Intervention
Barriers and facilitators (sometimes called "contextual determinants") are factors that make it harder or easier to implement Motivational Interviewing for Opioid Use Disorder (MI-OUD). These factors span multiple levels. Click the buttons on the left to read more about common barriers and facilitators for MI-OUD. 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.
Barriers related to the Motivational Interviewing for Opioid Use Disorder (MI-OUD) intervention include the time required to attend training and ensure fidelity, while facilitators relate to the flexibility in who delivers sessions.
Barriers
Training protocols recommended to support the acquisition of MI-OUD skills typically range from 16-24 hours over two to three days with a combination of didactic training and experiential workshops, and five to 12 hours of post-training contact (follow-up supervision sessions) are recommended to maintain training every six months.
MI-OUD delivery requires ongoing monitoring of fidelity. Common fidelity tools include the Motivational Interviewing Treatment Integrity (MITI) Scale and Motivational Interviewing Skills Code (MISC), though these methods require up to 40 hours of rater training and 85-120 minutes of coding per audio-recorded MI session segments.
Facilitators
MI-OUD skills are widely transferable to multiple aspects of patient care and often overlap with the foundations of other counseling methods, meaning that a wide range of providers who treat patients with opioid use disorder can be trained to use MI-OUD principles.