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在青少年初级保健中实施以大麻为重点的筛查、简短干预和转诊治疗(SBIRT)的障碍

Barriers to Implementing a Cannabis Focused SBIRT in Adolescent Primary Care.

作者信息

Kristman-Valente Allison N, McCarty Carolyn A, Walker Denise D, Walker-Harding Leslie

机构信息

Center for Child Health, Behavior & Development, Seattle Children's Hospital Research Institute, Seattle, WA, USA.

Department of Pediatrics, University of Washington, School of Medicine, Seattle, WA, USA.

出版信息

Subst Abuse. 2022 Jul 11;16:11782218221111837. doi: 10.1177/11782218221111837. eCollection 2022.

Abstract

INTRODUCTION

The current study investigated providers' perceived barriers, supports, and need for adopting a screening, brief intervention, and referral to treatment model (SBIRT) intervention related to cannabis reduction into their community based primary care clinics.

METHODS

Eleven pediatric primary care providers from regional community-based clinics participated in focus groups discussing a proposed adolescent cannabis use SBIRT reduction intervention, perceived need, and potential barriers to implementation within their clinic.

RESULTS

Seven primary themes emerged regarding barriers to implementing a cannabis reduction SBIRT in primary care including provider ambivalence to adolescent cannabis use.

CONCLUSION

Further research is needed to understand evolving provider perceptions of adolescent cannabis use and how these views impact the adoption of SBIRT for the reduction of cannabis use among their adolescent patients.

摘要

引言

本研究调查了医疗服务提供者在将与减少大麻使用相关的筛查、简短干预和转介治疗模式(SBIRT)干预措施引入其社区基层医疗诊所时所感知到的障碍、支持因素以及需求。

方法

来自地区社区诊所的11名儿科基层医疗服务提供者参加了焦点小组讨论,内容涉及拟议的青少年大麻使用SBIRT减少干预措施、感知到的需求以及在其诊所实施的潜在障碍。

结果

出现了七个主要主题,涉及在基层医疗中实施减少大麻使用SBIRT的障碍,包括医疗服务提供者对青少年大麻使用的矛盾态度。

结论

需要进一步研究,以了解医疗服务提供者对青少年大麻使用的看法如何演变,以及这些观点如何影响在其青少年患者中采用SBIRT来减少大麻使用。

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本文引用的文献

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Research Review: What have we learned about adolescent substance use?研究综述:我们对青少年物质使用有了哪些了解?
J Child Psychol Psychiatry. 2018 Jun;59(6):618-627. doi: 10.1111/jcpp.12783. Epub 2017 Jul 17.
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Cannabis use, attitudes, and legal status in the U.S.: A review.美国的大麻使用、态度和法律地位:综述。
Prev Med. 2017 Nov;104:13-23. doi: 10.1016/j.ypmed.2017.07.008. Epub 2017 Jul 11.
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Substance Abuse, General Principles.药物滥用,一般原则。
Pediatr Rev. 2015 Dec;36(12):535-44. doi: 10.1542/pir.36-12-535.

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