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Team training for the interprofessional management of opioid use disorder with the ECHO model. | LitMetric

Team training for the interprofessional management of opioid use disorder with the ECHO model.

J Interprof Care

Rush Substance Use Disorder Center of Excellence, Department of Psychiatry, Rush University Medical Center, Chicago, Illinois, USA.

Published: January 2025

AI Article Synopsis

  • Expanding workforce training for opioid use disorder (OUD) treatment is crucial, and a 6-month team training program based on the ECHO model was implemented to help primary care teams.
  • Thirteen healthcare teams participated, and a study of 52 individuals showed significant improvements in various areas, including individual and team efficacy, and the ability to treat patients effectively.
  • While most scales showed large to moderate effect sizes indicating positive changes, stigma and harm reduction did not improve, highlighting the need for future research to assess teamwork effectiveness more objectively.

Article Abstract

Expanding workforce training opportunities for opioid use disorder (OUD) treatment is a priority. We report on the impact of a 6-month-long team training program using the Extension for Community Healthcare Outcomes (ECHO) model to scale an interprofessional education (IPE) intervention to primary care teams who offered medications for OUD treatment as part of their care plan. Thirteen healthcare teams participated in the program's first cohort. We studied 52 participants' pre-post responses to seven scales that examined individual efficacy, team efficacy, high performance teamwork behaviors, adaptive teamwork behaviors, ability to treat patients in two case examples, and stigma and harm reduction. Significant improvements occurred on six scales. Large effect sizes were observed for individual efficacy ( = 0.78), team efficacy ( = 1.25), and team's ability to treat patients ( = 0.77,  = 0.83). Moderate effect sizes were observed for high performance teamwork behaviors ( = 0.69) and adaptive teamwork behaviors ( = 0.57). Only stigma and harm reduction did not show a change. The training program delivered an IPE-ECHO intervention that was effective at increasing the teams' perceptions of their efficacy, functioning, and ability to treat patients. Future researchers should use objective measures to verify the team's perceptions of their increased ability to work together.

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Source
http://dx.doi.org/10.1080/13561820.2024.2431922DOI Listing

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