Improvement in Residents' Attitudes Toward Individuals with Substance Use Disorders Following an Online Training Module on Stigma
Improvement in Residents' Attitudes Toward Individuals with Substance Use Disorders Following an Online Training Module on Stigma
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DOI：
10.1007/s11420-018-9643-3
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发表时间：
2019-02-01
期刊：
影响因子：
2.5
通讯作者：
Penzner, Julie B.
中科院分区：
文献类型：
--
作者：
Avery, Jonathan;Knoepflmacher, Daniel;Penzner, Julie B.
背景研究表明，住院医师对物质使用障碍(SODS)患者持负面态度，即使住院医师认为他们有足够的知识和技能来照顾这些患者。居民的消极态度可能会对患者的参与度、治疗和结果产生不利影响。问题/目的本研究的目的是检验在线培训模块对住院医生对患有肥胖症患者的态度的影响。我们假设，接受教育干预的居民对酒精和阿片类药物使用障碍的人的态度会有所改善。方法对内科和精神科住院医师分别在参加关于对肥胖症患者污名的在线培训模块前和6个月后，向内科和精神科住院医师发送一份网络问卷，其中包括关于酒精和阿片类药物使用障碍患者的人口学信息和医疗状况关注量表(MCRS)。结果46名居民完成了初始问卷调查，29名居民在6个月后完成了随访问卷。对患有肥胖症的人的态度，从MCRS得分的增加反映出来，在在线培训模块6个月后得到了改善。结论参加在线培训后，住院医师对SODS患者的态度有所改善。这是令人鼓舞的，因为研究表明，在住院医师培训期间，对肥皂泡患者的态度往往会下降，并对患者护理产生负面影响。需要更大规模的研究来确定这样的在线模块是否可以改善其他临床医生群体的态度，随着时间的推移导致持续的变化，并改善患者的结果。
Background Resident physicians have been shown to possess negative attitudes toward individuals with substance use disorders (SUDs), even if the residents believe they have adequate knowledge and skills to care for these patients. Residents' negative attitudes may have an adverse impact on patient engagement, treatment, and outcomes. Questions/Purposes The goal of this study was to examine the impact of an online training module on residents' attitudes toward people with SUDs. We hypothesized that residents who received the educational intervention would show improved attitudes toward people with alcohol and opioid use disorders. Methods A web-based questionnaire, including demographic information and the Medical Condition Regard Scale (MCRS) about individuals with alcohol and opioid use disorders, was sent to internal medicine and psychiatry residents before and 6 months after they took an online training module on stigma toward individuals with SUDs. Results A total of 46 residents completed the initial questionnaire and 29 completed the follow-up questionnaire 6 months later. Attitudes toward individuals with SUDs, as reflected by an increase in MCRS scores, were improved 6 months after the online training module. Conclusion Residents' attitudes toward individuals with SUDs improved after taking an online training module. This is encouraging, as studies have shown that attitudes toward individuals with SUDs tend to decline during residency training and negatively affect patient care. Larger studies are needed to determine if such online modules can improve attitudes of other groups of clinicians, result in sustained change over time, and improve patient outcomes.