Exploring the provider and organization level barriers to medication for opioid use disorder treatment for Black Americans: A study protocol.
Exploring the provider and organization level barriers to medication for opioid use disorder treatment for Black Americans: A study protocol.
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DOI：
10.1016/j.puhip.2022.100308
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发表时间：
2022-12
影响因子：
--
通讯作者：
Obasi, Ezemenari M.
中科院分区：
文献类型：
--
作者：
Gilbert, Lauren R.;Starks, Steven;Gray, Johnathan;Reitzel, Lorraine R.;Obasi, Ezemenari M.
本研究旨在探讨可能限制德克萨斯州美国黑人阿片类药物使用障碍 (OUD) 治疗的提供者和组织因素。提供者和组织层面的形成性研究将有助于了解美国黑人 OUD 治疗的当前促进因素、潜在障碍和能力。该项目将利用探索、准备、实施、维持 (EPIS) 框架的探索阶段，对影响美国黑人 OUD 药物 (MOUD) 治疗可用性的当地因素进行形成性评估，以指导设计文化和当地相关的多层次干预策略。和分析：该项目将利用紧急混合方法来识别和澄清阻碍 OUD 黑人患者治疗的问题。首先，将通过深入访谈探讨个别医疗服务提供者对向诊断为 OUD 的美国黑人提供 MOUD 治疗的开放性和意愿的看法。与美国黑人 OUD 患者治疗可用性增加相关的组织能力因素将与组织领导者一起使用探索性序贯混合方法设计进行检查。提供 MOUD 的组织的领导者和项目经理将被邀请参加在线调查，并可以选择参加后续的深度访谈。来自提供商和组织员工访谈的所有定性数据都将采用主题分析方法进行分析。对两种不同类型的定性数据的分析将作为三角测量的一种形式一起分析。该项目将评估个体提供者的理解以及组织层面对 MOUD 对美国黑人干预的文化背景的认识。这项形成性研究旨在强调黑人社区阿片类药物危机的现状，以及需要哪些额外支持。
This study seeks to examine the provider and organizational factors that could be limiting the treatment of Opioid Use Disorder (OUD) for Black Americans in Texas. Formative research at the provider and organizational level will assist in understanding the current facilitators, potential barriers, and capacity for OUD treatment for Black Americans. Using the exploration phase of the Explore, Preparation, Implementation, Sustainment (EPIS) framework, the project will be a formative assessment of local factors that influence Medication for OUD (MOUD) treatment availability for Black Americans to guide the design of a culturally and locally relevant multi-level intervention strategy. and analysis: This project will utilize emergent mixed methods to identify and clarify the problems that are obstructing treatment for Black patients with OUD. First, the perspectives of individual providers in their openness and willingness to provide MOUD treatment to Black Americans diagnosed with OUD will be explored through in-depth interviews. The organizational capacity factors associated with increased availability to treatment for Black American OUD patients will be examined with the organizational leaders using an exploratory sequential mixed-methods design. Leader and program managers of organizations that provide MOUD will be invited to participate in an online survey, with the option to participate in a follow-up in-depth interview. All qualitative data from the provider and organization staff interviews will be analyzed with a thematic analysis approach. The analysis of the two different types of qualitative data will be analyzed together, as a form of triangulation. This project will assess the understandings of individual providers as well as the organizational-level awareness of the cultural contexts of MOUD intervention for Black Americans. This formative research seeks to highlight the current status of the opioid crisis in the Black community, and what additional supports are needed.
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