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Physician’s knowledge, attitudes, and utilization of the Prescription Drug Monitoring Program

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2020, PhD, University of Cincinnati, Education, Criminal Justice, and Human Services: Health Education.
Study One Abstract: Factors Influencing Physicians’ Perceived Knowledge and Attitudes of the Prescription Drug Monitoring Program. Introduction: Due to the impact of opioid use disorder and overdose deaths on the U.S. healthcare system, leaders and politicians have provided support and pressure for the creation of opioid specific prescribing guidelines, Prescription Drug Monitoring Programs (PDMPs), and numerous additional policies and programs to prevent prescription drug misuse, and addiction. The present study investigated whether the level of physicians’ perceived knowledge and utilization of a PDMP differed based on perceived helpfulness of OARRs use and physician characteristics among Ohio physicians. We also assessed whether physician characteristics differed based on continuing education training. Methods: This study included a convenience sample of practicing physicians based in the state of Ohio (N = 151) aged 27-72 years. Physicians were invited to participate via email listservs and social media outlets including LinkedIn and Twitter, by the Ohio Medical Association. Data were collected using Qualtrics, and all results were anonymously recorded. Independent samples t-tests and chi-square tests were conducted. This study was approved by the University of Cincinnati’s (UC) Institutional Review Board (#2019-0091). Results: Over half of female (51.0%) and male (53.7%) physicians reported they had an in-depth knowledge level of OARRS. here was a gradual increase in percent of physicians who reported they had an in-depth knowledge level of OARRS by career level with 44.5% of young professionals reporting in-depth knowledge and higher rates among mid-level professionals (51.4%) and advanced professionals (62.8%). Regarding level of perceived knowledge, on the five-question assessment of knowledge on OARRS policy and practice, the mean score was 2.3 out of 5.0. There was no significant difference between level of perceived knowledge and physician career level. There was a significant difference in the OARRS Knowledge Assessment scores based on physician gender (t (104) = -2.09, p = .039), with male physicians (M = 3.14, SD = 1.06) having higher mean OARRS Knowledge Assessment scores compared to female physicians (M = 2.66, SD = 1.29). There was a significant difference in the scores for those identifying OARRS as helpful (mean [M] = 2.43, standard deviation [SD] = 1.43) and those identifying OARRS as unhelpful (M = 1.16, SD= 1.16) conditions; t (116) = -2.92, p < .05. Regarding continuing education over the past year, the majority (57.1%) of participants reported completing continuing education on at least one of the three following topics: opioids, pain management, or addiction. Discussion: The state of Ohio has utilized many strategies to support physician understanding of OARRS, but the study findings indicate more resources need to be invested into physician education to increase their knowledge and utilization of OARRS.
Ashley Merianos, Ph.D. (Committee Chair)
Keith King, Ph.D. (Committee Member)
Rebecca Vidourek, Ph.D. (Committee Member)
65 p.

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Citations

  • Miracle, T. (2020). Physician’s knowledge, attitudes, and utilization of the Prescription Drug Monitoring Program [Doctoral dissertation, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1593171776627526

    APA Style (7th edition)

  • Miracle, Tessa. Physician’s knowledge, attitudes, and utilization of the Prescription Drug Monitoring Program. 2020. University of Cincinnati, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin1593171776627526.

    MLA Style (8th edition)

  • Miracle, Tessa. "Physician’s knowledge, attitudes, and utilization of the Prescription Drug Monitoring Program." Doctoral dissertation, University of Cincinnati, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1593171776627526

    Chicago Manual of Style (17th edition)