Does a Rural Community-Based Intervention Improve Knowledge and Attitudes of Opioid Use Disorder and Medication-Assisted Treatment? A Report From the IT MATTTRs Study
Autor: | L. Miriam Dickinson, Jen Ancona, Donald E. Nease, Dionisia de la Cerda, Linda Zittleman, James Rank, John M. Westfall, Mary Fisher, Kristen Curcija, Christin Sutter |
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Rok vydání: | 2020 |
Předmět: |
Rural Population
medicine.medical_specialty Colorado media_common.quotation_subject Psychological intervention 03 medical and health sciences 0302 clinical medicine 030202 anesthesiology Intervention (counseling) medicine Humans Conversation 030212 general & internal medicine media_common Rural community Public health Public Health Environmental and Occupational Health Opioid use disorder medicine.disease Opioid-Related Disorders Local community Analgesics Opioid Attitude Family medicine Community member Psychology |
Zdroj: | The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association. 38(1) |
ISSN: | 1748-0361 |
Popis: | PURPOSE Understanding knowledge of and attitudes toward medication-assisted treatment (MAT) for opioid use disorder (OUD) is important to changing the conversation about this devastating public health problem. While several studies report clinician knowledge and attitudes and training, less is known about community member perspectives. As part of the Implementing Technology and Medication Assisted Treatment Team Training in Rural Colorado study (IT MATTTRs), this study describes the implementation of community-based interventions developed by rural community members and researchers to increase awareness and promote positive attitudes toward MAT for OUD and explores changes in community members' OUD and MAT knowledge and beliefs. METHODS Using the Boot Camp Translation process, the High Plains Research Network and Colorado Research Network MAT Advisory Councils developed multicomponent interventions on MAT for OUD. Baseline and postintervention surveys were administered using venue-based sampling of community members in rural communities. FINDINGS Surveys were completed by 789 community members at baseline and 798 at postintervention. Nearly half (49%) reported exposure to at least 1 intervention product. Greater exposure to intervention materials was associated with beliefs that using opioids to get high in rural communities is a problem (P < .0001), that opioid addiction is a chronic disease (P = .0032), and that OUD can be treated locally (P = .0003). CONCLUSIONS Partnering with local community members resulted in the successful development and implementation of community-based interventions, exposure to which was associated with OUD knowledge and beliefs. Locally created interventions should be included in comprehensive approaches to stem the OUD epidemic. |
Databáze: | OpenAIRE |
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