A novel rural hospital/clinic-system practice-based research network: the Rural Addiction Implementation Network (RAIN) initiative and its goals, implementation, and early results.
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| Title: | A novel rural hospital/clinic-system practice-based research network: the Rural Addiction Implementation Network (RAIN) initiative and its goals, implementation, and early results. |
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| Authors: | Hafen, Kody (AUTHOR), Wallace, Harlan (AUTHOR), Fritz, Kayla (AUTHOR), Fordham, Cole (AUTHOR), Haskell, Tyler (AUTHOR), Kelley, A. Taylor (AUTHOR), Jones, Audrey L. (AUTHOR), Cochran, Gerald (AUTHOR), Gordon, Adam J. (AUTHOR) |
| Source: | American Journal of Drug & Alcohol Abuse. 2024, Vol. 50 Issue 6, p786-797. 12p. |
| Subjects: | Opioid abuse, Rural health, Substance abuse, Digital communications, Treatment of addictions |
| Abstract: | Background: Rural and frontier communities face high rates of opioid use disorders (OUDs). In 2021, the Rural Addiction Implementation Network (RAIN) sought to establish a rural hospital/clinic-system practice-based research network (RH-PBRN) to facilitate implementation of evidence-based addiction-related prevention, treatment, and recovery (PTR) services to reduce the morbidity of OUD and substance use disorder (SUD) in rural communities. Objective: To describe the goals and implementation of PTR activities of RAIN, a novel RH-PBRN. Methods: RAIN identified teams of external/internal facilitators at four rural hospitals/clinic-networks to achieve at least 15 PTR activities involving OUD and other SUDs. RAIN utilized an implementation-facilitation approach: facilitators assessed the implementation environment and promoted interventions to overcome barriers to PTR implementation. Other interventions included site visits, community of learning calls, and e-communication. RAIN assessed and recorded facilitators and barriers to implementation, milestone attainment, and outcomes of PTR activities. At 18 months, we queried facilitators about the fidelity and implementation of RAIN activities. Results: RAIN established an HP-PBRN in four sites (Idaho, Montana, Utah, and Wyoming). Within the HP-PBRN, 20 PTR activities were established (p = 7, T = 10, R = 3; range 3–7 per site). Barriers to implementation of PTR activities included competing clinical demands, especially due to COVID-19, lack of dedicated effort for staff at sites, and stigma of addiction and its treatment. Facilitators of implementation included the use of trained expert facilitators and communication between the sites. Conclusions: RAIN implemented 20 addiction-related PTR activities in four rural hospitals/clinic-networks. RAIN's intervention model could be replicated to address addiction-related harms in other rural communities. [ABSTRACT FROM AUTHOR] |
| Copyright of American Journal of Drug & Alcohol Abuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 182047516 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: A novel rural hospital/clinic-system practice-based research network: the Rural Addiction Implementation Network (RAIN) initiative and its goals, implementation, and early results. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Hafen%2C+Kody%22">Hafen, Kody</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wallace%2C+Harlan%22">Wallace, Harlan</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fritz%2C+Kayla%22">Fritz, Kayla</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fordham%2C+Cole%22">Fordham, Cole</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Haskell%2C+Tyler%22">Haskell, Tyler</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kelley%2C+A%2E+Taylor%22">Kelley, A. Taylor</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jones%2C+Audrey+L%2E%22">Jones, Audrey L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cochran%2C+Gerald%22">Cochran, Gerald</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Gordon%2C+Adam+J%2E%22">Gordon, Adam J.</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Drug+%26+Alcohol+Abuse%22">American Journal of Drug & Alcohol Abuse</searchLink>. 2024, Vol. 50 Issue 6, p786-797. 12p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Opioid+abuse%22">Opioid abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Rural+health%22">Rural health</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+abuse%22">Substance abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Digital+communications%22">Digital communications</searchLink><br /><searchLink fieldCode="DE" term="%22Treatment+of+addictions%22">Treatment of addictions</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background: Rural and frontier communities face high rates of opioid use disorders (OUDs). In 2021, the Rural Addiction Implementation Network (RAIN) sought to establish a rural hospital/clinic-system practice-based research network (RH-PBRN) to facilitate implementation of evidence-based addiction-related prevention, treatment, and recovery (PTR) services to reduce the morbidity of OUD and substance use disorder (SUD) in rural communities. Objective: To describe the goals and implementation of PTR activities of RAIN, a novel RH-PBRN. Methods: RAIN identified teams of external/internal facilitators at four rural hospitals/clinic-networks to achieve at least 15 PTR activities involving OUD and other SUDs. RAIN utilized an implementation-facilitation approach: facilitators assessed the implementation environment and promoted interventions to overcome barriers to PTR implementation. Other interventions included site visits, community of learning calls, and e-communication. RAIN assessed and recorded facilitators and barriers to implementation, milestone attainment, and outcomes of PTR activities. At 18 months, we queried facilitators about the fidelity and implementation of RAIN activities. Results: RAIN established an HP-PBRN in four sites (Idaho, Montana, Utah, and Wyoming). Within the HP-PBRN, 20 PTR activities were established (p = 7, T = 10, R = 3; range 3–7 per site). Barriers to implementation of PTR activities included competing clinical demands, especially due to COVID-19, lack of dedicated effort for staff at sites, and stigma of addiction and its treatment. Facilitators of implementation included the use of trained expert facilitators and communication between the sites. Conclusions: RAIN implemented 20 addiction-related PTR activities in four rural hospitals/clinic-networks. RAIN's intervention model could be replicated to address addiction-related harms in other rural communities. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of American Journal of Drug & Alcohol Abuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1080/00952990.2024.2394487 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 12 StartPage: 786 Subjects: – SubjectFull: Opioid abuse Type: general – SubjectFull: Rural health Type: general – SubjectFull: Substance abuse Type: general – SubjectFull: Digital communications Type: general – SubjectFull: Treatment of addictions Type: general Titles: – TitleFull: A novel rural hospital/clinic-system practice-based research network: the Rural Addiction Implementation Network (RAIN) initiative and its goals, implementation, and early results. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Hafen, Kody – PersonEntity: Name: NameFull: Wallace, Harlan – PersonEntity: Name: NameFull: Fritz, Kayla – PersonEntity: Name: NameFull: Fordham, Cole – PersonEntity: Name: NameFull: Haskell, Tyler – PersonEntity: Name: NameFull: Kelley, A. Taylor – PersonEntity: Name: NameFull: Jones, Audrey L. – PersonEntity: Name: NameFull: Cochran, Gerald – PersonEntity: Name: NameFull: Gordon, Adam J. IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 11 Text: 2024 Type: published Y: 2024 Identifiers: – Type: issn-print Value: 00952990 Numbering: – Type: volume Value: 50 – Type: issue Value: 6 Titles: – TitleFull: American Journal of Drug & Alcohol Abuse Type: main |
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