Barriers to the dissemination of four harm reduction strategies: a survey of addiction treatment providers in Ontario.
Barriers to the dissemination of four harm reduction strategies: a survey of addiction treatment providers in Ontario.
复制标题
传播四种危害策略的障碍：安大略省成瘾治疗提供者的调查。
DOI：
10.1186/1477-7517-3-35
复制
发表时间：
2006-12-14
影响因子：
4.4
通讯作者：
Cunningham, John A
中科院分区：
文献类型：
--
作者：
Hobden, Karen L;Cunningham, John A
通过电话采访了安大略成瘾机构的服务提供者样本，以评估对四种减少伤害策略的态度，预期的内部和外部障碍，以及预期的好处：针具交换，适度饮酒目标，美沙酮治疗，并向客户提供免费避孕套。受访者还被要求定义减少伤害，列出其最重要的要素，并描述他们认为最令人不安和最吸引人的减少伤害。对减少危害的态度一般和在每个机构提供的服务也进行了评估。结果表明，接受调查的服务提供者对四种减少危害战略和一般减少危害的每一种都持积极态度，大多数受访者都知道与每一种战略相关的好处。几乎所有接受调查的机构在治疗酒精问题时都允许适度饮酒，大多数机构向客户提供免费避孕套。在障碍方面，预期社区对针具交换、美沙酮治疗和免费避孕套的负面反应是大多数答复者的主要关切。缺乏工作人员、资金或预计工作人员会抵制也被认为是采用这些战略的潜在障碍。在美沙酮维持治疗的情况下，没有合格的医生被列为主要限制因素。未来的努力，旨在鼓励通过这些策略和建议，为未来的研究的影响进行了讨论。
A sample of service providers at addictions agencies' in Ontario were interviewed by telephone to assess attitudes toward, anticipated internal and external barriers to implementing, and expected benefits of four harm reduction strategies: needle exchange, moderate drinking goals, methadone treatment, and provision of free condoms to clients. Respondents were also asked to define harm reduction, list its most important elements, and describe what they find most troubling and most appealing about harm reduction. Attitudes toward harm reduction in general and the services provided at each agency were also assessed. Results indicated that the service providers surveyed had positive attitudes toward each of the four harm reduction strategies and harm reduction in general, and the majority of respondents were aware of the benefits associated with each strategy. Almost all of the agencies surveyed allowed for moderate drinking outcomes in the treatment of alcohol problems, and most agencies provided free condoms to clients. In terms of barriers, anticipated negative community reaction to needle exchange, methadone treatment, and free condoms was a major concern for the majority of respondents. Lack of staff, of funding, or anticipated staff resistance were also cited as potential barriers to introducing these strategies. In the case of methadone maintenance, the unavailability of a qualified physician was listed as the primary constraint. Implications for future efforts directed at encouraging the adoption of these strategies and suggestions for future research are discussed.