TY - JOUR
KW - medication assisted treatment
KW - opioid use disorder
KW - primary care
KW - rural
KW - training
AU - L. Zittleman
AU - K. Curcija
AU - C. Sutter
AU - L. M. Dickinson
AU - J. Thomas
AU - D. de la Cerda
AU - D. E. Nease Jr
AU - J. M. Westfall
A1 - 
AB - OBJECTIVES: In response to rural communities and practice concerns related to opioid use disorder (OUD), the Implementing Technology and Medication Assisted Treatment Team Training in Rural Colorado study (IT MATTTRs) developed a training intervention for full primary care practice (PCP) teams in MAT for OUD. This evaluation reports on training implementation, participant satisfaction, and impact on perceived ability to deliver MAT. METHODS: PCPs in the High Plains Research Network and Colorado Research Network were randomized to receive team training either in-person or through virtual tele-mentoring. Training attendance logs recorded the number of participants and their roles. Participants completed a survey within one month of the last training session to evaluate satisfaction and ability to deliver components of MATs. RESULTS: 441 team members at 42 PCPs were trained, including 22% clinicians, 47% clinical support staff, 24% administrative support staff. Survey respondents reported high levels of satisfaction, including 82% reporting improved understanding of the topic, and 68% identifying actions to apply information. Self-rated ability was significantly higher after training for all items (P < .0001), including ability to identify patients for MAT and to manage patients receiving MAT. Mean change scores, adjusted for role, were significantly greater for all measures (P < .001) in SOuND practices compared to ECHO practices. CONCLUSIONS: The IT MATTTRs Practice Team Training successfully engaged PCP team members in diverse roles in MAT for OUD training and increased self-efficacy to deliver MAT. Results support the training as a resource for a team-based approach to build rural practices' capacity to deliver MAT.
AD - Department of Family Medicine, School of Medicine, University of Colorado, Aurora, CO, USA.; Department of Family Medicine, School of Medicine, University of Colorado, Aurora, CO, USA.; Department of Family Medicine, School of Medicine, University of Colorado, Aurora, CO, USA.; Department of Family Medicine, School of Medicine, University of Colorado, Aurora, CO, USA.; Department of Family Medicine, School of Medicine, University of Colorado, Aurora, CO, USA.; Department of Pediatrics, School of Medicine, University of Colorado, Aurora, CO, USA.; Department of Psychiatry, School of Medicine, University of Colorado, Aurora, CO, USA.; Department of Family Medicine, School of Medicine, University of Colorado, Aurora, CO, USA.; Department of Family Medicine, School of Medicine, University of Colorado, Aurora, CO, USA.; Department of Family Medicine, School of Medicine, University of Colorado, Aurora, CO, USA.; Robert Graham Center, Washington, DC.
BT - Journal of primary care & community health
C5 - Education & Workforce; HIT & Telehealth; Opioids & Substance Use
DO - 10.1177/2150132720953723
JF - Journal of primary care & community health
LA - eng
M1 - Journal Article
N2 - OBJECTIVES: In response to rural communities and practice concerns related to opioid use disorder (OUD), the Implementing Technology and Medication Assisted Treatment Team Training in Rural Colorado study (IT MATTTRs) developed a training intervention for full primary care practice (PCP) teams in MAT for OUD. This evaluation reports on training implementation, participant satisfaction, and impact on perceived ability to deliver MAT. METHODS: PCPs in the High Plains Research Network and Colorado Research Network were randomized to receive team training either in-person or through virtual tele-mentoring. Training attendance logs recorded the number of participants and their roles. Participants completed a survey within one month of the last training session to evaluate satisfaction and ability to deliver components of MATs. RESULTS: 441 team members at 42 PCPs were trained, including 22% clinicians, 47% clinical support staff, 24% administrative support staff. Survey respondents reported high levels of satisfaction, including 82% reporting improved understanding of the topic, and 68% identifying actions to apply information. Self-rated ability was significantly higher after training for all items (P < .0001), including ability to identify patients for MAT and to manage patients receiving MAT. Mean change scores, adjusted for role, were significantly greater for all measures (P < .001) in SOuND practices compared to ECHO practices. CONCLUSIONS: The IT MATTTRs Practice Team Training successfully engaged PCP team members in diverse roles in MAT for OUD training and increased self-efficacy to deliver MAT. Results support the training as a resource for a team-based approach to build rural practices' capacity to deliver MAT.
PY - 2020
SN - 2150-1327; 2150-1319; 2150-1319
SP - 2150132720953723
T1 - Building Capacity for Medication Assisted Treatment in Rural Primary Care Practices: The IT MATTTRs Practice Team Training
T2 - Journal of primary care & community health
TI - Building Capacity for Medication Assisted Treatment in Rural Primary Care Practices: The IT MATTTRs Practice Team Training
U1 - Education & Workforce; HIT & Telehealth; Opioids & Substance Use
U2 - 32909491
U3 - 10.1177/2150132720953723
VL - 11
VO - 2150-1327; 2150-1319; 2150-1319
Y1 - 2020
Y2 - Jan-Dec
ER -