The Development of a Training Curriculum for Opioid Treatment Providers in Georgia about Older Adults in Medication Assisted Treatment: A Special Studies Project Public
Biser, Jessica (Spring 2019)
Published
Abstract
Abstract
The Development of a Training Curriculum for Opioid Treatment Providers
in Georgia about Older Adults in Medication Assisted Treatment: A Special Studies Project
By: Jessica Biser
Background:The number of older adults with opioid use disorders is increasing at an alarming rate. The most common and successful treatment for opioid use disorders is the use of methadone or buprenorphine in medication assisted treatment. Because of the high rate of older adults with opioid use disorders, the aging population in treatment is growing. However, opioid treatment providers receive little to no training on how to manage the complex needs of older adults in treatment.
Purpose:The purpose of this study is to create and implement a training curriculum to educate opioid treatment providers on aging-related considerations for older adults in medication assisted treatment programs.
Methods:A needs assessment involving in-depth interviews was conducted to find out what the current gaps in training are surrounding the care for older adults. Four topics were identified using thematic analysis for the content of the curriculum. The curriculum was granted 2.5 continuing education credits by the Opioid Treatment Providers of Georgia, and was pilot tested and evaluated using pre/post-tests and satisfaction surveys.
Results:The final curriculum consisted of two modules, each 50 minutes long. The first module was a general overview of aging and local resources providers can refer patients to. The second module discussed grief and an overview of advance care planning. Many providers did very well on the pre-tests, so it was difficult to determine the level of knowledge gained from the modules. The evaluations were used to gauge overall satisfaction of the training which was overwhelmingly positive.
Discussion:There is minimal research about how older adults age in medication assisted treatment and what specialized needs they may need after long-term opioid use. This curriculum is one step towards improving the understanding of older adults and what additional needs they may face in medication assisted treatment for opioid use. This curriculum should be used in trainings across Georgia to improve the care for the aging population in medication assisted treatment.
Table of Contents
Table of Contents
Introduction
Background and Rationale
Problem Statement
Purpose Statement and Objectives
Significance Statement
Definition of Terms & Acronyms
Review of Literature
Introduction
Age-Related Changes
Medication Assisted Treatment Model
Stigma
Provider Training
Conclusion
Methodology
Overview
In-Depth Interviews
IRB Approval
Curriculum Development
Results
Needs Assessment
Curriculum
Pilot Testing
Pre/Post-Test and Evaluation
Discussion
Curriculum Development
Pilot Testing
Strengths and Limitations
Recommendations
Conclusion
References
Appendix A: An Introduction to Aging for Opioid Treatment Providers - Module 1
Module 1: Aging 101
Part 1: Introduction
Part 2: Pre‐test
Part 3: Aging 101
Part 4: Resources
Part 5: Post-test and Evaluation
References for Module 1
Appendix B: Handouts for Module 1 of Curriculum
Appendix C: An Introduction to Aging for Opioid Treatment Providers - Module 2
Module 2: Advance Care Planning & Grief
Part 1: Introduction
Part 2: Pre-Test
Part 3: Advance Care Planning
Part 4: Grief and Bereavement
Part 5: Post‐Test and Evaluation
References for Module 2
Appendix D: Handouts for Module 2 of Curriculum
Appendix E: In-Depth Interview Guide for Opioid Treatment Providers
About this Master's Thesis
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