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Barriers and facilitators to buprenorphine use for opioid agonist treatment: protocol for a scoping review

INTRODUCTION: In the context of the opioid crisis in North America, the benefits of evidence-based opioid agonist treatments such as buprenorphine/naloxone have not been optimised due to low uptake. Numerous factors contribute to the underuse of buprenorphine, and theory-informed approaches to ident...

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Autores principales: Leece, Pamela, Khorasheh, Triti, Corace, Kimberly, Strike, Carol, Bayoumi, Ahmed M, Taha, Sheena, Marks, Elisabeth, Pach, Beata, Ahamad, Keith, Grennell, Erin, Holowaty, Melissa, Manson, Heather, Straus, Sharon E
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6924699/
https://www.ncbi.nlm.nih.gov/pubmed/31843837
http://dx.doi.org/10.1136/bmjopen-2019-032285
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author Leece, Pamela
Khorasheh, Triti
Corace, Kimberly
Strike, Carol
Bayoumi, Ahmed M
Taha, Sheena
Marks, Elisabeth
Pach, Beata
Ahamad, Keith
Grennell, Erin
Holowaty, Melissa
Manson, Heather
Straus, Sharon E
author_facet Leece, Pamela
Khorasheh, Triti
Corace, Kimberly
Strike, Carol
Bayoumi, Ahmed M
Taha, Sheena
Marks, Elisabeth
Pach, Beata
Ahamad, Keith
Grennell, Erin
Holowaty, Melissa
Manson, Heather
Straus, Sharon E
author_sort Leece, Pamela
collection PubMed
description INTRODUCTION: In the context of the opioid crisis in North America, the benefits of evidence-based opioid agonist treatments such as buprenorphine/naloxone have not been optimised due to low uptake. Numerous factors contribute to the underuse of buprenorphine, and theory-informed approaches to identify and address implementation barriers and facilitators are needed. This scoping review aims to characterise the barriers and facilitators at the patient, healthcare professional, organisation and system level according to the Theoretical Domains Framework (TDF), and identify gaps to inform practice and policy. METHODS AND ANALYSIS: We will conduct a scoping review using established methods and follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews. We will identify English and French-language peer-reviewed literature by searching five electronic bibliographic databases (MEDLINE, Embase, PsychINFO, CINAHL, and SocINDEX), from inception and use Google, websites of key organisations, and two or more custom search engines to identify relevant grey literature. Eligible records will be quantitative or qualitative studies that examine barriers and facilitators to buprenorphine use at the patient, healthcare professional, organisation and system level, and involve participants with diagnosis of opioid use disorder or professionals involved in their care. Two reviewers will be involved in independently screening, reviewing and charting the data and calibration exercises will be conducted at each stage. We will conduct descriptive analysis for the charted data, and deductively code barriers and facilitators using the TDF. ETHICS AND DISSEMINATION: As a scoping review of the literature, this study does not require ethics approval. Our dissemination strategy will focus on developing tailored activities to meet the needs of diverse knowledge user audiences. Barriers and facilitators mapped to the TDF can be linked to evidence-based strategies for change to improve buprenorphine use and access, and enable practice to reduce opioid-related harms.
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spelling pubmed-69246992020-01-02 Barriers and facilitators to buprenorphine use for opioid agonist treatment: protocol for a scoping review Leece, Pamela Khorasheh, Triti Corace, Kimberly Strike, Carol Bayoumi, Ahmed M Taha, Sheena Marks, Elisabeth Pach, Beata Ahamad, Keith Grennell, Erin Holowaty, Melissa Manson, Heather Straus, Sharon E BMJ Open Addiction INTRODUCTION: In the context of the opioid crisis in North America, the benefits of evidence-based opioid agonist treatments such as buprenorphine/naloxone have not been optimised due to low uptake. Numerous factors contribute to the underuse of buprenorphine, and theory-informed approaches to identify and address implementation barriers and facilitators are needed. This scoping review aims to characterise the barriers and facilitators at the patient, healthcare professional, organisation and system level according to the Theoretical Domains Framework (TDF), and identify gaps to inform practice and policy. METHODS AND ANALYSIS: We will conduct a scoping review using established methods and follow the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for scoping reviews. We will identify English and French-language peer-reviewed literature by searching five electronic bibliographic databases (MEDLINE, Embase, PsychINFO, CINAHL, and SocINDEX), from inception and use Google, websites of key organisations, and two or more custom search engines to identify relevant grey literature. Eligible records will be quantitative or qualitative studies that examine barriers and facilitators to buprenorphine use at the patient, healthcare professional, organisation and system level, and involve participants with diagnosis of opioid use disorder or professionals involved in their care. Two reviewers will be involved in independently screening, reviewing and charting the data and calibration exercises will be conducted at each stage. We will conduct descriptive analysis for the charted data, and deductively code barriers and facilitators using the TDF. ETHICS AND DISSEMINATION: As a scoping review of the literature, this study does not require ethics approval. Our dissemination strategy will focus on developing tailored activities to meet the needs of diverse knowledge user audiences. Barriers and facilitators mapped to the TDF can be linked to evidence-based strategies for change to improve buprenorphine use and access, and enable practice to reduce opioid-related harms. BMJ Publishing Group 2019-12-15 /pmc/articles/PMC6924699/ /pubmed/31843837 http://dx.doi.org/10.1136/bmjopen-2019-032285 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Addiction
Leece, Pamela
Khorasheh, Triti
Corace, Kimberly
Strike, Carol
Bayoumi, Ahmed M
Taha, Sheena
Marks, Elisabeth
Pach, Beata
Ahamad, Keith
Grennell, Erin
Holowaty, Melissa
Manson, Heather
Straus, Sharon E
Barriers and facilitators to buprenorphine use for opioid agonist treatment: protocol for a scoping review
title Barriers and facilitators to buprenorphine use for opioid agonist treatment: protocol for a scoping review
title_full Barriers and facilitators to buprenorphine use for opioid agonist treatment: protocol for a scoping review
title_fullStr Barriers and facilitators to buprenorphine use for opioid agonist treatment: protocol for a scoping review
title_full_unstemmed Barriers and facilitators to buprenorphine use for opioid agonist treatment: protocol for a scoping review
title_short Barriers and facilitators to buprenorphine use for opioid agonist treatment: protocol for a scoping review
title_sort barriers and facilitators to buprenorphine use for opioid agonist treatment: protocol for a scoping review
topic Addiction
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6924699/
https://www.ncbi.nlm.nih.gov/pubmed/31843837
http://dx.doi.org/10.1136/bmjopen-2019-032285
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