A Substance Misuse Intervention Program in Postacute Care: Who Declines Participation?
A Substance Misuse Intervention Program in Postacute Care: Who Declines Participation?
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DOI：
10.1016/j.jagp.2020.08.004
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发表时间：
2021-01
期刊：
影响因子：
--
通讯作者：
Shi X
中科院分区：
文献类型：
--
作者：
Cimarolli VR;Burack O;Minahan JM;Falzarano F;Reinhardt JP;Shi X
酒精和药物滥用在老年人中被低估和低估。然而，存在有希望的治疗方法（例如，简短的干预措施），可以支持有风险的酒精和物质使用的老年人。急性后康复设置的专业护理机构（SNFs）可以提供这样的程序，但鲜为人知的是，与参与干预提供急性后康复护理的可能性相关的患者特征。因此，本研究的目的是确定与参与SNF短暂酒精和物质滥用干预相关的个体患者特征（诱发因素、促成因素和需求相关因素）。这项横断面研究分析了SNF中涉及药物滥用干预的急性期后护理患者的病历数据。参与者是271名有药物滥用史的患者，其中177人参加了干预，94人拒绝。患者入院后收集的数据被用来检查易感性，使，和需要相关的因素参与计划的可能性。年龄较大和少数民族地位与参与的可能性减少有关，而丧偶则增加了参与的可能性。在转介到药物滥用干预后，SNF的临床医生应该认识到，一些患者可能更有可能拒绝干预，并且应该做出额外的努力来吸引有拒绝风险的患者。
Alcohol and substance misuse has been under-acknowledged and under-identified in older adults. However, promising treatment approaches exist (e.g., brief interventions) that can support older adults with at-risk alcohol and substance use. Post-acute rehabilitation settings of Skilled Nursing Facilities (SNFs) can offer such programs, but little is known about patient characteristics that are associated with the likelihood of participating in interventions offered in post-acute rehabilitation care. Thus, the objective of this study was to identify individual patient characteristics (predisposing, enabling, and need-related factors) associated with participation in a brief alcohol and substance misuse intervention at a SNF. This cross-sectional study analyzed medical record data of post-acute care patients within a SNF referred to a substance misuse intervention. Participants were 271 patients with a history of substance misuse, 177 of whom enrolled in the intervention and 94 refused. Data collected upon patient admission were used to examine predisposing, enabling, and need-related factors related to likelihood of program participation. Older age and ethnic minority status were associated with a reduction in likelihood to participate, while widowhood increased the likelihood of participation. Upon referral to a substance misuse intervention, clinicians in SNFs should be cognizant that some patients may be more likely to refuse intervention, and additional efforts should be made to engage patients at-risk for refusal.
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影响因子：
2.7
作者：
FORTNEY, JC;BOOTH, BM;COOK, CAL
通讯作者：
COOK, CAL
影响因子：
4
作者：
JOSEPH, CL;ATKINSON, RM;GANZINI, L
通讯作者：
GANZINI, L
DOI：
10.1093/gerona/54.11.m546
发表时间：
1999-11-01
影响因子：
5.1
作者：
Morris, JN;Fries, BE;Morris, SA
通讯作者：
Morris, SA
DOI：
10.1111/j.1532-5415.2008.01944.x
发表时间：
2008-11-01
影响因子：
6.3
作者：
Chodosh, Joshua;Edelen, Maria Orlando;Saliba, Debra
通讯作者：
Saliba, Debra
影响因子：
1.5
作者：
Cimarolli, Verena R.;Burack, Orah;Bondy, Margaret
通讯作者：
Bondy, Margaret