - Substance use & misuse
N2 - BACKGROUND: Despite the existence of evidence-based guidelines, different prescriber practices around buprenorphine maintenance treatment (BMT) of opiate dependence exist. Moreover, certain prescriber beliefs may influence their practice patterns. OBJECTIVE: To understand community BMT practice patterns and discern their relationship to practitioner beliefs. METHOD: Survey of 30 local BMT prescribers about aspects of BMT, and analysis of correlations between practices and practitioner beliefs. RESULTS: Practitioners generally followed standard treatment guidelines, though the most-common maintenance dosages of BMT (4-12 mg) were lower than recommended by some studies. Endorsement of belief in a "spiritual basis" of addiction correlated with lower average BMT doses and less frequent endorsement of the belief that BMT-treated patients are "in recovery." CONCLUSIONS/IMPORTANCE: These data suggest that relatively standardized, longer-term BMT of opiate dependence is accepted among the majority of surveyed prescribers, and certain provider beliefs about addiction may influence prescribing habits and attitudes. Future studies should: (1) assess these findings in larger samples; (2) examine how prescriber beliefs about addiction and BMT compare with those of other addiction treatment providers; and (3) ascertain whether individual prescriber beliefs influence patient outcomes.
PP - England
PY - 2016
SN - 1532-2491; 1082-6084
SP - 85
EP - 90
EP - 
T1 - Buprenorphine Maintenance Treatment of Opiate Dependence: Correlations Between Prescriber Beliefs and Practices
T2 - Substance use & misuse
TI - Buprenorphine Maintenance Treatment of Opiate Dependence: Correlations Between Prescriber Beliefs and Practices
U1 - Opioids & Substance Use; Education & Workforce
U2 - 26771870
U3 - 10.3109/10826084.2015.1089905
VL - 51
VO - 1532-2491; 1082-6084
Y1 - 2016
ER -