Defense Date
2024
Document Type
Dissertation
Degree Name
Doctor of Philosophy
Department
Health Administration
First Advisor
Dr. Sarah Marrs
Abstract
Opioid use disorder is a growing concern in the United States. Despite medication-assisted treatment (MAT) being a more effective treatment option than behavioral treatment alone, primary care providers’ rate of adoption and utilization of MAT has not matched the demand of the opioid crisis. The largest barrier facing our local community is the availability of organizations and providers that can and will actually provide MAT services. The purpose of this study was to identify factors that impact primary care providers’ readiness to treat individuals with opioid use disorder (OUD) using MAT. This study used the ADKAR model as framework, which is a commonly used model to manage organizational change. This study found MAT trainings increased providers’ knowledge and decreased stigma. MAT knowledge and trainings aided in the promotion of perceived appropriateness, personal valence, and diminished individual levels of provider stigma toward individuals with OUD. However, there was no relationship between providers’ level of MAT knowledge and change efficacy and management support. MAT training hours or where the training took place had no impact on providers’ readiness to change. MAT training and educational learning environment posed a negative association with the following ADKAR model constructs, knowledge, but ability and reinforcement. Perceived levels of management support and reinforcement were identified as barriers to readiness to integrate MAT services in clinical practice. The findings align with current literature concluding it will take more than MAT training and knowledge to increase provider readiness to address the need for MAT services in primary care.
Rights
© The Author
Is Part Of
VCU University Archives
Is Part Of
VCU Theses and Dissertations
Date of Submission
6-12-2024