Identification and Management of Opioid Use Disorder in Older Adults

Program Evaluation

We appreciate your participation in our continuing education activity. Your responses to this anonymous survey will allow us to improve our program offerings and services. Thank you for your time.

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* 1. What is your primary professional discipline?

Medicine

Rehab Therapy (PT/OT/SLP)

Nursing

Social Work

Pharmacy

Other

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* 2. Please list all professional license/certificate/degree(s) you hold:

EVALUATION OF TRAINING:
Please use the scale below to rate the efficacy of the learning objectives, the presenters, and the instructional format:
1 = Totally ineffective
2 = Somewhat ineffective
3 = Somewhat effective
4 = Effective
5 = Highly effective

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* 3. Rate the relationship between activity content to stated learning objective:

	1	2	3	4	5
Discuss considering incorporation of routine screening of older adults for opioid use disorder (OUD) and opioid overdose in the primary care setting.	Discuss considering incorporation of routine screening of older adults for opioid use disorder (OUD) and opioid overdose in the primary care setting. 1	Discuss considering incorporation of routine screening of older adults for opioid use disorder (OUD) and opioid overdose in the primary care setting. 2	Discuss considering incorporation of routine screening of older adults for opioid use disorder (OUD) and opioid overdose in the primary care setting. 3	Discuss considering incorporation of routine screening of older adults for opioid use disorder (OUD) and opioid overdose in the primary care setting. 4	Discuss considering incorporation of routine screening of older adults for opioid use disorder (OUD) and opioid overdose in the primary care setting. 5
Discuss how stigma and ageism may negatively impact the identification and treatment of OUD in older adults.	Discuss how stigma and ageism may negatively impact the identification and treatment of OUD in older adults. 1	Discuss how stigma and ageism may negatively impact the identification and treatment of OUD in older adults. 2	Discuss how stigma and ageism may negatively impact the identification and treatment of OUD in older adults. 3	Discuss how stigma and ageism may negatively impact the identification and treatment of OUD in older adults. 4	Discuss how stigma and ageism may negatively impact the identification and treatment of OUD in older adults. 5
Enhance use of naltrexone or opioid agonist therapy in older adults with OUD, including expanded use of buprenorphine in the primary care setting.	Enhance use of naltrexone or opioid agonist therapy in older adults with OUD, including expanded use of buprenorphine in the primary care setting. 1	Enhance use of naltrexone or opioid agonist therapy in older adults with OUD, including expanded use of buprenorphine in the primary care setting. 2	Enhance use of naltrexone or opioid agonist therapy in older adults with OUD, including expanded use of buprenorphine in the primary care setting. 3	Enhance use of naltrexone or opioid agonist therapy in older adults with OUD, including expanded use of buprenorphine in the primary care setting. 4	Enhance use of naltrexone or opioid agonist therapy in older adults with OUD, including expanded use of buprenorphine in the primary care setting. 5

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* 4. Rate the effectiveness of the presenter(s)

	1	2	3	4	5
a. Presentation Style	a. Presentation Style 1	a. Presentation Style 2	a. Presentation Style 3	a. Presentation Style 4	a. Presentation Style 5
b. Knowledge of Subject	b. Knowledge of Subject 1	b. Knowledge of Subject 2	b. Knowledge of Subject 3	b. Knowledge of Subject 4	b. Knowledge of Subject 5
c. Quality of Material	c. Quality of Material 1	c. Quality of Material 2	c. Quality of Material 3	c. Quality of Material 4	c. Quality of Material 5
d. Practical applicability or relevance of topic	d. Practical applicability or relevance of topic 1	d. Practical applicability or relevance of topic 2	d. Practical applicability or relevance of topic 3	d. Practical applicability or relevance of topic 4	d. Practical applicability or relevance of topic 5

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* 5. Please rate the effectiveness of teaching strategies:

	1	2	3	4	5
Effectiveness of teaching strategies:	Effectiveness of teaching strategies: 1	Effectiveness of teaching strategies: 2	Effectiveness of teaching strategies: 3	Effectiveness of teaching strategies: 4	Effectiveness of teaching strategies: 5

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* 6. What was the most significant thing(s) you learned?

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* 7. In your work with older adults, do you intent to implement at least one practice improvement learned as a result of this activity?

Yes

N/A

If yes, please describe:

RETROSPECTIVE ASSESSMENT:
Use the following scale to rate your perceived level of confidence in the topics listed below BEFORE the training and then AFTER the training: Scale: 1= not at all confident to ... 5= fully confident

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* 8. How confident were/are you in your ability to:

	Before	After
a. Discuss considering incorporation of routine screening of older adults for opioid use disorder (OUD) and opioid overdose in the primary care setting.	a. Discuss considering incorporation of routine screening of older adults for opioid use disorder (OUD) and opioid overdose in the primary care setting. Before menu	a. Discuss considering incorporation of routine screening of older adults for opioid use disorder (OUD) and opioid overdose in the primary care setting. After menu
b. Discuss how stigma and ageism may negatively impact the identification and treatment of OUD in older adults.	b. Discuss how stigma and ageism may negatively impact the identification and treatment of OUD in older adults. Before menu	b. Discuss how stigma and ageism may negatively impact the identification and treatment of OUD in older adults. After menu
c. Enhance use of naltrexone or opioid agonist therapy in older adults with OUD, including expanded use of buprenorphine in the primary care setting.	c. Enhance use of naltrexone or opioid agonist therapy in older adults with OUD, including expanded use of buprenorphine in the primary care setting. Before menu	c. Enhance use of naltrexone or opioid agonist therapy in older adults with OUD, including expanded use of buprenorphine in the primary care setting. After menu

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* 9. Please feel free to share any additional comments and suggestions. Your feedback is extremely valuable to us.

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* 10. If you would like a Certificate of Completion please complete the information below:

Name

Organization

State

Email Address