Cargando…

Hospital-based clinicians lack knowledge and comfort in initiating medications for opioid use disorder: opportunities for training innovation

BACKGROUND: Hospital-based clinicians infrequently initiate medications for opioid use disorder (MOUD) for hospitalized patients. Our objective was to understand hospital-based clinicians’ knowledge, comfort, attitudes, and motivations regarding MOUD initiation to target quality improvement initiati...

Descripción completa

Detalles Bibliográficos
Autores principales: Jakubowski, Andrea, Singh-Tan, Sumeet, Torres-Lockhart, Kristine, Nahvi, Shadi, Stein, Melissa, Fox, Aaron D., Lu, Tiffany
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10193697/
https://www.ncbi.nlm.nih.gov/pubmed/37198707
http://dx.doi.org/10.1186/s13722-023-00386-x
_version_ 1785043869905190912
author Jakubowski, Andrea
Singh-Tan, Sumeet
Torres-Lockhart, Kristine
Nahvi, Shadi
Stein, Melissa
Fox, Aaron D.
Lu, Tiffany
author_facet Jakubowski, Andrea
Singh-Tan, Sumeet
Torres-Lockhart, Kristine
Nahvi, Shadi
Stein, Melissa
Fox, Aaron D.
Lu, Tiffany
author_sort Jakubowski, Andrea
collection PubMed
description BACKGROUND: Hospital-based clinicians infrequently initiate medications for opioid use disorder (MOUD) for hospitalized patients. Our objective was to understand hospital-based clinicians’ knowledge, comfort, attitudes, and motivations regarding MOUD initiation to target quality improvement initiatives. METHODS: General medicine attending physicians and physician assistants at an academic medical center completed questionnaires eliciting barriers to MOUD initiation, including knowledge, comfort, attitudes and motivations regarding MOUD. We explored whether clinicians who had initiated MOUD in the prior 12 months differed in knowledge, comfort, attitudes, and motivations from those who had not. RESULTS: One-hundred forty-three clinicians completed the survey with 55% reporting having initiated MOUD for a hospitalized patient during the prior 12 months. Common barriers to MOUD initiation were: (1) Not enough experience (86%); (2) Not enough training (82%); (3) Need for more addiction specialist support (76%). Overall, knowledge of and comfort with MOUD was low, but motivation to address OUD was high. Compared to MOUD non-initiators, a greater proportion of MOUD initiators answered knowledge questions correctly, agreed or strongly agreed that they wanted to treat OUD (86% vs. 68%, p = 0.009), and agreed or strongly agreed that treatment of OUD with medication was more effective than without medication (90% vs. 75%, p = 0.022). CONCLUSIONS: Hospital-based clinicians had favorable attitudes toward MOUD and are motivated to initiate MOUD, but they lacked knowledge of and comfort with MOUD initiation. To increase MOUD initiation for hospitalized patients, clinicians will need additional training and specialist support.
format Online
Article
Text
id pubmed-10193697
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-101936972023-05-19 Hospital-based clinicians lack knowledge and comfort in initiating medications for opioid use disorder: opportunities for training innovation Jakubowski, Andrea Singh-Tan, Sumeet Torres-Lockhart, Kristine Nahvi, Shadi Stein, Melissa Fox, Aaron D. Lu, Tiffany Addict Sci Clin Pract Research BACKGROUND: Hospital-based clinicians infrequently initiate medications for opioid use disorder (MOUD) for hospitalized patients. Our objective was to understand hospital-based clinicians’ knowledge, comfort, attitudes, and motivations regarding MOUD initiation to target quality improvement initiatives. METHODS: General medicine attending physicians and physician assistants at an academic medical center completed questionnaires eliciting barriers to MOUD initiation, including knowledge, comfort, attitudes and motivations regarding MOUD. We explored whether clinicians who had initiated MOUD in the prior 12 months differed in knowledge, comfort, attitudes, and motivations from those who had not. RESULTS: One-hundred forty-three clinicians completed the survey with 55% reporting having initiated MOUD for a hospitalized patient during the prior 12 months. Common barriers to MOUD initiation were: (1) Not enough experience (86%); (2) Not enough training (82%); (3) Need for more addiction specialist support (76%). Overall, knowledge of and comfort with MOUD was low, but motivation to address OUD was high. Compared to MOUD non-initiators, a greater proportion of MOUD initiators answered knowledge questions correctly, agreed or strongly agreed that they wanted to treat OUD (86% vs. 68%, p = 0.009), and agreed or strongly agreed that treatment of OUD with medication was more effective than without medication (90% vs. 75%, p = 0.022). CONCLUSIONS: Hospital-based clinicians had favorable attitudes toward MOUD and are motivated to initiate MOUD, but they lacked knowledge of and comfort with MOUD initiation. To increase MOUD initiation for hospitalized patients, clinicians will need additional training and specialist support. BioMed Central 2023-05-18 2023 /pmc/articles/PMC10193697/ /pubmed/37198707 http://dx.doi.org/10.1186/s13722-023-00386-x Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Jakubowski, Andrea
Singh-Tan, Sumeet
Torres-Lockhart, Kristine
Nahvi, Shadi
Stein, Melissa
Fox, Aaron D.
Lu, Tiffany
Hospital-based clinicians lack knowledge and comfort in initiating medications for opioid use disorder: opportunities for training innovation
title Hospital-based clinicians lack knowledge and comfort in initiating medications for opioid use disorder: opportunities for training innovation
title_full Hospital-based clinicians lack knowledge and comfort in initiating medications for opioid use disorder: opportunities for training innovation
title_fullStr Hospital-based clinicians lack knowledge and comfort in initiating medications for opioid use disorder: opportunities for training innovation
title_full_unstemmed Hospital-based clinicians lack knowledge and comfort in initiating medications for opioid use disorder: opportunities for training innovation
title_short Hospital-based clinicians lack knowledge and comfort in initiating medications for opioid use disorder: opportunities for training innovation
title_sort hospital-based clinicians lack knowledge and comfort in initiating medications for opioid use disorder: opportunities for training innovation
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10193697/
https://www.ncbi.nlm.nih.gov/pubmed/37198707
http://dx.doi.org/10.1186/s13722-023-00386-x
work_keys_str_mv AT jakubowskiandrea hospitalbasedclinicianslackknowledgeandcomfortininitiatingmedicationsforopioidusedisorderopportunitiesfortraininginnovation
AT singhtansumeet hospitalbasedclinicianslackknowledgeandcomfortininitiatingmedicationsforopioidusedisorderopportunitiesfortraininginnovation
AT torreslockhartkristine hospitalbasedclinicianslackknowledgeandcomfortininitiatingmedicationsforopioidusedisorderopportunitiesfortraininginnovation
AT nahvishadi hospitalbasedclinicianslackknowledgeandcomfortininitiatingmedicationsforopioidusedisorderopportunitiesfortraininginnovation
AT steinmelissa hospitalbasedclinicianslackknowledgeandcomfortininitiatingmedicationsforopioidusedisorderopportunitiesfortraininginnovation
AT foxaarond hospitalbasedclinicianslackknowledgeandcomfortininitiatingmedicationsforopioidusedisorderopportunitiesfortraininginnovation
AT lutiffany hospitalbasedclinicianslackknowledgeandcomfortininitiatingmedicationsforopioidusedisorderopportunitiesfortraininginnovation