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Enhancing Use of Medications for Opioid Use Disorder Through External Coaching.
Todd Molfenter1, Hanna Kim1, Jee-Seon Kim1
1(Molfenter, Kisicki, Horst, Toy), Department of Educational Psychology (H. Kim, J.-S. Kim), Department of Family Medicine and Community Health (Brown), Institute for Clinical and Translational Research and School of Nursing (Jacobson), University of Wisconsin-Madison, Madison; Department of Behavioral Science and Center on Drug and Alcohol Research, University of Kentucky, Lexington (Knudsen); APT Foundation and Department of Internal Medicine, Yale University, New Haven, Connecticut (Madden); Haram Consulting, Bowdoinham, Maine (Haram).
External coaching significantly boosted buprenorphine use in addiction treatment, more than doubling growth rates compared to control groups. This intervention enhances medication for opioid use disorder (MOUD) capacity.
Area of Science:
- Addiction Medicine
- Healthcare Management
- Implementation Science
Background:
- Medications for opioid use disorder (MOUD) are crucial for effective treatment.
- Barriers exist in widespread adoption and utilization of MOUDs by addiction treatment providers.
- External coaching models are being explored to improve healthcare practices.
Purpose of the Study:
- To evaluate the impact of external coaching on addiction treatment providers' utilization of medications for opioid use disorder (MOUD).
- To compare the effectiveness of external coaching within a learning collaborative versus a control condition.
Main Methods:
- A randomized controlled trial involving 75 clinical sites across Florida, Ohio, and Wisconsin.
- Intervention group received external coaching alongside a learning collaborative; control group received no coaching.
- Outcome measures included buprenorphine slots, buprenorphine use, and injectable naltrexone administration.
Main Results:
- Buprenorphine slots grew twice as fast in the coaching arm (6.1% monthly) compared to the control arm (3.0% monthly).
- Buprenorphine use also showed over double the monthly growth rate in the coaching arm (5.3%) versus the control arm (2.4%).
- External coaching did not significantly impact injectable naltrexone utilization.
Conclusions:
- External coaching is an effective strategy to enhance organizational capacity and increase the use of buprenorphine for opioid use disorder.
- Further research is needed to optimize coaching practices, including dose and delivery, for maximum impact.
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