Changing attitudes and beliefs of staff working in methadone maintenance programs

Changing attitudes and beliefs of staff working in methadone maintenance programs
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DOI:
10.1111/j.1467-842x.1998.tb01422.x
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发表时间:
1998-06-01
影响因子:
3.5
通讯作者:
Irwig, L
Irwig, L
中科院分区:
医学3区
文献类型:
--
作者:
Caplehorn, JRM;Lumley, TS;Irwig, L

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从1989年开始,新南威尔士州试图将美沙酮治疗的目标从禁欲改变为最大限度地减少伤害。悉尼开展了一项研究,以衡量在公共美沙酮项目工作的工作人员的态度变化。使用1989年调查中开发的量表,我们发现,到1992年,对节欲政策的支持出现了统计上显著和有意义的减少。工作人员对惩罚非法药物使用的支持没有变化,也没有改变他们对美沙酮维持的风险和益处的了解。这表明,工作人员的态度问题,以及间接的公共卫生干预措施的有效性,可以通过教育运动来解决。
Starting in 1989, an attempt was made to change the aim of methadone treatment in NSW from abstinence to harm-minimisation. A study was undertaken to measure change in attitudes among staff working in public methadone programs in Sydney. Using scales developed in a 1989 survey, we found a statistically significant and meaningful reduction in support for abstinence-oriented policies had occurred by 1992. There was no change in staff's support for the punishment of illicit drug use or their knowledge of the risks and benefits of methadone maintenance. This suggests problems with staff attitudes and, indirectly, the effectiveness of public health interventions, can be addressed using educational campaigns.