{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T08:03:07Z","timestamp":1784620987242,"version":"3.55.0"},"reference-count":35,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T00:00:00Z","timestamp":1773964800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"National Institute of Health","award":["1K24DA056837"],"award-info":[{"award-number":["1K24DA056837"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Palliative Medicine"],"published-print":{"date-parts":[[2026,7,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Buprenorphine is an underused opioid therapy for patients with serious illnesses. Using the principles of implementation science, we developed, distributed, and tested a Buprenorphine Pocket Card and Tool Kit (Bupe PC&amp;TK).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>We conducted an online survey to assess buprenorphine learning needs, confidence, and knowledge. We then tested the impact of the Bupe PC&amp;TK using a pre-\/poststudy design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting\/Subjects:<\/jats:title>\n                    <jats:p>Palliative care clinicians located throughout the United States.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurement:<\/jats:title>\n                    <jats:p>Investigator-initiated online mixed-methods survey at baseline and six weeks following distribution of a Bupe PC&amp;TK.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Among the 179 baseline participants, most were physicians (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 114) with more than six years of opioid prescribing experience (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 99). The majority rated buprenorphine prescribing as an important skill, but only 15 participants reported they were very confident in prescribing or managing buprenorphine, and inaccurate knowledge was common. Participants reported that information on buprenorphine dosing and initiation would be most helpful in a Bupe PC&amp;TK. Fifty-six participants completed the follow-up survey; the majority were physicians (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 33). Most participants used the Bupe PC&amp;TK (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 47) and rated it as helpful or very helpful (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 45). A paired samples\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -test revealed that participants were significantly more confident after receiving the Bupe PC&amp;TK (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001). Knowledge accuracy improved for buccal buprenorphine (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.003) and formulations for opioid use disorder (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Palliative care clinicians ascribe a large degree of importance to prescribing buprenorphine but have knowledge and confidence gaps. The Bupe PC&amp;TK can be readily implemented to increase clinician confidence and knowledge in prescribing buprenorphine to patients with serious illness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10966218261434104","type":"journal-article","created":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T08:03:44Z","timestamp":1773993824000},"page":"872-879","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A Buprenorphine Pocket Card and Tool Kit Tailored to Palliative Care Clinicians: An Education and Implementation Cohort Study"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0825-8394","authenticated-orcid":false,"given":"Katie Fitzgerald","family":"Jones","sequence":"first","affiliation":[{"name":"New England Geriatric Research Education and Clinical Center, VA Boston Healthcare System, Jamaica Plain, Massachusetts, USA."},{"name":"Department of Medicine, Harvard Medical School, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jolie B.","family":"Wormwood","sequence":"additional","affiliation":[{"name":"Department of Psychology, University of New Hampshire, Durham, New Hampshire, USA."},{"name":"Center for Health Optimization and Implementation Research, VA Boston Healthcare System, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William C.","family":"Becker","sequence":"additional","affiliation":[{"name":"Department of Medicine, VA Connecticut Healthcare System, West Haven, Connecticut, USA."},{"name":"Department of Internal Medicine, Yale School of Medicine, New Haven, Connecticut, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah","family":"Gurewich","sequence":"additional","affiliation":[{"name":"Center for Health Optimization and Implementation Research, VA Boston Healthcare System, Boston, Massachusetts, USA."},{"name":"Department of Psychiatry, Boston University Chobanian &amp; Avedisian School of Medicine, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy M.","family":"Linsky","sequence":"additional","affiliation":[{"name":"New England Geriatric Research Education and Clinical Center, VA Boston Healthcare System, Jamaica Plain, Massachusetts, USA."},{"name":"Center for Health Optimization and Implementation Research, VA Boston Healthcare System, Boston, Massachusetts, USA."},{"name":"Department of Medicine, Boston University Chobanian &amp; Avedisian School of Medicine, Boston, Massachusetts, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diane E.","family":"Meier","sequence":"additional","affiliation":[{"name":"The Department of Geriatrics and Palliative Medicine, Icahn School of Medicine at Mount Sinai, New York, New York, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica S.","family":"Merlin","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Palliative Medicine, The Ohio State University College of Medicine, Columbus, Ohio, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria J.","family":"Silveira","sequence":"additional","affiliation":[{"name":"Division of Geriatrics &amp;Palliative Medicine, University of Michigan, Ann Arbor, Michigan, USA."},{"name":"Geriatrics Research Education &amp; 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