Dental Screening, Counseling, and Referral to Treatment for Substance Use Disorder: Survey of the National Dental Practice-Based Research Network.

IF 2.4 3区 医学 Q2 PSYCHOLOGY
Jenna L McCauley, Phillip Crawford, Michael C Leo, Mary Ann McBurnie, Danyelle Barton, Heather A Weidner, D Brad Rindal
{"title":"Dental Screening, Counseling, and Referral to Treatment for Substance Use Disorder: Survey of the National Dental Practice-Based Research Network.","authors":"Jenna L McCauley, Phillip Crawford, Michael C Leo, Mary Ann McBurnie, Danyelle Barton, Heather A Weidner, D Brad Rindal","doi":"10.15288/jsad.24-00383","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to conduct a national survey of practicing dentists assessing their current knowledge, attitudes, and practice behaviors related to substance use screening among their adult patients. The secondary objective was to identify practitioner- and practice-level facilitators and barriers of substance use screening.</p><p><strong>Method: </strong>This cross-sectional study consisted of an electronic survey disseminated to practicing dentists who were active members of the National Dental Practice-Based Research Network (National Dental PBRN; n=790; 61% male).</p><p><strong>Results: </strong>The majority of dentists reported some level of screening for nicotine (95.7%), alcohol (87.2%), cannabis (83.9%), and illicit drug (87.7%) use among their adult patients. More than 2 in 5 dentists reported never counseling patients regarding problematic use of alcohol, cannabis and illicit drugs. Higher screening frequency was associated with higher counseling frequency and lower endorsement of two barrier factors: beliefs regarding responsibility, relevance, and effectiveness and lack of training and/or resources. Higher frequency of counseling was associated with higher frequency of referral behavior and lower endorsement of three barrier factors: concerns regarding patient truthfulness/discomfort, beliefs regarding responsibility, relevance, and effectiveness and lack of training and/or resources.</p><p><strong>Conclusions: </strong>Results indicate a high level of willingness to screen, counsel, and refer patients for substance use among a majority of dentists, though current practice behaviors lag willingness. Findings regarding barriers and facilitators can guide efforts to develop, disseminate and implement screening, brief intervention, and referral to treatment training, initiatives, as well as tools that are inclusive of or specifically target dental providers.</p>","PeriodicalId":17159,"journal":{"name":"Journal of studies on alcohol and drugs","volume":" ","pages":""},"PeriodicalIF":2.4000,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of studies on alcohol and drugs","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.15288/jsad.24-00383","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHOLOGY","Score":null,"Total":0}
引用次数: 0

Abstract

Objective: The objective of this study was to conduct a national survey of practicing dentists assessing their current knowledge, attitudes, and practice behaviors related to substance use screening among their adult patients. The secondary objective was to identify practitioner- and practice-level facilitators and barriers of substance use screening.

Method: This cross-sectional study consisted of an electronic survey disseminated to practicing dentists who were active members of the National Dental Practice-Based Research Network (National Dental PBRN; n=790; 61% male).

Results: The majority of dentists reported some level of screening for nicotine (95.7%), alcohol (87.2%), cannabis (83.9%), and illicit drug (87.7%) use among their adult patients. More than 2 in 5 dentists reported never counseling patients regarding problematic use of alcohol, cannabis and illicit drugs. Higher screening frequency was associated with higher counseling frequency and lower endorsement of two barrier factors: beliefs regarding responsibility, relevance, and effectiveness and lack of training and/or resources. Higher frequency of counseling was associated with higher frequency of referral behavior and lower endorsement of three barrier factors: concerns regarding patient truthfulness/discomfort, beliefs regarding responsibility, relevance, and effectiveness and lack of training and/or resources.

Conclusions: Results indicate a high level of willingness to screen, counsel, and refer patients for substance use among a majority of dentists, though current practice behaviors lag willingness. Findings regarding barriers and facilitators can guide efforts to develop, disseminate and implement screening, brief intervention, and referral to treatment training, initiatives, as well as tools that are inclusive of or specifically target dental providers.

牙科筛查,咨询和转诊治疗的物质使用障碍:调查全国牙科实践为基础的研究网络。
目的:本研究的目的是开展一项全国执业牙医调查,评估他们目前对成年患者药物使用筛查的知识、态度和执业行为。次要目标是确定从业人员和实践水平的促进因素和物质使用筛选的障碍。方法:这项横断面研究包括一项电子调查,分发给全国牙科实践研究网络(National Dental PBRN;n = 790;61%的男性)。结果:大多数牙医报告在其成年患者中对尼古丁(95.7%)、酒精(87.2%)、大麻(83.9%)和非法药物(87.7%)使用进行了一定程度的筛查。超过五分之二的牙医报告从未就有问题的酒精、大麻和非法药物的使用向病人提供咨询。较高的筛查频率与较高的咨询频率和较低的两个障碍因素相关:关于责任、相关性和有效性的信念以及缺乏培训和/或资源。较高的咨询频率与较高的转诊行为频率和较低的三个障碍因素相关:对患者真实性/不适的担忧,对责任、相关性和有效性的信念以及缺乏培训和/或资源。结论:结果表明,在大多数牙医中,筛查、咨询和转诊患者药物使用的意愿很高,尽管目前的实践行为滞后于意愿。有关障碍和促进因素的调查结果可以指导制定、传播和实施筛查、简短干预和转诊治疗培训、倡议以及包括或专门针对牙科提供者的工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
4.80
自引率
5.90%
发文量
224
审稿时长
3 months
期刊介绍: The Journal of Studies on Alcohol and Drugs began in 1940 as the Quarterly Journal of Studies on Alcohol. It was founded by Howard W. Haggard, M.D., director of Yale University’s Laboratory of Applied Physiology. Dr. Haggard was a physiologist studying the effects of alcohol on the body, and he started the Journal as a way to publish the increasing amount of research on alcohol use, abuse, and treatment that emerged from Yale and other institutions in the years following the repeal of Prohibition in 1933. In addition to original research, the Journal also published abstracts summarizing other published documents dealing with alcohol. At Yale, Dr. Haggard built a large team of alcohol researchers within the Laboratory of Applied Physiology—including E.M. Jellinek, who became managing editor of the Journal in 1941. In 1943, to bring together the various alcohol research projects conducted by the Laboratory, Dr. Haggard formed the Section of Studies on Alcohol, which also became home to the Journal and its editorial staff. In 1950, the Section was renamed the Center of Alcohol Studies.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信