Adaptation of the Drug and Drug Problems Perception Questionnaire to assess healthcare provider attitudes toward adolescent substance use.
Adaptation of the Drug and Drug Problems Perception Questionnaire to assess healthcare provider attitudes toward adolescent substance use.
复制标题
改编药物和药物问题认知调查问卷，以评估医疗保健提供者对青少年药物使用的态度。
DOI：
10.1016/j.pmedr.2019.100852
复制
发表时间：
2019
影响因子：
2.8
通讯作者：
Hoover,Sharon
中科院分区：
文献类型：
--
作者：
Connors,Elizabeth;McKenzie,Meghan;Robinson,Perrin;Tager,Michael;Scardamalia,Kris;Oros,Marla;Hoover,Sharon
尽管美国儿科学会建议对青少年药物滥用进行预防性筛查、简短干预和转诊治疗，但初级保健提供者在处理儿科患者的药物滥用问题上不一致（AAP 实践和门诊医学委员会和 AAP 光明未来周期性时间表工作组，2017 年）。进一步研究提供者对解决青少年药物使用问题的看法可能有助于识别和解决筛查的一些障碍。然而，很少有经过验证的措施来衡量提供者对患者物质的看法，而且没有一个是专门针对儿科患者的。这项研究（2015-2017 年在马里兰州进行）检验了评估青少年物质使用认知的适应性措施的内部一致性和因素结构。使用 276 名医疗保健从业人员（87.7% 女性，12.3% 男性）样本的回答来评估内部一致性。他们的职业包括：注册医疗助理（10.9%）、注册护士（17.8%）、执业护士（8.3%）、医师助理（3.6%）、医生（13.8%）、临床治疗师（10.9%）和其他（21.0%）。确定了四因素解决方案，初步证据表明，调整后的措施适合医疗保健提供者使用。 181 名参与者的子样本也被用来评估与自我报告的筛查实践和有效性的收敛有效性。提供者报告的儿科患者酒精和药物使用评估频率与所有分量表上对青少年药物使用的积极看法显着相关。经过调整的措施可能有助于评估提供者接受青少年药物使用筛查培训的准备情况，并且可以进一步调整以包括青少年护理特有的项目，包括父母的参与。
Although preventive screening, brief intervention and referral to treatment for adolescent substance use is recommended by the American Academy of Pediatrics, primary care providers inconsistently address substance use with their pediatric patients (AAP Committee on Practice and Ambulatory Medicine and AAP Bright Futures Periodicity Schedule Workgroup, 2017). Further research on provider perceptions about addressing adolescent substance use may help identify and address some barriers to screening. However, there are few validated measures of provider perceptions toward patient substance, and none are specific to pediatric patients. This study (conducted in Maryland, 2015–2017) examines the internal consistency and factor structure of an adapted measure to assess perceptions of adolescent substance use. Internal consistency was assessed using responses from a sample of 276 healthcare practitioners (87.7% women, 12.3% men). Their professions included the following: Certified Medical Assistants (10.9%), Registered Nurses (17.8%), Nurse Practitioners (8.3%), Physician Assistants (3.6%), Medical Doctors (13.8%), Clinical Therapists (10.9%) and Other (21.0%). A four-factor solution was identified and initial evidence suggests the adapted measure is appropriate for use with health care providers. A subsample of 181 participants who reported direct interaction with adolescent patients in a provider role was also used to assess convergent validity with self-reported screening practices and effectiveness. Provider-reported frequency of alcohol and drug use assessment for pediatric patients was significantly related to positive perceptions about adolescent substance use on all subscales. The adapted measure could prove useful for assessing provider readiness to receive adolescent substance use screening training and could be further adapted to include items unique to adolescent care, including parental involvement.