Implementation of the Arizona Pain and Addiction Curriculum: Findings and Implications From a Statewide Evaluation

Purpose: The U.S. is struggling with dual crises of chronic pain and opioid overdoses. To improve statewide pain and addiction care, the Arizona Department of Health Services and 18 health education programs collaboratively created the evidence-based, comprehensive Arizona Pain and Addiction Curricu...

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Autores principales:	Lisa Villarroel, Aram S. Mardian, Evan Timme, Shakaib Rehman, Cara M. Christ
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	public health pain addiction curriculum evaluation didactic dissonance Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/d6de3010c44d46a1be1229d7c2d6c3aa
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spelling	oai:doaj.org-article:d6de3010c44d46a1be1229d7c2d6c3aa2021-11-19T13:22:43ZImplementation of the Arizona Pain and Addiction Curriculum: Findings and Implications From a Statewide Evaluation2296-256510.3389/fpubh.2021.731016https://doaj.org/article/d6de3010c44d46a1be1229d7c2d6c3aa2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpubh.2021.731016/fullhttps://doaj.org/toc/2296-2565Purpose: The U.S. is struggling with dual crises of chronic pain and opioid overdoses. To improve statewide pain and addiction care, the Arizona Department of Health Services and 18 health education programs collaboratively created the evidence-based, comprehensive Arizona Pain and Addiction Curriculum which includes a Toolbox for Operationalization with adult learning theory applications and an annual program survey to assess curriculum implementation. The purpose of this study is to analyze the first year's survey data to better understand the implementation of a novel curriculum across all programs in the state.Materials and Methods: Program surveys were sent 6 months after curriculum publication to all 18 health education programs in Arizona to assess the 6 Ds of curriculum implementation: Degree of implementation, Difficulty of implementation, Delivery methods, Faculty Development, Didactic dissonance and Discussion Opportunities.Results: Responses from all program types (14/18 programs) indicated that there was widespread implementation of the curriculum, with 71% reporting that all ten Core Components had been included in the past academic year. The majority of programs did not find the Components difficult to implement and had implemented them through lectures. Seventy-seven percent of programs did not have a process to ensure clinical rotation supervisors are teaching content consistent with the curriculum, 77% reported not addressing student's didactic dissonance, and 77% of programs did not report asking students about their interactions with industry representatives.Conclusion: In < 1 year after creation of the Arizona Pain and Addiction Curriculum, all program types reported wide implementation with little difficulty. This may represent a first step toward the transformation of pain and addiction education, and occurred statewide, across program types. Further focus on didactic dissonance, problem solving and faculty development is indicated, along with systematic education on pharmaceutical and industry influence on learners. Other programs may benefit from adopting this curriculum and may not experience significant challenges in doing so.Lisa VillarroelAram S. MardianAram S. MardianEvan TimmeShakaib RehmanShakaib RehmanShakaib RehmanCara M. ChristFrontiers Media S.A.articlepublic healthpainaddictioncurriculumevaluationdidactic dissonancePublic aspects of medicineRA1-1270ENFrontiers in Public Health, Vol 9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	public health pain addiction curriculum evaluation didactic dissonance Public aspects of medicine RA1-1270
spellingShingle	public health pain addiction curriculum evaluation didactic dissonance Public aspects of medicine RA1-1270 Lisa Villarroel Aram S. Mardian Aram S. Mardian Evan Timme Shakaib Rehman Shakaib Rehman Shakaib Rehman Cara M. Christ Implementation of the Arizona Pain and Addiction Curriculum: Findings and Implications From a Statewide Evaluation
description	Purpose: The U.S. is struggling with dual crises of chronic pain and opioid overdoses. To improve statewide pain and addiction care, the Arizona Department of Health Services and 18 health education programs collaboratively created the evidence-based, comprehensive Arizona Pain and Addiction Curriculum which includes a Toolbox for Operationalization with adult learning theory applications and an annual program survey to assess curriculum implementation. The purpose of this study is to analyze the first year's survey data to better understand the implementation of a novel curriculum across all programs in the state.Materials and Methods: Program surveys were sent 6 months after curriculum publication to all 18 health education programs in Arizona to assess the 6 Ds of curriculum implementation: Degree of implementation, Difficulty of implementation, Delivery methods, Faculty Development, Didactic dissonance and Discussion Opportunities.Results: Responses from all program types (14/18 programs) indicated that there was widespread implementation of the curriculum, with 71% reporting that all ten Core Components had been included in the past academic year. The majority of programs did not find the Components difficult to implement and had implemented them through lectures. Seventy-seven percent of programs did not have a process to ensure clinical rotation supervisors are teaching content consistent with the curriculum, 77% reported not addressing student's didactic dissonance, and 77% of programs did not report asking students about their interactions with industry representatives.Conclusion: In < 1 year after creation of the Arizona Pain and Addiction Curriculum, all program types reported wide implementation with little difficulty. This may represent a first step toward the transformation of pain and addiction education, and occurred statewide, across program types. Further focus on didactic dissonance, problem solving and faculty development is indicated, along with systematic education on pharmaceutical and industry influence on learners. Other programs may benefit from adopting this curriculum and may not experience significant challenges in doing so.
format	article
author	Lisa Villarroel Aram S. Mardian Aram S. Mardian Evan Timme Shakaib Rehman Shakaib Rehman Shakaib Rehman Cara M. Christ
author_facet	Lisa Villarroel Aram S. Mardian Aram S. Mardian Evan Timme Shakaib Rehman Shakaib Rehman Shakaib Rehman Cara M. Christ
author_sort	Lisa Villarroel
title	Implementation of the Arizona Pain and Addiction Curriculum: Findings and Implications From a Statewide Evaluation
title_short	Implementation of the Arizona Pain and Addiction Curriculum: Findings and Implications From a Statewide Evaluation
title_full	Implementation of the Arizona Pain and Addiction Curriculum: Findings and Implications From a Statewide Evaluation
title_fullStr	Implementation of the Arizona Pain and Addiction Curriculum: Findings and Implications From a Statewide Evaluation
title_full_unstemmed	Implementation of the Arizona Pain and Addiction Curriculum: Findings and Implications From a Statewide Evaluation
title_sort	implementation of the arizona pain and addiction curriculum: findings and implications from a statewide evaluation
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/d6de3010c44d46a1be1229d7c2d6c3aa
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Implementation of the Arizona Pain and Addiction Curriculum: Findings and Implications From a Statewide Evaluation

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