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O'Leary Sloan__Dissertation 2023.pdf (1.11 MB)

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A CONSTRUCTIVIST GROUNDED THEORY ANALYSIS OF SEVEN MEDICAL PROVIDER PERSPECTIVES ON MAJOR BARRIERS TO PRESCRIBING BUPRENORPHINE TO YOUTH WITH OPIOID USE DISORDER IN OUTPATIENT MEDICAL SETTINGS: “WE SHOULD BE PROVIDING THEM WITH WHAT WE KNOW TO BE THE GOLD STANDARD OF CARE.”

O'Leary Sloan, Maeve
http://orcid.org/0009-0003-8745-2383
http://rave.ohiolink.edu/etdc/view?acc_num=antioch1698626258365821

Abstract Details

2023, Psy. D., Antioch University, Antioch Seattle: Clinical Psychology.
This study utilized Primary Care Provider (PCP) perspectives to unveil major barriers to prescribing buprenorphine to youth (ages 16-25) with opioid use disorder (OUD). Semi-structured interviews were conducted with seven PCPs recruited through convenience and snowball sampling. Interviews were conducted and recorded via Zoom video conferencing. Transcripts were generated and analyzed for themes using a Constructivist Grounded Theory (CGT) approach. The CGT of the present study describes four major barriers that limit PCP prescription of buprenorphine to youth: 1) PCPs Feel Overwhelmed, 2) PCPs Feel Ill Equipped to Treat Youth Patients with OUD, 3) PCPs Hold and Observe Stigma toward Patients with OUD—Especially Youth, and 4) Structural and Systemic Barriers. Each major barrier consists of related subcategories and sub-subcategories. Findings offer stakeholders suggestions for targeting individual, relational, clinical, and systemic level changes to increase primary care access to buprenorphine for youth ages 16-25.
Michael J. Toohey, PhD, ABPP (Committee Chair)
Michelle Peavy, PhD, MAC, SUDP (Committee Member)
Melissa Kennedy, PhD (Committee Member)
196 p.
Behavioral Sciences; Health; Health Care; Medicine; Mental Health; Psychology; Public Health
grounded theory; constructivist grounded theory; qualitative; primary care providers; youth with OUD; youth with opioid use disorder; youth; youth in primary care; primary care; outpatient medical clinics; office-based treatment; medications for opioid use disorder; opioid use disorder; OUD; MOUD; buprenorphine; suboxone; sublocade, access to MOUDs

Recommended Citations

Citations

  • O'Leary Sloan, M. (2023). A CONSTRUCTIVIST GROUNDED THEORY ANALYSIS OF SEVEN MEDICAL PROVIDER PERSPECTIVES ON MAJOR BARRIERS TO PRESCRIBING BUPRENORPHINE TO YOUTH WITH OPIOID USE DISORDER IN OUTPATIENT MEDICAL SETTINGS: “WE SHOULD BE PROVIDING THEM WITH WHAT WE KNOW TO BE THE GOLD STANDARD OF CARE.” [Doctoral dissertation, Antioch University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1698626258365821

    APA Style (7th edition)

  • O'Leary Sloan, Maeve. A CONSTRUCTIVIST GROUNDED THEORY ANALYSIS OF SEVEN MEDICAL PROVIDER PERSPECTIVES ON MAJOR BARRIERS TO PRESCRIBING BUPRENORPHINE TO YOUTH WITH OPIOID USE DISORDER IN OUTPATIENT MEDICAL SETTINGS: “WE SHOULD BE PROVIDING THEM WITH WHAT WE KNOW TO BE THE GOLD STANDARD OF CARE.”. 2023. Antioch University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=antioch1698626258365821.

    MLA Style (8th edition)

  • O'Leary Sloan, Maeve. "A CONSTRUCTIVIST GROUNDED THEORY ANALYSIS OF SEVEN MEDICAL PROVIDER PERSPECTIVES ON MAJOR BARRIERS TO PRESCRIBING BUPRENORPHINE TO YOUTH WITH OPIOID USE DISORDER IN OUTPATIENT MEDICAL SETTINGS: “WE SHOULD BE PROVIDING THEM WITH WHAT WE KNOW TO BE THE GOLD STANDARD OF CARE.”." Doctoral dissertation, Antioch University, 2023. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1698626258365821

    Chicago Manual of Style (17th edition)

antioch1698626258365821
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© 2023, all rights reserved.
This open access ETD is published by Antioch University and OhioLINK.