TY - JOUR
KW - Community Health Services/methods
KW - Curriculum
KW - Education, Medical, Continuing
KW - Health Personnel/education
KW - Humans
KW - New Mexico
KW - Opiate Substitution Treatment
KW - Opioid-Related Disorders/drug therapy
KW - Primary Health Care/methods
KW - Rural Health Services
KW - Telemedicine
KW - Alcohol and drug abuse
KW - Clinical and translational research
KW - primary care
KW - recruitment
KW - substance use
AU - J. Salvador
AU - S. Bhatt
AU - R. Fowler
AU - J. Ritz
AU - R. James
AU - V. Jacobsohn
AU - H. R. Brakey
AU - A. L. Sussman
A1 - 
AB - OBJECTIVE: The purpose of this study was to understand the barriers and facilitators that affect engagement with Project ECHO (Extension for Community Healthcare Outcomes) to implement medication-assisted treatment (MAT) in primary care settings. METHODS: A 12-session weekly curriculum was delivered to participating primary care providers and clinic staff (N=24 participants from 13 clinics). Participants completed attendance logs and a qualitative interview in order to identify factors that influence engagement in the ECHO sessions and the potential integration of MAT. RESULTS: Primary care providers and staff valued the ECHO sessions, but overall attendance was low and variable. Participants generally valued the didactic and interactive nature of the sessions but identified system-level constraints that limited engagement. Major barriers to participation included competing demands in patient care and the low degree of endorsement by clinic leadership. CONCLUSIONS: This brief report identifies key systematic challenges that may directly limit primary care providers' engagement in telementoring models such as Project ECHO.
AD - Department of Psychiatry (Salvador, Bhatt, Fowler, James, Jacobsohn, and, at the time of the study, Ritz), Clinical and Translational Science Center (Brakey), and Department of Family and Community Medicine (Sussman), University of New Mexico Health Sciences Center, Albuquerque.; Department of Psychiatry (Salvador, Bhatt, Fowler, James, Jacobsohn, and, at the time of the study, Ritz), Clinical and Translational Science Center (Brakey), and Department of Family and Community Medicine (Sussman), University of New Mexico Health Sciences Center, Albuquerque.; Department of Psychiatry (Salvador, Bhatt, Fowler, James, Jacobsohn, and, at the time of the study, Ritz), Clinical and Translational Science Center (Brakey), and Department of Family and Community Medicine (Sussman), University of New Mexico Health Sciences Center, Albuquerque.; Department of Psychiatry (Salvador, Bhatt, Fowler, James, Jacobsohn, and, at the time of the study, Ritz), Clinical and Translational Science Center (Brakey), and Department of Family and Community Medicine (Sussman), University of New Mexico Health Sciences Center, Albuquerque.; Department of Psychiatry (Salvador, Bhatt, Fowler, James, Jacobsohn, and, at the time of the study, Ritz), Clinical and Translational Science Center (Brakey), and Department of Family and Community Medicine (Sussman), University of New Mexico Health Sciences Center, Albuquerque.; Department of Psychiatry (Salvador, Bhatt, Fowler, James, Jacobsohn, and, at the time of the study, Ritz), Clinical and Translational Science Center (Brakey), and Department of Family and Community Medicine (Sussman), University of New Mexico Health Sciences Center, Albuquerque.; Department of Psychiatry (Salvador, Bhatt, Fowler, James, Jacobsohn, and, at the time of the study, Ritz), Clinical and Translational Science Center (Brakey), and Department of Family and Community Medicine (Sussman), University of New Mexico Health Sciences Center, Albuquerque.; Department of Psychiat(TRUNCATED)
BT - Psychiatric services (Washington, D.C.)
C5 - Education & Workforce; HIT & Telehealth; Opioids & Substance Use
CP - 12
CY - United States
DO - 10.1176/appi.ps.201900142
IS - 12
JF - Psychiatric services (Washington, D.C.)
LA - eng
M1 - Journal Article
N2 - OBJECTIVE: The purpose of this study was to understand the barriers and facilitators that affect engagement with Project ECHO (Extension for Community Healthcare Outcomes) to implement medication-assisted treatment (MAT) in primary care settings. METHODS: A 12-session weekly curriculum was delivered to participating primary care providers and clinic staff (N=24 participants from 13 clinics). Participants completed attendance logs and a qualitative interview in order to identify factors that influence engagement in the ECHO sessions and the potential integration of MAT. RESULTS: Primary care providers and staff valued the ECHO sessions, but overall attendance was low and variable. Participants generally valued the didactic and interactive nature of the sessions but identified system-level constraints that limited engagement. Major barriers to participation included competing demands in patient care and the low degree of endorsement by clinic leadership. CONCLUSIONS: This brief report identifies key systematic challenges that may directly limit primary care providers' engagement in telementoring models such as Project ECHO.
PP - United States
PY - 2019
SN - 1557-9700; 1075-2730
SP - 1157
EP - 1160
EP - 
T1 - Engagement With Project ECHO to Increase Medication-Assisted Treatment in Rural Primary Care
T2 - Psychiatric services (Washington, D.C.)
TI - Engagement With Project ECHO to Increase Medication-Assisted Treatment in Rural Primary Care
U1 - Education & Workforce; HIT & Telehealth; Opioids & Substance Use
U2 - 31434561
U3 - 10.1176/appi.ps.201900142
VL - 70
VO - 1557-9700; 1075-2730
Y1 - 2019
Y2 - Dec 1
ER -