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Table 2 Changes in organizational readiness to deliver SUD treatment in primary care

From: Assessing and improving organizational readiness to implement substance use disorder treatment in primary care: findings from the SUMMIT study

 

Pre-Intervention

Post-Intervention

Difference

 

Mean

SD

Range

Mean

SD

Range

Mean

SD

P-value^

Acceptability

  Prescribing Medical Providers

  Ease of Use (Extremely Disagree = 1; Extremely Agree = 7)

   Ease of Use of XR-NTX (N = 11)†

3.05

1.29

1–4.5

4.77

1.23

3–7

1.73

1.69

0.012*

   Ease of Use of BUP/NX (N = 9)†

2.94

1.40

1–4.5

2.50

1.09

1–4

−0.44

1.42

0.500

  Effectiveness (Not Effective = 1; Very Effective = 4)

   … medical treatments for alcohol use disorders (N = 9)

2.33

0.71

1–3

3.22

0.44

3–4

0.89

0.78

0.031

   … medical treatments for opioid use disorders (N = 9)

2.44

0.73

1–3

3.00

0.5

2–4

0.56

0.73

0.125

   … mental health treatments for alcohol use disorders (N = 10)

2.90

0.74

2–4

3.20

0.42

3–4

0.30

0.67

0.193

   … mental health treatments for opioid use disorders (N = 10)

2.90

0.74

2–4

3.10

0.57

2–4

0.20

0.63

0.343

  Difficulty discussing … (Very Difficult = 1; Not at all Difficult = 4)

   … alcohol abuse with your patients (N = 12)

3.25

0.45

3–4

3.25

0.75

2–4

0.00

0.60

1.000

   … opioid abuse with your patients (N = 12)

2.67

0.65

2–4

3.08

0.79

2–4

0.42

1.00

0.175

Appropriateness

  Prescribing Medical Providers

  Compatibility of SUD Treatment with Primary Care (Strongly Disagree = 1; Strongly Agree = 5)

   Substance use disorders can be effectively treated in a primary care setting (N = 12)

3.00

0.60

2–4

4.25

0.87

2–5

1.25

0.97

0.006*

   Substance use disorders can be effectively treated at [THIS CLINIC] (N = 12)

2.83

0.83

1–4

3.17

0.83

2–4

0.33

0.98

0.398

   Providing medications to patients with alcohol or opioid use disorders fits with [THIS CLINIC’S] mission and goals (N = 12)

3.17

1.19

1–5

3.17

0.83

2–4

0.00

1.21

1.000

   Providing counseling to patients with alcohol or opioid use disorders fits with [THIS CLINIC’S] mission and goals (N = 12)

4.42

0.67

3–5

3.67

0.98

2–5

−0.75

0.62

0.002*

  Compatibility with Current Practice (Extremely Disagree = 1; Extremely Agree = 7)

   Perceived Compatibility of XR-NTX with current practices (N = 11)†

3.36

1.79

1–7

4.77

1.33

2–7

1.41

1.14

0.004*

   Perceived Compatibility of BUP/NX with current practices (N = 8)†

3.13

2.03

1–7

2.63

1.38

1–5

−0.50

1.34

0.375

  General Clinic Staff

  Compatibility of SUD Treatment in Primary Care (Strongly Disagree = 1; Strongly Agree = 5)

   Substance use disorders can be effectively treated in a primary care setting (N = 35)

3.17

1.01

1–5

4.06

0.76

1–5

0.89

1.08

<.0001**

   Substance use disorders can be effectively treated at [THIS CLINIC] (N = 35)

3.17

0.98

1–5

3.86

0.77

2–5

0.69

1.08

<.0001**

   Providing medications to patients with alcohol or opioid use disorders fits with [THIS CLINIC’S] mission and goals (N = 35)

2.94

0.97

1–5

3.89

0.76

2–5

0.94

1.24

<.0001**

   Providing counseling to patients with alcohol or opiate use disorders fits with [THIS CLINIC’S] mission and goals. (N = 36)

3.72

0.94

1–5

3.67

1.07

2–5

−0.06

1.43

0.817

Feasibility

  Prescribing Medical Providers

  Feel prepared to … (Not at all Prepared = 1; Very prepared = 4)

   … identify patients with alcohol use disorders (N = 12)

3.42

0.67

2–4

3.92

0.29

3–4

0.50

0.52

0.031

   … identify patients who are using illegal opiates such as heroin (N = 11)

3.27

0.65

2–4

3.45

0.52

3–4

0.18

0.60

0.625

   … identify patients who are misusing (N = 12)or abusing prescription opioids (N = 12)

3.00

0.60

2–4

3.33

0.65

2–4

0.33

0.49

0.125

Intent/willingness to adopt ebp

  Prescribing Medical Providers

  Perceived demonstrability (Extremely Disagree = 1; Extremely Agree = 7)

   … of XR-NTX (N = 11)†

4.21

1.20

1.67–6.33

4.85

0.91

4–7

0.64

1.11

0.086

   … of BUP/NX (N = 9)†

4.11

1.28

1.67–6.33

3.30

1.31

1–5.33

−0.81

1.11

0.058

  Would consider using in current practice (Extremely Disagree = 1; Extremely Agree = 7)

   I would consider using XR-NTX in my practice (N = 11)

4.09

1.87

2–7

5.55

1.13

4–7

1.45

1.81

0.037

   I would consider using BUP/NX in my practice (N = 10)

3.80

1.69

2–7

4.30

2.16

1–7

0.50

1.72

0.469

  1. †Pre-intervention measures combined the two medications into one question asking about MAT for OAUD; all prescribing providers were asked about XR-NTX and only physicians were asked about BUP/NX
  2. ^The Benjamini and Hochberg false discovery rate (FDR) correction was used to assess significance given the multiple testing. P-values reported in this column are those prior to FDR correction
  3. *Significance at p < 0.05 after FDR correction
  4. **Significance at p < 0.01 after FDR correction
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BMC Primary Care

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