Academic Journal
PRimary Care Opioid Use Disorders treatment (PROUD) trial protocol: a pragmatic, cluster-randomized implementation trial in primary care for opioid use disorder treatment
| العنوان: | PRimary Care Opioid Use Disorders treatment (PROUD) trial protocol: a pragmatic, cluster-randomized implementation trial in primary care for opioid use disorder treatment |
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| المؤلفون: | Campbell, Cynthia I., Saxon, Andrew J., Boudreau, Denise M., Wartko, Paige D., Bobb, Jennifer F., Lee, Amy K., Matthews, Abigail G., McCormack, Jennifer, Liu, David S., Addis, Megan, Altschuler, Andrea, Samet, Jeffrey H., LaBelle, Colleen T., Arnsten, Julia, Caldeiro, Ryan M., Borst, Douglas T., Stotts, Angela L., Braciszewski, Jordan M., Szapocznik, José, Bart, Gavin, Schwartz, Robert P., McNeely, Jennifer, Liebschutz, Jane M., Tsui, Judith I., Merrill, Joseph O., Glass, Joseph E., Lapham, Gwen T., Murphy, Sean M., Weinstein, Zoe M., Yarborough, Bobbi Jo H., Bradley, Katharine A. |
| المساهمون: | National Institute on Drug Abuse |
| المصدر: | Addiction Science & Clinical Practice ; volume 16, issue 1 ; ISSN 1940-0640 |
| بيانات النشر: | Springer Science and Business Media LLC |
| سنة النشر: | 2021 |
| الوصف: | Background Most people with opioid use disorder (OUD) never receive treatment. Medication treatment of OUD in primary care is recommended as an approach to increase access to care. The PRimary Care Opioid Use Disorders treatment (PROUD) trial tests whether implementation of a collaborative care model (Massachusetts Model) using a nurse care manager (NCM) to support medication treatment of OUD in primary care increases OUD treatment and improves outcomes. Specifically, it tests whether implementation of collaborative care, compared to usual primary care, increases the number of days of medication for OUD (implementation objective) and reduces acute health care utilization (effectiveness objective). The protocol for the PROUD trial is presented here. Methods PROUD is a hybrid type III cluster-randomized implementation trial in six health care systems. The intervention consists of three implementation strategies: salary for a full-time NCM, training and technical assistance for the NCM, and requiring that three primary care providers have DEA waivers to prescribe buprenorphine. Within each health system, two primary care clinics are randomized: one to the intervention and one to Usual Primary Care. The sample includes all patients age 16–90 who visited the randomized primary care clinics from 3 years before to 2 years after randomization (anticipated to be > 170,000). Quantitative data are derived from existing health system administrative data, electronic medical records, and/or health insurance claims (“electronic health records,” [EHRs]). Anonymous staff surveys, stakeholder debriefs, and observations from site visits, trainings and technical assistance provide qualitative data to assess barriers and facilitators to implementation. The outcome for the implementation objective (primary outcome) is a clinic-level measure of the number of patient days of medication treatment of OUD over the 2 years post-randomization. The patient-level outcome for the effectiveness objective (secondary outcome) is days ... |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1186/s13722-021-00218-w |
| DOI: | 10.1186/s13722-021-00218-w.pdf |
| DOI: | 10.1186/s13722-021-00218-w/fulltext.html |
| الاتاحة: | http://dx.doi.org/10.1186/s13722-021-00218-w https://link.springer.com/content/pdf/10.1186/s13722-021-00218-w.pdf https://link.springer.com/article/10.1186/s13722-021-00218-w/fulltext.html |
| Rights: | https://creativecommons.org/licenses/by/4.0 ; https://creativecommons.org/licenses/by/4.0 |
| رقم الانضمام: | edsbas.B261C075 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1186/s13722-021-00218-w |
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