Brief Training on Medication-Assisted Treatment Improves Community Mental Health Clinicians' Confidence and Readiness to Address Substance Use Disorders
Brief Training on Medication-Assisted Treatment Improves Community Mental Health Clinicians' Confidence and Readiness to Address Substance Use Disorders
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DOI：
10.1007/s10597-020-00586-8
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发表时间：
2020-02-15
影响因子：
2.7
通讯作者：
Dike, Charles
中科院分区：
文献类型：
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作者：
Iheanacho, Theddeus;Bommersbach, Tanner;Dike, Charles
尽管药物辅助治疗（MAT）对物质使用障碍（SUD）的可用性和有效性，但这些药物的使用仍然不理想，特别是在公共部门环境中。一个关键的限制是临床医生不愿意将MAT纳入其常规实践，部分原因是对管理SUD的信心不足以及对成瘾疾病模型的认识有限。本研究使用30项培训前和培训后问卷评估为期1天的MAT培训对社区精神卫生临床医生的影响。在参加培训的109名临床医生中，有107人完成了培训前和培训后的问卷调查。问卷的因素分析确定了两个领域：准备解决SUD患者（因素1）和理解SUD的疾病（因素2）。培训后，因子1（p = 0.00001）和因子2（p = 0.00003）都有显著变化，表明简短的MAT培训可以增加临床医生解决SUD的信心和准备，并提高他们对成瘾疾病模型的理解。
Despite the availability and effectiveness of medication-assisted treatment (MAT) for substance use disorders (SUDs), utilization of these medications remains suboptimal, especially in public sector settings. A key limitation is clinicians' reluctance to include MAT in their routine practice due, in part, to low confidence about managing SUDs and limited awareness of the disease model of addiction. This study evaluates the impact of a 1-day MAT training for community mental health clinicians using a 30-item pre- and post-training questionnaire. Of the 109 clinicians who attended the training, 107 completed the pre- and post-training questionnaires. Factor analysis of the questionnaire identified two domains: readiness to address SUDs among patients (factor 1) and understanding SUDs as diseases (factor 2). Post training, there was a significant change in both factor 1 (p = .00001) and factor 2 (p = .00003), indicating that a brief MAT training can increase clinicians' confidence and readiness to address SUDs and improve their understanding of the disease model of addiction.