Avery Jonathan, Knoepflmacher Daniel, Mauer Elizabeth, Kast Kristopher A, Greiner Miranda, Avery Joseph, Penzner Julie B
1Weill Cornell Medicine, 525 East 68th Street, Box 140, New York, NY 10065 USA.
2Princeton University, Princeton, NJ USA.
HSS J. 2019 Feb;15(1):31-36. doi: 10.1007/s11420-018-9643-3. Epub 2018 Nov 1.
Resident physicians have been shown to possess negative attitudes toward individuals with substance use disorders (SUDs), even if the residents believe they have adequate knowledge and skills to care for these patients. Residents' negative attitudes may have an adverse impact on patient engagement, treatment, and outcomes.
QUESTIONS/PURPOSES: The goal of this study was to examine the impact of an online training module on residents' attitudes toward people with SUDs. We hypothesized that residents who received the educational intervention would show improved attitudes toward people with alcohol and opioid use disorders.
A web-based questionnaire, including demographic information and the Medical Condition Regard Scale (MCRS) about individuals with alcohol and opioid use disorders, was sent to internal medicine and psychiatry residents before and 6 months after they took an online training module on stigma toward individuals with SUDs.
A total of 46 residents completed the initial questionnaire and 29 completed the follow-up questionnaire 6 months later. Attitudes toward individuals with SUDs, as reflected by an increase in MCRS scores, were improved 6 months after the online training module.
Residents' attitudes toward individuals with SUDs improved after taking an online training module. This is encouraging, as studies have shown that attitudes toward individuals with SUDs tend to decline during residency training and negatively affect patient care. Larger studies are needed to determine if such online modules can improve attitudes of other groups of clinicians, result in sustained change over time, and improve patient outcomes.
研究表明，住院医师对患有物质使用障碍（SUDs）的个体持有消极态度，即便这些住院医师认为自己具备照顾此类患者的足够知识和技能。住院医师的消极态度可能会对患者参与度、治疗及治疗结果产生不利影响。
问题/目的：本研究的目的是检验在线培训模块对住院医师对待患有SUDs个体态度的影响。我们假设接受教育干预的住院医师对患有酒精和阿片类物质使用障碍的个体的态度会有所改善。
在接受关于对患有SUDs个体的污名化的在线培训模块之前及6个月后，向内科和精神科住院医师发送一份基于网络的调查问卷，其中包括人口统计学信息以及关于患有酒精和阿片类物质使用障碍个体的医疗状况关注量表（MCRS）。
共有46名住院医师完成了初始调查问卷，6个月后有29名完成了后续调查问卷。在线培训模块6个月后，MCRS得分增加反映出对患有SUDs个体的态度有所改善。
住院医师在接受在线培训模块后，对患有SUDs个体的态度有所改善。这令人鼓舞，因为研究表明，在住院医师培训期间，对患有SUDs个体的态度往往会下降，并对患者护理产生负面影响。需要开展更大规模的研究来确定此类在线模块是否能够改善其他临床医生群体的态度，随时间推移产生持续变化，并改善患者治疗结果。
