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Table 2 Professional participants’ change in knowledge of medications for substance use disorders and confidence in skills treating patients with substance use disorders before and after the ECHO program (overall average scores across six cohorts)

From: Launching an innovative educational model addressing substance use disorders and dental pain management (Project ECHO® in dentistry)

 

N

Pre-program mean* (SD)

Percentage agree/strongly agree

Post-program mean* (SD)

Percentage agree/strongly agree

p value***

Statement: I am knowledgeable about the following medications:

Buprenorphine

73

3.15 (1.11)

42.7

4.08 (0.83)

82.3

 < 0.001

Combination of buprenorphine and naloxone

73

2.81 (1.05)

30.3

3.85 (0.95)

71.3

 < 0.001

Naloxone

72

2.89 (1.10)

32.7

3.74 (1.08)

63.3

 < 0.001

Naltrexone

73

2.16 (1.01)

7.3

3.07 (1.27)

38.8

0.002

Acamprosate

72

2.64 (1.14)

25.7

3.38 (1.09)

55.1

 < 0.001

Disulfiram

83

3.07 (1.14)

41.6

3.96 (1.03)

76.3

 < 0.001

Methadone

71

3.77 (1.21)

61.5

4.21 (0.89)

81.0

 < 0.001

Statement: Please choose the extent to which you disagree or agree with the following statement:

I am confident in my skills to identify patients who may have a substance use disorder

82

3.01 (1.12)

33.6

3.66 (1.08)

59.6

 < 0.001

I am confident discussing pharmacological alternatives to opioids with patients

84

3.76 (0.87)

64.7

4.30 (0.66)

86.7

 < 0.001

I am confident discussing non-pharmacological alternatives to opioids with patients

73

3.37 (1.23)

47.7

3.89 (1.04)

65.5

0.003

I am confident having difficult conversations with patients regarding their request for an opioid prescription

87

3.71 (0,99)

58.4

4.10 (0.88)

79.2

 < 0.001

I am confident in my skills to identify patients who may have a substance use disorder

82

3.01 (1.12)

33.6

3.66 (1.08)

59.6

 < 0.001

  1. (1) Strongly disagree | (2) Disagree | (3) Neutral (neither agree nor disagree) | (4) Agree | (5) Strongly agree | (6) Not applicable *
  2. * Non-applicable scores were excluded from calculations
  3. ***Paired t-test, pre- and post-means (2-tailed)