Effect of Didactic Training on Barriers and Biases to Treatment of Opioid Use Disorder: Meeting the Ongoing Needs of Patients with Opioid Use Disorder in the Emergency Department during the COVID-19 Pandemic
In the wake of COVID-19, morbidity and mortality due to Opioid Use Disorder (OUD) is beginning to emerge as a second wave of deaths of despair. Medication assisted treatment (MAT) for opioid use disorder MAT delivered by Emergency Medicine (EM) providers can decrease mortality due to OUD; however, t...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-11-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/10/12/2393 |
| _version_ | 1797457596970434560 |
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| author | Emily Johnson Maria Bolshakova Aidan Vosooghi Chun Nok Lam Rebecca Trotzky-Sirr Ricky Bluthenthal Todd Schneberk |
| author_facet | Emily Johnson Maria Bolshakova Aidan Vosooghi Chun Nok Lam Rebecca Trotzky-Sirr Ricky Bluthenthal Todd Schneberk |
| author_sort | Emily Johnson |
| collection | DOAJ |
| description | In the wake of COVID-19, morbidity and mortality due to Opioid Use Disorder (OUD) is beginning to emerge as a second wave of deaths of despair. Medication assisted treatment (MAT) for opioid use disorder MAT delivered by Emergency Medicine (EM) providers can decrease mortality due to OUD; however, there are numerous cited barriers to MAT delivery. We examined the impact of MAT training on these barriers among EM residents in an urban, tertiary care facility with a large EM residency. Training included the scripted and standardized content from the Provider Clinical Support System curriculum. Residents completed pre- and post-training surveys on knowledge, barriers, and biases surrounding OUD. We performed Wilcoxon matched-pairs signed-ranks test to detect statistical differences. Of 74 residents, 49 (66%) completed the pre-training survey, and 34 (69%) of these completed the follow-up survey. Residents reported improved preparedness to treat aspects of OUD across all areas queried, reported decreased perception of barriers to providing MAT, and increased comfort prescribing naloxone, counseling patients, prescribing buprenorphine, and treating opioid withdrawal. A didactic training on MAT was associated with residents reporting improved comfort providing buprenorphine and naloxone. As the wake of morbidity and mortality from both COVID and OUD continue to increase, programs should offer dedicated training on MAT. |
| first_indexed | 2024-03-09T16:24:18Z |
| format | Article |
| id | doaj.art-1f3a5fc3526947b7a362601691922a0a |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-09T16:24:18Z |
| publishDate | 2022-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-1f3a5fc3526947b7a362601691922a0a2023-11-24T15:09:13ZengMDPI AGHealthcare2227-90322022-11-011012239310.3390/healthcare10122393Effect of Didactic Training on Barriers and Biases to Treatment of Opioid Use Disorder: Meeting the Ongoing Needs of Patients with Opioid Use Disorder in the Emergency Department during the COVID-19 PandemicEmily Johnson0Maria Bolshakova1Aidan Vosooghi2Chun Nok Lam3Rebecca Trotzky-Sirr4Ricky Bluthenthal5Todd Schneberk6Department of Emergency Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USADepartment of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA 90032, USAKeck School of Medicine, University of Southern California, Los Angeles, CA 90033, USADepartment of Emergency Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USAAddiction Medicine, University of Southern California Medical Center, Los Angeles, CA 90033, USADepartment of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA 90032, USADepartment of Emergency Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USAIn the wake of COVID-19, morbidity and mortality due to Opioid Use Disorder (OUD) is beginning to emerge as a second wave of deaths of despair. Medication assisted treatment (MAT) for opioid use disorder MAT delivered by Emergency Medicine (EM) providers can decrease mortality due to OUD; however, there are numerous cited barriers to MAT delivery. We examined the impact of MAT training on these barriers among EM residents in an urban, tertiary care facility with a large EM residency. Training included the scripted and standardized content from the Provider Clinical Support System curriculum. Residents completed pre- and post-training surveys on knowledge, barriers, and biases surrounding OUD. We performed Wilcoxon matched-pairs signed-ranks test to detect statistical differences. Of 74 residents, 49 (66%) completed the pre-training survey, and 34 (69%) of these completed the follow-up survey. Residents reported improved preparedness to treat aspects of OUD across all areas queried, reported decreased perception of barriers to providing MAT, and increased comfort prescribing naloxone, counseling patients, prescribing buprenorphine, and treating opioid withdrawal. A didactic training on MAT was associated with residents reporting improved comfort providing buprenorphine and naloxone. As the wake of morbidity and mortality from both COVID and OUD continue to increase, programs should offer dedicated training on MAT.https://www.mdpi.com/2227-9032/10/12/2393opioid use disordermedication for addiction treatmentbuprenorphineemergency medicinegraduate medical education |
| spellingShingle | Emily Johnson Maria Bolshakova Aidan Vosooghi Chun Nok Lam Rebecca Trotzky-Sirr Ricky Bluthenthal Todd Schneberk Effect of Didactic Training on Barriers and Biases to Treatment of Opioid Use Disorder: Meeting the Ongoing Needs of Patients with Opioid Use Disorder in the Emergency Department during the COVID-19 Pandemic Healthcare opioid use disorder medication for addiction treatment buprenorphine emergency medicine graduate medical education |
| title | Effect of Didactic Training on Barriers and Biases to Treatment of Opioid Use Disorder: Meeting the Ongoing Needs of Patients with Opioid Use Disorder in the Emergency Department during the COVID-19 Pandemic |
| title_full | Effect of Didactic Training on Barriers and Biases to Treatment of Opioid Use Disorder: Meeting the Ongoing Needs of Patients with Opioid Use Disorder in the Emergency Department during the COVID-19 Pandemic |
| title_fullStr | Effect of Didactic Training on Barriers and Biases to Treatment of Opioid Use Disorder: Meeting the Ongoing Needs of Patients with Opioid Use Disorder in the Emergency Department during the COVID-19 Pandemic |
| title_full_unstemmed | Effect of Didactic Training on Barriers and Biases to Treatment of Opioid Use Disorder: Meeting the Ongoing Needs of Patients with Opioid Use Disorder in the Emergency Department during the COVID-19 Pandemic |
| title_short | Effect of Didactic Training on Barriers and Biases to Treatment of Opioid Use Disorder: Meeting the Ongoing Needs of Patients with Opioid Use Disorder in the Emergency Department during the COVID-19 Pandemic |
| title_sort | effect of didactic training on barriers and biases to treatment of opioid use disorder meeting the ongoing needs of patients with opioid use disorder in the emergency department during the covid 19 pandemic |
| topic | opioid use disorder medication for addiction treatment buprenorphine emergency medicine graduate medical education |
| url | https://www.mdpi.com/2227-9032/10/12/2393 |
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