Literature Collection

3741

Evaluation of a transdermal buprenorphine formulation in opioid detoxification.

Type: Journal Article

Authors: Ryan K. Lanier, Annie Umbricht, Joseph A. Harrison, Elie S. Nuwayser, George E. Bigelow

Year: 2007

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3742

Evaluation of an Adapted Collaborative Care Model for Older Adult Depression Severity Reduction and Quality of Life Improvement

Type: Journal Article

Authors: V. R. Bench, M. Beach, D. Ren

Year: 2020

Publication Place: United States

Abstract:

PURPOSE: The purpose of this clinical study was to evaluate the efficacy of a collaborative care model in the reduction of depression severity and the improvement of quality of life (QOL) of older adults. METHODS: Individual participant encounters were conducted approximately every 2 weeks over 4 months with nineteen participants. Average participant age was 73 years. A pre-experimental single pretest-posttest group was conducted in which the Patient Health Questionnaire 9 (PHQ-9) and Quality of Life Assessment (QOLA) scores respectively measured depression severity and QOL of participants. RESULTS: The average PHQ-9 score (0-27; higher indicates worse depression) decreased from 14 pre-intervention to 8.3 post-intervention (p < .001), while the average QOLA score (0-10; higher indicates better QOL) increased from 5.7 pre-intervention to 6.5 post-intervention (p = .342). CONCLUSION: The adapted collaborative care model provided an affordable, effective method of older adult depression management within the contexts of this clinical study.

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3743

Evaluation of an Australian primary care telephone cognitive behavioural therapy pilot

Type: Journal Article

Authors: Bridget Bassilios, Jane Pirkis, Kylie King, Justine Fletcher, Grant Blashki, Philip Burgess

Year: 2014

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3744

Evaluation of an electronic clinical reminder to facilitate brief alcohol-counseling interventions in primary care

Type: Journal Article

Authors: E. C. Williams, C. E. Achtmeyer, D. R. Kivlahan, D. Greenberg, J. O. Merrill, T. M. Wickizer, T. D. Koepsell, P. J. Heagerty, K. A. Bradley

Year: 2010

Publication Place: United States

Abstract: OBJECTIVE: Brief intervention for patients with unhealthy alcohol use is a prevention priority in the United States, but most eligible patients do not receive it. This study evaluated an electronic alcohol-counseling clinical reminder at a single Veterans Affairs general medicine clinic. METHOD: The systems-level intervention evaluated in this study consisted of making the clinical reminder, which facilitated medical record documentation of brief intervention among patients who screened positive for unhealthy alcohol use, available to providers on one (of two) randomly selected hallways. Secondary electronic data were extracted for all patients who visited the clinic (October 1, 2002, to September 30, 2005). The proportion of patients with clinical-reminder use was evaluated among patients who screened positive for unhealthy drinking and were assigned to intervention hallway providers ("descriptive cohort"). Adjusted logistic regression evaluated the association between the intervention and resolution of unhealthy drinking at follow-up among all screen-positive patients who completed a second Alcohol Use Disorders Identification Test Consumption questionnaire 18 months or longer after the first ("outcomes cohort"). RESULTS: Eligible patients (N= 22,863) included 10,392 controls and 12,471 in the intervention group. Fifteen percent (398 of 2,640) of descriptive cohort patients with unhealthy drinking had clinical-reminder use, which varied by severity (14% [n = 302 of 2,165] with mild/moderate and 20% [n = 96 of 475] with severe unhealthy drinking,p = .001). Only 39% (156 of 398) of patients with clinical-reminder use had documented brief intervention; advice to abstain was most common. Access to the clinical reminder was not significantly associated with resolution of unhealthy drinking in 1,358 patients in the outcomes cohort. CONCLUSIONS: Availability of a clinical reminder to facilitate brief intervention did not, alone, result in substantial use of the clinical reminder. More active implementation efforts may be needed to get brief interventions onto the agenda of busy primary care providers.

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3745

Evaluation of an electronic consultation service in psychiatry for primary care providers

Type: Journal Article

Authors: Douglas Archibald, Julia Stratton, Clare Liddy, Rachel E. Grant, Douglas Green, Erin J. Keely

Year: 2018

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3746

Evaluation of an Electronic Health Record (EHR) Tool for Integrated Behavioral Health in Primary Care

Type: Journal Article

Authors: K. K. Jetelina, T. T. Woodson, R. Gunn, B. Muller, K. D. Clark, J. E. DeVoe, B. A. Balasubramanian, D. J. Cohen

Year: 2018

Publication Place: United States

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3747

Evaluation of an emergency department-based opioid overdose survivor intervention: Difference-in-difference analysis of electronic health record data to assess key outcomes

Type: Journal Article

Authors: Dennis P. Watson, Tess Weathers, Alan McGuire, Alex Cohen, Philip Huynh, Clay Bowes, Daniel O'Donnell, Krista Brucker, Sumedha Gupta

Year: 2021

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3748

Evaluation of an evidence-based contraceptive advice line used to support contraceptive provision in primary care

Type: Journal Article

Authors: O. Graham, S. N. Aung, K. Guthrie

Year: 2010

Publication Place: England

Abstract: BACKGROUND: An e-contraceptive advice line (contraceptionadvice.GP@hullpct.nhs) was set up by our unit to support contraceptive provision in primary care. This advice line was for general practitioners (GPs) initially and was then extended to certain pharmacists. All queries were to be answered within 24 hours. A similar e-advice line on emergency contraception for patients seeking advice had been successful in the USA and South Africa. METHODS: Our aim was to evaluate the contraceptive advice line using standards developed at its inception. A retrospective audit of the queries received by the contraceptive advice line between January and September 2009 was conducted. RESULTS: Sixty-seven queries were received from 30 GPs, nine from practice nurses and none from pharmacists. Some 61% of the queries were answered within 24 hours and 85% were answered within 72 hours; 90% were within the advice line guidelines. CONCLUSIONS: The e-mail advice line is a useful, low-cost, well-received support service for GPs. This model could be adopted by other areas wishing to increase contraceptive access in primary care.

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3749

Evaluation of an Integrated Intensive Cognitive Behavioral Therapy Treatment Within Addiction Care

Type: Journal Article

Authors: K. Bador, N. Kerekes

Year: 2019

Publication Place: United States

Abstract: The study aimed to evaluate an integrated intensive cognitive behavioral therapy (CBT) group treatment for people with substance-related syndrome in outpatient care and to identify eventual gender differences. The study population consisted of 35 outpatients (18 male, 17 female) at a clinic in Western Sweden. The patients completed a four-month period of intensive group therapy and participated in the data collection at admission and discharge. The data were collected using the following inventories: Beck Depression and Anxiety Inventories, Rosenberg Self-Esteem Scale, Hopelessness Scale, and Trait Hope Scale. Results showed decreases in anxiety, depression and experience of hopelessness, and increases in self-esteem and hope. In females, the most dramatic improvement was measured for the anxiety and depression attributes, while in males the strongest effect was measured for hope and self-esteem. This study provides clinical evidence of the positive effects of integrated intensive CBT in outpatient care of people with substance-related syndrome.

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3750

Evaluation of an interprofessional naloxone didactic and skills session with medical residents and physician assistant learners

Type: Journal Article

Authors: Daniel HARGRAVES, Christopher C. WHITE, Marcia R. MAUGER, Aruna PUTHOTA, Harini PALLERLA, Patricia WIGLE, Sarah L. BRUBAKER, Jeffrey D. SCHLAUDECKER

Year: 2019

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3751

Evaluation of an Opiate Overdose Educational Intervention and Naloxone Prescribing Program in Homeless Adults Who Use Opiates

Type: Journal Article

Authors: L. M. Pietrusza, K. R. Puskar, D. Ren, A. M. Mitchell

Year: 2018

Publication Place: United States

Abstract: Opiate overdose deaths are considered an epidemic by the Centers for Disease Control and Prevention. Homeless adults are disproportionately affected by opioid overdoses. The purpose of this project was to implement an opiate overdose training and routine naloxone prescribing program for patients at a Health Care for the Homeless clinic. Education consisted of overdose risk factors, signs of overdose, how to respond to an opiate overdose, and how to administer naloxone. Knowledge was measured with a pretest and a posttest. Intranasal naloxone was prescribed for each person who received the education, and prescription fill rates were tracked 1 week after the clinic visit. Patients had a significant increase in knowledge, and the overall naloxone fill rate was 33%. Fill rates varied by housing, insurance, and other prescription status. Opiate overdose education can effectively be delivered in a homeless medical clinic, although more research is needed regarding barriers to naloxone fill rates.

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3752

Evaluation of an opioid pain teleconsultation service to address the opioid overdose epidemic in Colorado: A Health First Colorado demonstration project

Type: Journal Article

Authors: H. D. Anderson, V. Patterson, G. Wright, J. E. Rawlings, G. D. Moore, B. Utter, J. Taylor, J. Leonard, R. L. Page II

Year: 2023

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3753

Evaluation of buprenorphine dosage adequacy in opioid receptor agonist substitution therapy for heroin dependence: first use of the BUprenorphine-naloxone Dosage Adequacy eVAluation (BUDAVA) questionnaire

Type: Journal Article

Authors: A. D'Amore, F. Romano, V. Biancolillo, G. Lauro, C. Armenante, A. Pizzirusso, S. Del Tufo, C. Ruoppolo, F. Auriemma, F. Cassese, P. Oliva, P. Amato

Year: 2012

Publication Place: New Zealand

Abstract: BACKGROUND: The dosing of opioid receptor agonist medications adequately and on an individual basis is crucial in the pharmacotherapy of opioid dependence. Clinical tools that are able to measure dose appropriateness are sorely needed. The recently developed and validated Opiate Dosage Adequacy Scale (ODAS) comprehensively evaluates the main outcomes relevant for methadone dose optimization, namely relapse, cross-tolerance, objective and subjective withdrawal symptoms, craving and overdose. Based on the ODAS, we developed a new assessment tool (BUprenorphine-naloxone Dosage Adequacy eVAluation [BUDAVA]) for evaluating dosage adequacy in patients in treatment with buprenorphine-naloxone. OBJECTIVE: The main goal of this observational study was to explore whether the BUDAVA questionnaire could be used to assess buprenorphine-based, long-term substitution therapy for heroin addiction. METHODS: The study included heroin-dependent patients who had been in treatment with buprenorphine-naloxone for at least 3 months. Patients (n = 196) were recruited from 11 drug abuse treatment centres in Italy. Dosage adequacy was assessed with the BUDAVA questionnaire. Patients classified as inadequately treated had their dosage modified. After 1 week, they were again administered the questionnaire to assess the adequacy of the new dosage. RESULTS: The buprenorphine-naloxone dosage was found to be inadequate in 61 of the 196 patients. In 13 patients, the treatment scored as inadequate only in the subjective withdrawal symptoms item of the questionnaire and therefore no dosage adjustment was made in the 2 weeks that have characterized this work. The remaining 48 inadequately treated patients had their dosage modified (42 dose increases and six dose decreases). After 1 week on the modified dosage, in 24 of these patients the new regimen was found by the assessment with the questionnaire to be adequate. CONCLUSION: These preliminary results suggest that the BUDAVA questionnaire may be useful for guiding buprenorphine-naloxone maintenance dose adjustments in heroin-dependent patients.

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3754

Evaluation of CDC Opioid Prescribing and Medisafe Apps

Type: Journal Article

Authors: Biller Krauskopf Patricia

Year: 2017

Publication Place: Philadelphia

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3755

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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3756

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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3757

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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3758

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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3759

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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3760

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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