促进和阻碍医疗保健提供者采用减少大麻使用危害的因素：范围综述方案。

Facilitators of and barriers to healthcare providers' adoption of harm reduction in cannabis use: a scoping review protocol.

机构信息

Department of Psychology, Université de Montréal, Montreal, Quebec, Canada

Department of Psychology, Université de Montréal, Montreal, Quebec, Canada.

出版信息

BMJ Open. 2024 Apr 5;14(4):e078427. doi: 10.1136/bmjopen-2023-078427.

DOI:10.1136/bmjopen-2023-078427

PMID:38580357

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11002399/

Abstract

INTRODUCTION

The high prevalence of cannabis use and the potential for negative effects indicate the need for effective prevention strategies and treatment of people who use cannabis. Studies show that harm reduction (HR) in cannabis use is effective in minimising the harmful consequences of the substance. However, health professionals often misunderstand it and resist its adoption due to various obstacles. To our knowledge, there has been no review of the scientific literature on the factors that facilitate or hinder practitioners' adoption of HR in cannabis use. To fill this gap, we aim to identify, through a scoping review, facilitators and barriers to healthcare providers' adoption of HR in cannabis use in Organisation for Economic Cooperation and Development (OECD) countries.

METHODS AND ANALYSIS

Our methodology will be guided by the six-step model initially proposed by Arksey and O'Malley (2005). The search strategy will be executed on different databases (Medline, PsycINFO, CINAHL, Web of Science, Embase, Sociological Abstracts, Érudit, BASE, Google Web and Google Scholar) and will cover articles published between 1990 and October 2022. Empirical studies published in French or English in an OECD country and identifying factors that facilitate or hinder healthcare providers' adoption of HR in cannabis use, will be included. Reference lists of the selected articles as well as relevant systematic reviews will be scanned to identify any missed publications by the electronic searches.

ETHICS AND DISSEMINATION

Ethics approval is not required. The results will be disseminated through various activities (eg, publication in peer-reviewed journals, conferences, webinars and knowledge translation activities). The results will also allow us to conduct a future study aiming to develop and implement a knowledge translation process among healthcare practitioners working with youth in Quebec in order to enhance their adoption of HR in cannabis use.

摘要

简介

大麻使用的高流行率和潜在的负面影响表明，需要制定有效的预防策略并治疗大麻使用者。研究表明，减少大麻使用危害（HR）可有效减少该物质的有害后果。然而，由于各种障碍，卫生专业人员常常对此误解并抵制采用。据我们所知，目前还没有对促进或阻碍医疗保健提供者在大麻使用中采用 HR 的因素进行科学文献综述。为了填补这一空白，我们旨在通过范围综述，确定经合组织（OECD）国家医疗保健提供者在大麻使用中采用 HR 的促进因素和障碍。

方法和分析

我们的方法将遵循 Arksey 和 O'Malley（2005 年）最初提出的六步模型。搜索策略将在不同的数据库（Medline、PsycINFO、CINAHL、Web of Science、Embase、Sociological Abstracts、Érudit、BASE、Google Web 和 Google Scholar）上执行，并将涵盖 1990 年至 2022 年 10 月期间发表的文章。将纳入在经合组织国家以法语或英语发表的，确定促进或阻碍医疗保健提供者在大麻使用中采用 HR 的因素的实证研究。还将对选定文章的参考文献列表以及相关的系统综述进行扫描，以确定电子搜索遗漏的任何出版物。