Buprenorphine Maintenance Treatment of Opiate Dependence: Correlations Between Prescriber Beliefs and Practices.

Abstract:

BACKGROUND:Despite the existence of evidence-based guidelines, different prescriber practices around buprenorphine maintenance treatment (BMT) of opiate dependence exist. Moreover, certain prescriber beliefs may influence their practice patterns. OBJECTIVE:To understand community BMT practice patterns and discern their relationship to practitioner beliefs. METHOD:Survey of 30 local BMT prescribers about aspects of BMT, and analysis of correlations between practices and practitioner beliefs. RESULTS:Practitioners generally followed standard treatment guidelines, though the most-common maintenance dosages of BMT (4-12 mg) were lower than recommended by some studies. Endorsement of belief in a "spiritual basis" of addiction correlated with lower average BMT doses and less frequent endorsement of the belief that BMT-treated patients are "in recovery." CONCLUSIONS/IMPORTANCE:These data suggest that relatively standardized, longer-term BMT of opiate dependence is accepted among the majority of surveyed prescribers, and certain provider beliefs about addiction may influence prescribing habits and attitudes. Future studies should: (1) assess these findings in larger samples; (2) examine how prescriber beliefs about addiction and BMT compare with those of other addiction treatment providers; and (3) ascertain whether individual prescriber beliefs influence patient outcomes.

journal_name

Subst Use Misuse

journal_title

Substance use & misuse

authors

MacDonald K,Lamb K,Thomas ML,Khentigan W

doi

10.3109/10826084.2015.1089905

subject

Has Abstract

pub_date

2016-01-02 00:00:00

pages

85-90

issue

1

eissn

1082-6084

issn

1532-2491

journal_volume

51

pub_type

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