Calhoun Cardiology Center - Behavioral Health, University of Connecticut Health Center, Farmington, CT 06030-3944, USA.
J Subst Abuse Treat. 2013 Sep;45(3):306-12. doi: 10.1016/j.jsat.2013.03.003. Epub 2013 Apr 24.
In 2011, the Veterans Administration called for nationwide implementation of contingency management (CM) in its intensive outpatient substance use disorders treatment programs, and this study evaluated the impact of the initial 1 and ½ day training workshops on knowledge and perceptions about CM among 159 clinical leaders from 113 clinics. Workshop attendance significantly increased CM-related knowledge (d=1.88) and changed attendees' perceptions of CM (ds=0.26-0.74). Endorsement of barriers to CM adoption decreased and positive impressions of CM increased. These perceptions about CM emerged as key correlates of post-training preparedness to implement CM. Results suggest that training workshops can be an effective avenue for increasing CM-related knowledge, as well as addressing persistent misperceptions about CM that may impede adoption efforts. Continued efforts to introduce educational materials and offer training and consultation opportunities may increase understanding about this evidence-based intervention among clinicians, thereby leading to improved patient outcomes.
2011 年,退伍军人事务部呼吁在其密集的门诊物质使用障碍治疗计划中在全国范围内实施应急管理(CM),本研究评估了初始的 1 天半培训研讨会对 113 个诊所的 159 名临床领导关于 CM 的知识和看法的影响。参加研讨会显著提高了与 CM 相关的知识(d=1.88),并改变了与会者对 CM 的看法(ds=0.26-0.74)。对采用 CM 的障碍的认可减少了,对 CM 的正面印象增加了。这些关于 CM 的看法成为培训后准备实施 CM 的关键相关因素。研究结果表明,培训研讨会是提高 CM 相关知识的有效途径,同时也解决了可能阻碍采用努力的关于 CM 的持久误解。继续努力引入教育材料并提供培训和咨询机会,可能会增加临床医生对这种基于证据的干预措施的理解,从而改善患者的治疗效果。