Recent projects have used the NIATx approach to explore coaching, how patients use mobile health apps, and how to recruit prescribers for medications for opioid use disorder (MOUD).
Coaching as an implementation strategy
What makes coaching effective for implementing a new practice or application? To find out, the study team first interviewed nine experienced NIATx coaches, then coded the interviews to develop an implementation coaching model. An analysis of 40 coaching calls with behavioral health organizations in Ohio, Florida, and Wisconsin found that most coaching work focused on building capacity for the new practice.
Fledderman, K., Jacobson, N., Host, J., Madden, L.M., Haram, E., & Molfenter, T. (2023). Opening the “black box” of organizational coaching for implementation. BMC health services research, 23(1), 106. https://doi.org/10.1186/s12913-022-08948-6
Smart phone apps to support SUD recovery
Mobile recovery apps abound, but few people with substance use disorder (SUD) try them or use them long-term. This study analyzed the results of an online survey of 202 people using A-CHESS (Addiction Comprehensive Health Enhancement Support System). According to the survey, respondents found messaging features (discussion boards, private messaging) and informational and motivational resources most useful. One reason respondents cited for not using A-CHESS was not knowing how to use the app. Ensuring that apps have useful features and educating patients about how to use the app may help increase use of recovery apps.
Fleddermann, K., Molfenter, T., Vjorn, O., Horst, J., Hulsey, J., Kelly, B., Zawislak, K., Gustafson, D. H., & Gicquelais, R. E. (2023). Patient Preferences for Mobile Health Applications to Support Recovery. Journal of addiction medicine, 10.1097/ADM.0000000000001137. Advance online publication. https://doi.org/10.1097/ADM.0000000000
Recruiting prescribers for medications for opioid use disorder
The opioid epidemic has increased the need for primary care physicians who can prescribe FDA-approved medications for opioid use disorder. Yet recruiting enough prescribers to meet the need remains a challenge. In this study, the “Physician Recruitment Descriptive Factors Framework” explored the roles of environmental, organizational, and individual factors in physician recruitment strategies.
Molfenter, T., Jacobson, N., Kim, J. S., Horst, J., Kim, H., Madden, L., Brown, R., Haram, E., & Knudsen, H. K. (2023). Building medication for opioid use disorder prescriber capacity during the opioid epidemic: Prescriber recruitment trends and methods. Journal of substance use and addiction treatment, 147, 208975. Advance online publication. https://doi.org/10.1016/j.josat.2023.208975