Literature Collection

3621

Evaluation of CDC Opioid Prescribing and Medisafe Apps

Type: Journal Article

Authors: Biller Krauskopf Patricia

Year: 2017

Publication Place: Philadelphia

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3622

Evaluation of Electronic Mental Health Implementation in Northern Territory Services Using the Integrated "Promoting Action on Research Implementation in Health Services" Framework: Qualitative Study

Type: Journal Article

Authors: B. Raphiphatthana, M. Sweet, S. Puszka, M. Whitty, K. Dingwall, T. Nagel

Year: 2020

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3623

Evaluation of ethnic disparities in detection of depression and anxiety in primary care during the maternal period: combined analysis of routine and cohort data

Type: Journal Article

Authors: S. L. Prady, K. E. Pickett, E. S. Petherick, S. Gilbody, T. Croudace, D. Mason, T. A. Sheldon, J. Wright

Year: 2016

Publication Place: England

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3624

Evaluation of fentanyl test strip distribution in two Mid-Atlantic syringe services programs

Type: Journal Article

Authors: J. N. Park, S. Frankel, M. Morris, O. Dieni, L. Fahey-Morrison, M. Luta, D. Hunt, J. Long, S. G. Sherman

Year: 2021

Publication Place: Netherlands

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3625

Evaluation of Florida physicians' knowledge and attitudes toward accessing the state prescription drug monitoring program as a prescribing tool

Type: Journal Article

Authors: J. A. Gershman, J. A. Gershman, A. D. Fass, I. Popovici

Year: 2014

Publication Place: England

Abstract: OBJECTIVE: The purpose of this study is to assess Florida physicians' attitudes and knowledge toward accessing the state's prescription drug monitoring program (PDMP). DESIGN: Five thousand medical doctors and osteopathic physicians licensed in Florida were randomly selected for a voluntary and anonymous 15-question self-administered survey approved by the Institutional Review Board. Surveys were distributed through U.S. postal service mail. Likert-scale questions were used to assess prior knowledge (1 = none to 5 = excellent) and attitudes toward accessing the PDMP (1 = strongly disagree to 5 = strongly agree). RESULTS: The study yielded a response rate of 7.8%, 71.5% of whom agreed or strongly agreed that the PDMP is a useful tool. Among participants that have access and answered the PDMP usefulness question, 94.8% agree or strongly agree that it is a useful tool. There were 63 out of 64 physicians (98.4%) who conducted 25 or more searches who agreed or strongly agreed that the PDMP is a useful tool for monitoring patients' controlled substance histories. There were 72.5% of participants with access that answered the "doctor shopping" question who agreed that "doctor shopping" will decrease. Among the 64 most frequent PDMP users, 69.4% agreed or strongly agreed that they have prescribed fewer controlled substances after accessing the PDMP. CONCLUSIONS: The study revealed that a majority of participants believe that the PDMP is a useful tool for monitoring patients' controlled substance histories. More continuing education programs should be provided to Florida physicians to enhance their knowledge regarding PDMPs.

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3626

Evaluation of functional status among patients undergoing maintenance treatments for opioid use disorders

Type: Journal Article

Authors: J. J. Ruíz Ruíz, J. M. Martinez Delgado, N. García-Marchena, ANDOPIO Study Group

Year: 2021

Abstract:

BACKGROUND: Methadone and buprenorphine are the most prevalent types of opioid maintenance programs in Andalusia. The main objective is comparing the functional status of patients with pharmacological opioid maintenance treatments according to different socio-demographic characteristic, health and disabilities domains and sexual difficulties. METHODS: A total of 593 patients from the Andalusia community, 329 were undergoing methadone treatment and 264 were undergoing buprenorphine treatment. The patients were interviewed by socio-demographic and opioid-related variables, assessed by functioning, disability and health domains (WHODAS 2.0.) and for sexual problems (PRSexDQ-SALSEX). RESULTS: We found significant differences in the socio-demographic and the opioid-related variables as the onset of opioid use, being on previous maintenance programs, opioid intravenous use, the length of previous maintenance programs, polydrug use and elevated seroprevalence rates (HCV and HIV) between the methadone group and the buprenorphine group. Regarding health and disability domains there were differences in the Understanding and communication domain, Getting around domain, Participation in society domain and in the WHODAS 2.0. simple and complex score, favoring buprenorphine-treated patients. The methadone group referred elevated sexual impairments compared with the buprenorphine group. Opioid-related variables as seroprevalence rates, other previous lifetime maintenance program, the daily opioid dosage and the daily alcohol use are the most discriminative variables between both groups. Participation in society variables and sexual problems were the most important clinical variables in distinguishing the methadone group from the buprenorphine group regarding their functional status. CONCLUSIONS: The methadone group showed higher prevalence in opioid dependence-related variables, elevated disabilities in participation in society activities and sexual problems compared with the buprenorphine group. This study shows the importance of carry out a functional evaluation in the healthcare follow-up, especially in those areas related with social activity and with sexual problems.

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3627

Evaluation of increases in drug overdose mortality rates in the US by race and ethnicity before and during the COVID-19 pandemic

Type: Journal Article

Authors: Joseph R. Friedman, Helena Hansen

Year: 2022

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3628

Evaluation of integrated psychological services in a university-based primary care clinic

Type: Journal Article

Authors: E. Sadock, S. M. Auerbach, B. Rybarczyk, A. Aggarwal

Year: 2014

Publication Place: United States

Abstract: Primary care is increasingly moving toward integration of psychological services; however few studies have been conducted to test the efficacy of such an integrated approach. This paper presents a program evaluation of psychological services provided by doctoral trainees in clinical and counseling psychology within a primary care clinic at an urban academic medical center. It includes: (1) a description of the program, including types of patients served, their presenting problems, and treatments administered and; (2) evidence of the impact of behavioral health services on primary care patients' emotional adjustment and progress on behavioral goals. Intake and follow-up measures of depression, anxiety, smoking, insomnia, chronic pain, and weight loss were collected on 452 adult patients (mean age = 52; 59 % African-American; 35 % uninsured) who were provided brief interventions (mean visits = 2.2) over a 16-month period. Although conclusions are limited by the lack of a control or comparison group, preliminary findings indicate that the integrated behavioral health services provided were effective. Implications and future directions are discussed.

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3629

Evaluation of intervention components to maximize yoga practice among people with chronic pain taking opioid agonist therapy: A factorial experiment using the multiphase optimization strategy framework

Type: Journal Article

Authors: L. A. Uebelacker, T. D. Braun, L. E. Taylor, R. Saper, M. Baldwi, A. Abrantes, G. Tremont, A. Toribio, S. Kirshy, R. Koch, L. Lorin, D. Van Noppen, B. Anderson, E. J. Roseen, M. D. Stein

Year: 2024

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3630

Evaluation of medication-assisted treatment of opioid dependence-The physicians' perspective

Type: Journal Article

Authors: Marc Vogel, Carlos Nordt, Kenneth M. Dursteler, Undine E. Lang, Erich Seifritz, Michael Krausz, Marcus Herdener

Year: 2016

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3631

Evaluation of Mental Health Mobile Applications. Technical Brief 41.

Type: Government Report

Authors: Smisha Agarwal, Madhu Jalan, Holly C. Wilcox, Ritu Sharma, Rachel Hill, Emily Pantalone, Johannes Thrul, Jacob C. Rainey, Karen A. Robinson

Year: 2022

Publication Place: Rockville, MD

Topic(s):

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Disclaimer:

Grey literature is comprised of materials that are not made available through traditional publishing avenues. Examples of grey literature in the Repository of the Academy for the Integration of Mental Health and Primary Care include: reports, dissertations, presentations, newsletters, and websites. This grey literature reference is included in the Repository in keeping with our mission to gather all sources of information on integration. Often the information from unpublished resources is limited and the risk of bias cannot be determined.

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3632

Evaluation of mental health program integration into the primary health care system of Iran.

Type: Journal Article

Authors: Jafar Bolhari, Hamidreza Ahmadkhaniha, Ahmad Hajebi, Seyed Abbas Bagheri Yazdi, Morteza Naserbakht, Issa Karimi-Kisomi, Siamak Tahmasebi

Year: 2012

Publication Place: Iran

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3633

Evaluation of Methadone Treatment in Malaysia: Findings from the Malaysian Methadone Treatment Outcome Study (MyTOS)

Type: Journal Article

Authors: N. Ali, S. A. Aziz, S. Nordin, N. C. Mi, N. Abdullah, V. Paranthaman, M. Mahmud, A. Yee, M. Danaee

Year: 2018

Publication Place: England

Abstract: BACKGROUND: Opioid misuse and dependence is a global issue with a huge negative impact. In Malaysia, heroin is still the main illicit drug used, and methadone maintenance treatment (MMT) has been used since 2005. OBJECTIVE: To evaluate the effectiveness of MMT. METHODS: This was a cross-sectional study conducted in 103 treatment centers between October and December 2014 using a set of standard questionnaires. Data were analyzed using SPSS Statistics 20. RESULTS: There were 3254 respondents (93.6% response rate); of these 17.5% (n = 570) transferred to another treatment center, 8.6% (n = 280) died, 29.2% (n = 950) defaulted, and 7.6% (n = 247) were terminated for various reasons. Hence, 1233 (37%) respondents' baseline and follow-up data were further analyzed. Respondents had a mean age of 39.2 years old and were mainly male, Malay, Muslim, married (51.1%, n = 617), and currently employed. Few showed viral seroconversion after they started MMT (HIV: 0.5%, n = 6; Hepatitis B: 0.3%, n = 4; Hepatitis C: 2.7%, n = 29). There were significant reductions in opioid use, HIV risk-taking score (p < 0.01), social functioning (p < 0.01), crime (p < 0.01), and health (p < 0.01). However, there were significant improvements in quality of life in the physical, psychological, social, and environmental domains. Factors associated with change were being married, employed, consuming alcohol, and high criminality at baseline. Lower methadone dosage was significantly associated with improvements in the physical, psychological, and environmental domains. Conclusion/Importance: The MMT program was found to be successful; hence, it should be expanded.

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3634

Evaluation of online training for the provision of opioid substitution treatment by community pharmacists in New Zealand

Type: Journal Article

Authors: C. Walters, A. Raymont, S. Galea, A. Wheeler

Year: 2012

Publication Place: Australia

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3635

Evaluation of Participant Satisfaction with Community Therapy: A Mental Health Strategy in Primary Care

Type: Journal Article

Authors: F. B. de Andrade, de Oliveira Ferreira Filha, R. P. de Toledo Vianna, A. O. Silva, do Ceu Clara Costa

Year: 2012

Abstract: Actions aimed at health promotion and disease prevention must prioritize the entry point to the health system. In this sense, it is proposed that Community Therapy (CT) be inserted as a mental health care tool in Primary Care. The purpose of this study is to assess user satisfaction with CT in Primary Care. It is assessment, cross-sectional study with a representative sample of users of CT services in Primary Care in the municipality of Joao Pessoa, Paraiba, Brazil. Of the 198 interviewees, 165 (83.3%) of the sample reported that they were always respected, evidenced by aspects of respect and dignity; 109 (55.1%) individuals stated they were listened to, revealing internal consistency of 0.7187, and in turn, exhibiting the true validity of the user satisfaction construct with respect to CT. Thus, users displayed positive satisfaction, reflected by respect, dignity, receptiveness, resolution, listening and comprehension received at CT, where empathy is exhibited and mental suffering is relieved. Moreover, CT is an important mental health tool in primary care.

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3636

Evaluation of patient centered medical home practice transformation initiatives

Type: Journal Article

Authors: B. F. Crabtree, S. M. Chase, C. G. Wise, G. D. Schiff, L. A. Schmidt, J. R. Goyzueta, R. A. Malouin, S. M. Payne, M. T. Quinn, P. A. Nutting, W. L. Miller, C. R. Jaen

Year: 2011

Publication Place: United States

Abstract: BACKGROUND: The patient-centered medical home (PCMH) has become a widely cited solution to the deficiencies in primary care delivery in the United States. To achieve the magnitude of change being called for in primary care, quality improvement interventions must focus on whole-system redesign, and not just isolated parts of medical practices. METHODS: Investigators participating in 9 different evaluations of Patient Centered Medical Home implementation shared experiences, methodological strategies, and evaluation challenges for evaluating primary care practice redesign. RESULTS: A year-long iterative process of sharing and reflecting on experiences produced consensus on 7 recommendations for future PCMH evaluations: (1) look critically at models being implemented and identify aspects requiring modification; (2) include embedded qualitative and quantitative data collection to detail the implementation process; (3) capture details concerning how different PCMH components interact with one another over time; (4) understand and describe how and why physician and staff roles do, or do not evolve; (5) identify the effectiveness of individual PCMH components and how they are used; (6) capture how primary care practices interface with other entities such as specialists, hospitals, and referral services; and (7) measure resources required for initiating and sustaining innovations. CONCLUSIONS: Broad-based longitudinal, mixed-methods designs that provide for shared learning among practice participants, program implementers, and evaluators are necessary to evaluate the novelty and promise of the PCMH model. All PCMH evaluations should as comprehensive as possible, and at a minimum should include a combination of brief observations and targeted qualitative interviews along with quantitative measures.

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3637

Evaluation of post-discharge engagement for emergency department patients with opioid use history who received telehealth recovery coaching services

Type: Journal Article

Authors: D. P. Watson, P. Phalen, S. Medcalf, S. Messmer, A. McGuire

Year: 2023

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3638

Evaluation of raising adolescent families together program: a medical home for adolescent mothers and their children

Type: Journal Article

Authors: J. E. Cox, M. P. Buman, E. R. Woods, O. Famakinwa, S. K. Harris

Year: 2012

Publication Place: United States

Abstract: OBJECTIVES: This study described a medical home model for adolescent mothers and their children, and their 1- and 2-year preventive care, repeat pregnancy, and psychosocial outcomes. METHODS: In this prospective, single cohort demonstration project, adolescent mothers (14-18 years old) and their children received care in a medical home. Demographic, medical and social processes, and outcomes data were collected at enrollment through 24 months. Change over time and predictors of repeat pregnancy were analyzed. RESULTS: A total of 181 adolescents enrolled, with 79.6% participating for 2 years. At 2 years, 90.2% of children were completely immunized. Children and adolescent mothers met standards for health care visits, and adolescent condom use improved. Rates of cumulative repeat pregnancy were 14.7% and 24.6%, school attendance 77.6% and 68.7%, and employment 21.2% and 32.3% at 1 and 2 years, respectively. CONCLUSIONS: A medical home model with comprehensive and integrated medical care and social services can effectively address the complex needs of adolescent parents and their children.

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3639

Evaluation of real-world outcomes associated with use of a prescription digital therapeutic to treat substance use disorders

Type: Journal Article

Authors: X. Xiong, S. Braun, M. Stitzer, H. Luderer, G. Shafai, B. Hare, M. Stevenson, Y. Maricich

Year: 2023

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3640

Evaluation of Resident Physicians' Knowledge Of and Attitudes Towards Prescribing Buprenorphine for Patients with Opioid Use Disorder

Type: Journal Article

Authors: B. Shuey, D. Lee, I. Ugalde, S. Borgan, C. Bresnan, M. Qureshi, R. Mhaskar, A. Oxner

Year: 2020

Publication Place: United States

Abstract:

OBJECTIVE: To determine internal medicine (IM) residents' knowledge of, attitudes towards, and barriers to prescribing buprenorphine for opioid use disorder (OUD). METHODS: We conducted a cross-sectional study of IM residents across all 35 Accreditation Council for Graduate Medical Education (ACGME) accredited Florida IM residency programs. We used an online survey to collect information about resident demographics, substance use curriculums, career interests, content knowledge about diagnosing and managing OUD, and attitudes about and barriers to prescribing buprenorphine for OUD. We used Chi-square test to explore differences in interest in prescribing buprenorphine. We created a composite knowledge score and investigated distribution of knowledge among characteristics via Mann-Whitney U test. RESULTS: There were 161 participants (response rate 16.0%, n = 1008) across 35 programs Seventy-seven percent of residents provided care for patients with OUD more than once per month. Seventy-four percent report no buprenorphine prescribing training. Higher knowledge scores, interest in primary care, being an intern, and caring for patients with OUD more than monthly were associated with interest in obtaining a buprenorphine waiver (P < 0.05). Limited knowledge about OUD was the most important barrier to prescribing buprenorphine. Eighty-nine percent support legislation to deregulate buprenorphine. CONCLUSIONS: Knowledge about managing OUD was poor and represented the most commonly cited barrier to prescribing buprenorphine. Residents want to expand their role in treating OUD. Our findings warrant incorporating addiction medicine into residency curriculum standards. Legislation removing the buprenorphine waiver requirement may increase the number of resident buprenorphine prescribers and improve treatment options for patients with opioid addiction.

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