CTN-0090: Innovatively Increasing PCP Prescribing of Buprenorphine: Measurement Based Care and Integrated Electronic Solution
Adriane M. dela Cruz, MD, PhD
Co-Lead investigator
University of Texas Southwestern Medical Center
adriane.delacruz@utsouthwestern.edu
Madhukar H. Trivedi, MD
Co-Lead investigator
University of Texas Southwestern Medical Center
madhukar.trivedi@utsouthwestern.edu
This training and dissemination project will develop an office-based buprenorphine treatment module for primary care, including the algorithm for buprenorphine treatment and integration of OUD measures; assess the acceptability of the OUD module; evaluate the impact of the OUD module on screening and identification rates of problem opioid use and successful initiation and maintenance rates of buprenorphine in primary care; assess barriers to implementation of buprenorphine treatment and methods for overcoming these barriers in the network partner clinics; and develop a strategy to refine and more broadly implement opioid problem use and OUD treatment.
Funded by the NIH HEAL InitiativeSM.
Primary Findings
The Tobacco, Alcohol, Prescription medication, and other Substance use (TAPS) tool was selected as the best published measure for universal screening in primary care. No published measure was identified as appropriate for symptom tracking medication adherence; therefore, researchers created the OUD Symptom Checklist from the DSM-5 criteria for OUD and the Patient Adherence Questionnaire for Opioid Use Disorder Treatment (PAQ-OUD) to assess medication adherence. Also developed and presented was a clinical decision support algorithm to provide direct guidance regarding treatment interventions during the first 12 weeks of buprenorphine treatment. Creation of these tools is the necessary first step for implementation of MBC for the treatment of OUD with buprenorphine in primary care. Further work is needed to test the feasibility and acceptability of these tools.
Primary Outcomes Article: dela Cruz AM, Walker NR, Pipes R, Wakhlu S, Trivedi MH. Creation of an Algorithm for Clinical Decision Support for Treatment of Opioid Use Disorder with Buprenorphine in Primary Care. Addiction Science & Clinical Practice 2021;16:12. [get article]
Related Resources
Node Involvement
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