Intervention
Barriers and facilitators (sometimes called "contextual determinants") are factors that make it harder or easier to implement buprenorphine. These factors span multiple levels. Click the buttons on the left to read more about common barriers and facilitators for buprenorphine. In addition, view the RASC guides on Contextual Determinants Affecting Implementation and the Inventory of Factors Affecting Successful Implementation and Sustainment (IFASIS) to learn practical ways to assess these constructs.
Mindfulness-based interventions for substance use require a large time commitment from patients and providers, and often are delivered in combination with other treatments. Flexible and accessible delivery can be a facilitator.
Barriers
Mindfulness-based interventions for substance use typically require around 16 hours of treatment, which is a large time commitment for both patients and providers. This time is compounded by any additional treatments the patient may need to take simultaneously.
Studies of mindfulness-based interventions for substance use have primarily examined their effectiveness as an adjunctive treatment to other treatment methods like methadone or buprenorphine. Patients who are not currently in any treatment for substance use disorder may need to commit to additional treatment to take full advantage of the benefits.
Facilitators
Several mindfulness studies, including some conducted for general health and not specific to substance use, have found that program structure and delivery can be an enabler of engagement, particularly when programs offer online or self-paced options.