An Urgent Need to Focus on Youth With Opioid Use Disorder

Wilson, J. Deanna; Bagley, Sarah M.

doi:10.1016/j.jadohealth.2022.05.001

Cited by 6 publications

(6 citation statements)

References 9 publications

(10 reference statements)

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“…The increase in perceived knowledge and comfort around management of AUD and OUD through this selfguided video-based curriculum is promising. Future steps include evaluating the remaining 5 videos in the curriculum, with which trainees may have less familiarity: Interpreting the Urine Drug Screen, Stimulant Use Disorder, Peripartum SUD, Adolescent SUD, and Chronic Pain and SUD, [40][41][42][43] disseminating this curriculum to other medical and surgical specialties, and coupling this videobased curriculum with case-based simulations or a structured clinical examination which allows for learner feedback and coaching. Additionally, incorporating techniques that include retrieval practice, feedback, and spaced repetitions into this video-based curriculum can potentially support longer term learning.…”

Section: Discussionmentioning

confidence: 99%

Evaluating a Video-Based Addiction Curriculum at a Safety Net Academic Medical Center

Peterkin,

Baldwin,

Demers

et al. 2023

Substance Abuse

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Background: Since 2019, the United States (US) has witnessed an unprecedented increase in drug overdose and alcohol-related deaths. Despite this rise in morbidity and mortality, treatment rates for substance use disorder remain inadequate. Insufficient training in addiction along with a dearth of addiction providers are key barriers to addressing the current addiction epidemic. Addiction-related clinical experiences can improve trainee knowledge, yet they remain dependent on practice sites and residency training environments. Asynchronous learning, in the form of video-based modules, may serve as a complement to formal, scheduled lectures and clinical experiences. Objectives To evaluate the educational impact of a video-based addiction curriculum in 2 residency programs at a large safety net academic medical center with a high volume of patients with substance use disorders. Methods Family Medicine (FM) and Internal Medicine (IM) residency interns (PGY1s) (n = 60) had access to 28 minutes of video content related to opioid use disorder (OUD) and alcohol use disorder (AUD) during the first 2 months of their residency training. Interns were asked to complete voluntary and anonymized pre- and post-surveys in Qualtrics that included knowledge and confidence-based questions about the management of OUD and AUD, in addition to questions about prior exposure to and future interests in addiction training and practice. Data were analyzed with non-parametric sign tests. Results Twenty-eight interns completed both OUD pre- and post-surveys, and 24 interns completed all AUD survey questions. There was a statistically significant increase in the number of interns who reported increased knowledge of and confidence around diagnosis, management, and ability to provide evidence-based treatment recommendations for both OUD and AUD. Conclusions Brief addiction focused video-modules can improve confidence and knowledge in managing OUD and AUD among medical trainees.

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Section: Discussionmentioning

confidence: 99%

Evaluating a Video-Based Addiction Curriculum at a Safety Net Academic Medical Center

Peterkin,

Baldwin,

Demers

et al. 2023

Substance Abuse

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“…Inadequate provider education is a well-documented barrier to MOUD treatment, and evidence shows that some physicians find their 8-hour required buprenorphine training to be insufficient (Barry et al, 2009). Concurrently, calls are made for educational initiatives that increase MOUD delivery generally, specifying the importance of MOUD education within a racial/ethnic justice framework to better reach underserved populations (Bottner et al, 2021; Wilson & Bagley, 2022). Our study of APRN learner satisfaction with a novel 24-hour curriculum grounded in health equity revealed that nearly all students felt the education was beneficial to their professional development and that they had used and would continue using the educational content in their work.…”

Section: Discussionmentioning

confidence: 99%

Closing the Opioid Treatment Gap Through Advance Practice Nursing Activation

Tierney,

Castillo,

Leonard

et al. 2023

UJAN

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Introduction Buprenorphine, an effective medication for opioid use disorder (MOUD), reduces opioid-related harms including overdose, but a significant gap exists between MOUD need and treatment, especially for marginalized populations. Historically, low MOUD treatment capacity is rising, driven by advanced practice registered nurses (APRNs). A graduate nursing course was designed to increase equitable buprenorphine treatment delivery by APRNs. We report on baseline findings of a curriculum evaluation study with a pretest–posttest design. Design Computerized surveys assessed trainee satisfaction with the course, trainee knowledge for providing MOUD, and trainee satisfaction in working with people who use drugs. Methods Quantitative survey results utilizing Likert scales are presented. Results Baseline precourse surveys revealed less than half (44%) of APRN students agreed/strongly agreed that they had a working knowledge of drugs and drug-related problems and 37% agreed/strongly agreed that they knew enough about the causes of drug problems to carry out their roles when working with people who use drugs. Approximately two thirds of APRN students agreed/strongly agreed that they want to work with people who use drugs (63%), that it is satisfying to work with people who use drugs (66%), and that it is rewarding to work with people who use drugs (63%). Nearly all students reported high satisfaction with the course. Conclusion APRN students reported high satisfaction with a novel course grounded in health equity that has potential to reduce health disparities and accelerate the closure of the MOUD treatment gap, particularly for racial/ethnic minorities, rural populations, and transition-age youth.

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“…North America is experiencing an unprecedented overdose crisis due largely to the presence of illicitly manufactured fentanyl and related analogues in local drug supplies (Ahmad, 2022; BC Coroners Service, 2022b ; Mattson et al, 2021 ; Public Health Agency of Canada, 2021 ). This drug toxicity crisis is having a devastating impact on young people who use drugs (YPWUD; referring here to individuals between the ages of 14 and 29) ( Wilson & Bagley, 2022 ). Since an overdose public health emergency was declared in British Columbia (BC), Canada, in 2016, over 2000 YPWUD under the age of 29 have died of an overdose ( BC Coroners Service, 2022a , 2022b ).…”

Section: Introductionmentioning

confidence: 99%

“…Not all fatalities in this setting are occurring among those who have received a diagnosis of opioid use disorder (OUD). However, research from North America and Europe has found that those with this diagnosis have higher rates of mortality and morbidity (European Monitoring Centre for Drugs and Drug Addiction, 2020; Hser et al, 2015 ; Orpana et al, 2018 ; Wilson & Bagley, 2022 ).…”

Section: Introductionmentioning

confidence: 99%

“…In March 2020, the World Health Organization declared the COVID-19 outbreak as a pandemic ( World Health Organization, 2020 ), and BC declared a COVID-19 public health emergency shortly thereafter ( Government of BC, 2020 ). In BC as elsewhere across North America ( Wilson & Bagley, 2022 ), these overlapping public health emergencies have had a substantial impact on the health and social outcomes of YPWUD in the context of street-involvement (i.e., those experiencing homelessness or unstable housing, frequently in the context of other kinds of overlapping exclusion and oppression), and in particular, those who have received a diagnosis of OUD.…”

Section: Introductionmentioning

confidence: 99%

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