Evaluation of Shared Medical Appointments for Opioid Relapse Prevention in Patients Receiving Medication-Assisted Treatment in a Rural Health Clinic
Ashley M. Koch, DNP(c), BSN, RN; firstname.lastname@example.org
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Koch, Ashley M. by View
Popular Works for Koch, Ashley M. by Download
The United States is facing an opioid epidemic. Access to medication-assisted treatment (MAT) is recognized as one crucial strategy in decreasing opioid abuse rates and improving population health through mitigation of infectious disease and overdose deaths. However, it has been reported that individuals suffering from opioid-use disorders have limited access to MAT. A synthesis of evidence supported project implementation of shared medical appointments (SMAs) for opioid relapse prevention as a means to support implementation of MAT, increase patient access to treatment, and promote social support in opioid abuse recovery. Accordingly, this project aimed to develop, implement, and evaluate a SMA for medical surveillance follow-up of opioid dependent patients receiving injectable naltrexone for opioid relapse prevention in a rural health clinic that is embedded within an outpatient behavioral health site. The practice change was guided by The Model for Evidence-Based Practice Change, and each component of the Chronic Care Model was integrated into each SMA’s design. A family nurse practitioner-led SMA was conducted once every 28 days, for three consecutive visits. SMAs served in replacement of participants’ individual follow-up medical appointments. Ten individuals who met project inclusion criteria were invited to participate in the project; participant attendance varied over the course of the project. Project results indicated that SMAs for medical surveillance of opioid dependent patients in a rural health clinic were feasibly implemented, demonstrated a high degree of participant and SMA facilitator satisfaction, and produced modest organizational revenue. The SMAs of the project demonstrated an intrinsic ability to increase the FNP’s capacity of treating patients, thus translating to SMAs’ capability of enhancing access to MAT in the project’s population. The integration of the CCM into the project’s design and continuous process improvement strategies promoted feasibility in project implementation and contributed to clinically significant individual outcomes in regards to opioid cravings and hepatitis screening. Moreover, peer support, a characteristic that is inherent of SMAs and essential in opioid relapse prevention, proved to enhance medical care delivery.
|Type||DNP Capstone Project|
|Review Type||Faculty Approved: Degree-based Submission|
|Research Approach||Translational Research/Evidence-based Practice|
|Keywords||Shared Medical Appointment;
|CINAHL Subject(s)||Appointments and Schedules--Methods;
Appointments and Schedules;
Rural Health Centers;
Substance Abuse--Drug Therapy;
Narcotic Antagonists--Therapeutic Use;
Substance Dependence--Drug Therapy;
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Showing items related by title, author, creator and subjects.
Cognitive behavioral therapy's impact on relapse rates in opioid use disorder patients receiving medication-assisted treatment Wilhelm, Kelsie H.This integrative review examines the impact of cognitive behavioral therapy on relapse rates in patients enrolled in medication-assisted treatment for opioid use disorder, highlighting the need for additional research to ...
Is Tai Chi acceptable for improving health outcomes in opioid-use-disordered patients receiving outpatient medication-assisted treatment? Tsai, Pao-Feng; Chang, Jason Y.; Mancino, Michael J.; Landes, Reid D.; Oliveto, Alison H.This study examined characteristics of patients with opioid use disorder (OUD) who were receiving outpatient medication-assisted treatment (MAT) with methadone (MTD) or buprenorphine/naltrexone (BUP) at the time of ...
Compton, Peggy (Sigma Theta Tau International, 2020-12-11)This episode we will be discussing the body of nursing research from Peggy Compton, PhD, RN, FAAN, a Sigma International Nurse Researcher Hall of Fame inductee in July of 2020 and an Associate Professor and van Ameringen ...
Addressing the opioid crisis in rural communities by engaging incarcerated females in a re-entry program Hunt, Jennifer D.; Lord, Mary MelissaImplementation of an evidence-based re-entry program designed for females in a rural county jail has the potential to decrease opioid related overdoses and therefore increase health determinants for the individual, family ...
Hallman, DanielleBackground: Substance use disorder (SUD) is a debilitating disease with negative consequences for the Veteran's health and wellbeing. The Department of Veterans Affairs (VA) treats more than 1.5 million Veterans annually ...