Department of Family Medicine, School of Medicine, University of Colorado, Aurora, CO, USA.
Department of Pediatrics, School of Medicine, University of Colorado, Aurora, CO, USA.
J Prim Care Community Health. 2020 Jan-Dec;11:2150132720953723. doi: 10.1177/2150132720953723.
In response to rural communities and practice concerns related to opioid use disorder (OUD), the Implementing Technology and Medication Assisted Treatment Team Training in Rural Colorado study (IT MATTTRs) developed a training intervention for full primary care practice (PCP) teams in MAT for OUD. This evaluation reports on training implementation, participant satisfaction, and impact on perceived ability to deliver MAT.
PCPs in the High Plains Research Network and Colorado Research Network were randomized to receive team training either in-person or through virtual tele-mentoring. Training attendance logs recorded the number of participants and their roles. Participants completed a survey within one month of the last training session to evaluate satisfaction and ability to deliver components of MATs.
441 team members at 42 PCPs were trained, including 22% clinicians, 47% clinical support staff, 24% administrative support staff. Survey respondents reported high levels of satisfaction, including 82% reporting improved understanding of the topic, and 68% identifying actions to apply information. Self-rated ability was significantly higher after training for all items ( < .0001), including ability to identify patients for MAT and to manage patients receiving MAT. Mean change scores, adjusted for role, were significantly greater for all measures ( < .001) in SOuND practices compared to ECHO practices.
The IT MATTTRs Practice Team Training successfully engaged PCP team members in diverse roles in MAT for OUD training and increased self-efficacy to deliver MAT. Results support the training as a resource for a team-based approach to build rural practices' capacity to deliver MAT.
针对农村社区和与阿片类药物使用障碍（OUD）相关的实践问题，“科罗拉多农村实施技术和药物辅助治疗团队培训（IT MATTTRs）”研究为接受 OUD 药物辅助治疗（MAT）的全初级保健（PCP）团队开发了一项培训干预措施。本评估报告介绍了培训的实施情况、参与者的满意度以及对提供 MAT 能力的影响。
“高平原研究网络”和“科罗拉多研究网络”中的 PCP 被随机分配接受现场或通过虚拟远程指导的团队培训。培训出勤记录记录了参与者的数量及其角色。参与者在最后一次培训课程结束后一个月内完成了一项调查，以评估满意度和提供 MAT 各个组成部分的能力。
共有 42 个 PCP 的 441 名团队成员接受了培训，包括 22%的临床医生、47%的临床支持人员和 24%的行政支持人员。调查受访者报告了较高的满意度，包括 82%的人表示对该主题的理解有所提高，以及 68%的人确定了应用信息的行动。所有项目（均<.0001）的自我评估能力在培训后均显著提高，包括识别接受 MAT 的患者和管理接受 MAT 的患者的能力。与 ECHO 实践相比，SOuND 实践中所有指标的平均变化得分（调整后角色）均显著更高（均<.001）。
IT MATTTRs 实践团队培训成功地让 PCP 团队成员参与了 OUD 药物辅助治疗培训，并提高了提供 MAT 的自我效能。结果支持将培训作为一种资源，以团队为基础的方法来建立农村实践提供 MAT 的能力。
