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药物辅助治疗简短培训可提高社区心理健康临床医生应对物质使用障碍的信心和准备程度。

Brief Training on Medication-Assisted Treatment Improves Community Mental Health Clinicians' Confidence and Readiness to Address Substance Use Disorders.

作者信息

Iheanacho Theddeus, Bommersbach Tanner, Fuehrlein Brian, Arnaout Bachaar, Dike Charles

机构信息

Yale University School of Medicine, New Haven, CT, USA.

VA Connecticut Healthcare System, West Haven, CT, USA.

出版信息

Community Ment Health J. 2020 Nov;56(8):1429-1435. doi: 10.1007/s10597-020-00586-8. Epub 2020 Feb 15.

Abstract

Despite the availability and effectiveness of medication-assisted treatment (MAT) for substance use disorders (SUDs), utilization of these medications remains suboptimal, especially in public sector settings. A key limitation is clinicians' reluctance to include MAT in their routine practice due, in part, to low confidence about managing SUDs and limited awareness of the disease model of addiction. This study evaluates the impact of a 1-day MAT training for community mental health clinicians using a 30-item pre- and post-training questionnaire. Of the 109 clinicians who attended the training, 107 completed the pre- and post-training questionnaires. Factor analysis of the questionnaire identified two domains: readiness to address SUDs among patients (factor 1) and understanding SUDs as diseases (factor 2). Post training, there was a significant change in both factor 1 (p = .00001) and factor 2 (p = .00003), indicating that a brief MAT training can increase clinicians' confidence and readiness to address SUDs and improve their understanding of the disease model of addiction.

摘要

尽管药物辅助治疗(MAT)可用于治疗物质使用障碍(SUDs)且效果显著,但这些药物的利用率仍然不理想,尤其是在公共部门环境中。一个关键限制是临床医生不愿将MAT纳入其常规治疗,部分原因是他们对管理SUDs缺乏信心,且对成瘾疾病模型的认识有限。本研究使用一份包含30个条目的培训前后问卷,评估了为期1天的MAT培训对社区心理健康临床医生的影响。在参加培训的109名临床医生中,107名完成了培训前后的问卷。对问卷进行因子分析确定了两个领域:在患者中处理SUDs的意愿(因子1)和将SUDs理解为疾病(因子2)。培训后,因子1(p = 0.00001)和因子2(p = 0.00003)均有显著变化,表明简短的MAT培训可以提高临床医生处理SUDs的信心和意愿,并改善他们对成瘾疾病模型的理解。

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