Chappel J N, Veach T L
J Med Educ. 1987 May;62(5):394-400. doi: 10.1097/00001888-198705000-00004.
From 1978 through 1982, pretests and posttests of second-year medical students' attitudes toward substance abuse and its treatment showed that positive attitude change could be achieved during a substance abuse course. When the course was scheduled in competition with demanding basic science courses, however, the students' attitudes did not become as positive as or became more negative than when the course was part of a less demanding schedule. The course used lectures and reading assignments to provide information on substance abuse and used patient contact to change attitudes toward substance abusers and treatment. Emphasis was placed on patient management problems and small-group discussions. The changes in the students' attitudes are assumed by the authors to be positive, but the link between these attitudes and good clinical practice has not been demonstrated.
从1978年到1982年，对二年级医学生关于药物滥用及其治疗的态度进行的预测试和后测试表明，在药物滥用课程期间可以实现积极的态度转变。然而，当该课程与要求苛刻的基础科学课程安排冲突时，学生的态度不如课程安排在要求较低的时间段时积极，甚至变得更加消极。该课程通过讲座和阅读作业提供有关药物滥用的信息，并通过与患者接触来改变对药物滥用者及其治疗的态度。重点放在患者管理问题和小组讨论上。作者认为学生态度的变化是积极的，但这些态度与良好临床实践之间的联系尚未得到证实。
