Drug and alcohol review最新文献

{"title":"Nudging Drink Choice in Pubs: The Impact of Introducing Alcohol-Free Beer on Alcohol Sales and Venue Revenues","authors":"Nadine Waehning,&nbsp;Victoria Wells,&nbsp;Franziska Sohns","doi":"10.1111/dar.70271","DOIUrl":"https://doi.org/10.1111/dar.70271","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The project aims to evaluate the impact of introducing alcohol-free (AF) beer using three behavioural ‘nudges’ designed to encourage consumer uptake. Nudges are subtle changes to the choice environment that encourage particular behaviours without restricting consumer choice.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a sequential mixed-method approach incorporating an exploratory quasi-experimental, non-randomised study of intervention with a before-and-after design in a field setting to gather temporal insights, collecting daily sales data over a 9-month period in three different pubs and qualitative interviews. All three pubs received the same three interventions sequentially. The interventions included, first, introducing AF beer cans into the fridge; second, displaying posters; and third, offering AF beer on tap, which were followed by interviews with publicans and pub staff.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The introduction of AF beer was associated with reduced revenue from wine and spirits, while leaving pubs' overall drinks revenue unaffected. NoLo sales were influenced by weather, with higher temperatures increasing demand. Consumers showed a preference for AF beer on tap, often choosing it over canned alternatives. Hence, offering AF beer in pubs is a way to cater to diverse consumer preferences, maintaining profitability.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>This study provides unique insights into the revenue and consumption patterns associated with introducing AF beer, highlighting its potential benefits to pub managers as well as policy makers.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 7","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149048219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Concordance Analysis and Proficiency Testing Are Complementary, Not Interchangeable, in Drug Checking Technician Competency","authors":"Samuel Tobias","doi":"10.1111/dar.70273","DOIUrl":"10.1111/dar.70273","url":null,"abstract":"","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 6","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149030009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Out of Sight, Out of Mind: Shedding Light on Two Blind Spots in Harm Reduction Discourse","authors":"Simon Clay,&nbsp;Wayne Hall","doi":"10.1111/dar.70259","DOIUrl":"10.1111/dar.70259","url":null,"abstract":"<p>Harm reduction policies aim to reduce drug-related harms. This has historically involved providing tailored health services to people who use drugs to do so more safely. Social justice is another defining element of harm reduction. This component aims to reduce drug-related stigma and minimise the social harms experienced by people who use drugs by advocating for the decriminalisation of the possession of illicit drugs. However, the harms that occur <i>before</i> drugs reach a user's hands or a country's borders have received less attention in harm reduction. These harms include the environmental damage that arises from illicit drug production and the humanitarian violence many individuals experience when carrying drugs across borders to escape extreme poverty and/or gang violence. In this debate piece, we highlight the extent of these harms and argue that they need to be considered when developing more comprehensive international approaches to harm reduction.</p>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 6","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13595494/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149015852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experience as Evidence: A Content Analysis of Reddit Discussions About Alcohol Use During Pregnancy","authors":"Megan Cook,&nbsp;Lisa Schölin,&nbsp;Natasha Reid,&nbsp;Emmanuel Kuntsche,&nbsp;Benjamin C. Riordan","doi":"10.1111/dar.70265","DOIUrl":"10.1111/dar.70265","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Reddit is a space where people commonly discuss sensitive health-related topics and share experiences. We explore discussions relating to alcohol use during pregnancy to understand why people turn to platforms like Reddit for public health advice, and to identify potential lessons for public health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We undertook a descriptive qualitative study, using directed content analysis, to explore 1654 Reddit comments that discussed alcohol and pregnancy, examining the purpose, positioning and use of evidence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Comments primarily focussed on alcohol consumption while knowingly pregnant (57%) followed by comments about drinking before pregnancy recognition (35%). Comments were evenly split between those supporting (37%) and opposing (37%) alcohol use during pregnancy. A further 14% adopted a precautionary stance, and 11% expressed mixed views. Fifty-four percent of comments drew on some form of evidence, with anecdotal evidence most common (43%), followed by advice from health professionals (29%). Anecdotal accounts often involved personal experience used to justify conclusions about risk.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>The findings suggest that Reddit functions as a widely used platform for peer-to-peer exchange of knowledge and experiences regarding alcohol consumption, particularly while knowingly pregnant. Taken together, these findings help explain why individuals may turn to platforms like Reddit for pregnancy-related advice—such spaces offer accessibility, immediacy, and a diversity of perspectives, alongside opportunities for emotional support and normalisation of experience. However, the relatively limited use of scientific evidence suggests an ongoing gap in effective knowledge translation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 6","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13596303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149024299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Migrant Background Youth and Hazardous Drinking: Drinking to Fit Into Australian Society?","authors":"Caroline Ng Tseung-Wong,&nbsp;Justine Dandy,&nbsp;Amanda M. George","doi":"10.1111/dar.70268","DOIUrl":"10.1111/dar.70268","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>In this study, we proposed that migrant youth might have acculturation reasons to drink alcohol and explored the role of acculturative gap conflict and perceived drinking culture in predicting hazardous drinking. We examined proximal acculturation reasons for drinking in terms of drinking to fit into Australian culture and drinking to cope with parental/community expectations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted an online survey with 470 participants (age range 18–25 years). Data from those who reported having tried alcohol (<i>n</i> = 383; 65% female, 71% born in Australia) were analysed. We grouped participants under those who came from similar alcohol consumption environments to Australia and those who did not.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Using hierarchical logistic regression, we found that predictors of hazardous alcohol use included motives for drinking (coping—OR = 2.28, 95% CI [1.57, 3.32], <i>p</i> &lt; 0.001; enhancement—OR = 2.22, 95% CI [1.50, 3.29], <i>p</i> &lt; 0.001) and drinking to fit in (OR = 1.47, 95% CI [1.04, 2.08], <i>p</i> = 0.028). Those who came from similar drinking environments as Australia had increased odds of drinking at hazardous levels compared to those who came from dissimilar drinking environments (OR = 0.44, 95% CI [0.23, 0.83], <i>p</i> = 0.011). The model correctly classified three-quarters of both non-hazardous and hazardous drinkers and demonstrated good discriminant validity (AUC = 0.845).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>Besides coping and enhancement drinking motives, drinking to fit in was a significant predictor of hazardous drinking. This highlights the importance of looking at proximal acculturation reasons for drinking in migrant youth.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 6","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13595354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149015889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes and Challenges in Editing and Producing Drug and Alcohol Review","authors":"Robin Room","doi":"10.1111/dar.70262","DOIUrl":"10.1111/dar.70262","url":null,"abstract":"&lt;p&gt;&lt;i&gt;Drug and Alcohol Review&lt;/i&gt; (DAR) was first published in 1982 as a biennial publication of a society then called the Australian Medical Society on Alcohol and other Drug Problems. In the following years, the Society expanded its membership and scope to include other professions and disciplines and to cover New Zealand, and by 2004 its name was the Australasian Professional Society on Alcohol and other Drugs (APSAD) [&lt;span&gt;6&lt;/span&gt;]. Initially a biannual publication of the proceedings of the Society, by 1985 DAR ‘had become a quarterly journal focusing increasingly on original research and critical reviews’ [&lt;span&gt;4&lt;/span&gt;]. Les Drew was its founding editor, succeeded by John Saunders, who was its Editor-in-Chief from 1984 to 2009. By 1994 it had four issues a year, with 54 articles and a total of 478 pages of text, though on smaller pages than nowadays.&lt;/p&gt;&lt;p&gt;By 2009, DAR was in the middle range, in terms of its impact factor, among the 20 or so leading journals in the international drug and alcohol field. About half of its content comes from scholars based in Australia or New Zealand, with contributions also from the rest of the world—particularly from scholars in Asia-Pacific and Anglophone countries. The strong Australasian contribution to the journal's content reflects not only the location of its origin and editorial staff, but also that it is the journal of the field's main Australasian research society. Indeed, the journal's editorial groups hold meetings regularly around APSAD's scientific meetings and its offices, and DAR makes a substantial contribution to APSAD's budget.&lt;/p&gt;&lt;p&gt;DAR's size has increased considerably over the years: by 2023, there were seven issues in the year with a total of 1861 pages of text. In 2025 the issues contained 187 articles on a total of 2125 pages. In the light of its expansion in content, the journal's editorial structure has also expanded, and the Editorial Board now includes 10 Senior Editors and 54 Deputy Editors, with Paul Dietze as the current Editor-in-Chief. Its one Editorial Officer, Erin Grech, is an APSAD staff member and has efficiently managed the flow of reviews and papers for 14 years.&lt;/p&gt;&lt;p&gt;In 2024 DAR changed to online publication, and currently it is abandoning distinct ‘issues’. Papers are thus individually published online after their final acceptance, with each paper given a distinct number and its own pagination beginning with 1. The primary form of a DAR article is thus now electronic rather than paper. These changes reflect general shifts in the world of scholarly journal publication. Meanwhile, scholarly journal publication has become dominated by a relatively small number of international multi-journal publishers, among them Wiley, which has been the publisher of DAR in recent years. While journal publication fees have generally risen, there are various ways in which they may be met or bypassed by scholars submitting an article. Notably, authors who are staff members at many A","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 6","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dar.70262","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149024313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the Pattern of Kava (Piper methysticum) Consumption in Australia by Wastewater-Based Epidemiology","authors":"Lorato Makanye,&nbsp;Emma L. Keller,&nbsp;Cobus Gerber,&nbsp;Bradley S. Simpson","doi":"10.1111/dar.70263","DOIUrl":"10.1111/dar.70263","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Kava (<i>Piper methysticum</i>) is a plant native to the Pacific Islands, used in the preparation of a beverage consumed during ceremonies. The plant has gained popularity in other countries as a supplement for the treatment of anxiety and insomnia. Nevertheless, products containing <i>P. methysticum</i> were associated with liver damage, which led to the kava ban in several jurisdictions across the world, including Australia. However, in 2019, the Australian government started relaxing import restrictions as part of the kava pilot. It is therefore of interest to establish a baseline of kava consumption on a national population scale, serving as a reference point for understanding the long-term effect of this policy change.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Wastewater analysis of kavalactones and metabolites was employed to establish a baseline measurement of use in Australia. Influent samples were collected from 54 wastewater treatment plants from December 2023 to December 2024. Liquid–liquid extraction was used for sample preparation, followed by liquid chromatography–tandem mass spectrometry analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eight chemical markers were detected in wastewater collected from all participating treatment plants. The highest excreted loads were measured in regional Western Australia and the capital cities of New South Wales and the Northern Territory.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>The use of kava and <i>P. methysticum</i> containing products was on average higher in regional areas compared to capital cities, and elevated at the weekend, suggesting recreational use. Wastewater analysis can provide specific insights into the use of kava and <i>P. methysticum</i> containing products and is implemented as part of routine drug epidemiology programs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 6","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13594372/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149015917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship Between Alcohol Consumption and Sleep Quality in a Community-Based Adult Sample From Central-Western Spain","authors":"Jesús Gonzalez-Sanchez,&nbsp;Cesar Jimenez-Vaquero,&nbsp;Rosario Alonso-Dominguez,&nbsp;Irene A. Garcia-Yu,&nbsp;Natalia Sanchez-Aguadero,&nbsp;Andrea Crespo-Sedano,&nbsp;María I. Rihuete-Galve,&nbsp;Arthur Eumann Mesas,&nbsp;Jose I. Recio-Rodriguez","doi":"10.1111/dar.70269","DOIUrl":"10.1111/dar.70269","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Alcohol is one of the most widely consumed psychoactive substances worldwide. Frequent and excessive consumption can lead to negative health and quality-of-life effects, including impaired sleep quality. This study aimed to analyse the relationship between alcohol consumption and sleep quality indices in a stratified random sample of adults aged 25–65 years residing in Salamanca and Ávila, central-western Spain.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional descriptive study was conducted in the cities of Salamanca and Ávila, central-western Spain. The study population included a sample of 500 individuals aged 25–65, selected via stratified random sampling by age and sex from the health card database of the regional health service. Sleep quality was assessed via actigraphy and the Pittsburgh Sleep Quality Index (PSQI).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Our results showed an association between alcohol consumption (measured in grams/week) and PSQI score, as well as with certain sleep parameters measured by actigraphy. Participants in the high-risk alcohol consumption group (&gt; 180 g/week) had higher PSQI scores, more awakenings, and a higher sleep fragmentation index compared with those reporting no alcohol consumption. Significant differences were also found between all alcohol consumption categories in sleep efficiency and Wake After Sleep Onset.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>High-risk alcohol consumption (&gt; 180 g/week) was associated with poorer self-reported sleep quality in a community-based adult sample from central-western Spain, as well as with worse values in actigraphy-derived sleep parameters, including sleep efficiency, Wake After Sleep Onset, number of awakenings, and sleep fragmentation index.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 6","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dar.70269","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148988593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Provider Experiences and Preferences for Integrating an Evidence-Based Mobile Health Application in Methadone Maintenance Treatment: A Mixed-Methods Study","authors":"Bridget O'Kelly,&nbsp;Preeha Sohail,&nbsp;Nari Yoo,&nbsp;Hannah Zimmerman,&nbsp;Paige Miller,&nbsp;Anna B. Konova,&nbsp;Sean Murphy,&nbsp;Paul Glimcher,&nbsp;Babak Tofighi","doi":"10.1111/dar.70257","DOIUrl":"https://doi.org/10.1111/dar.70257","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>This study evaluated provider experiences and preferences for implementing mobile health (mHealth) tools in methadone maintenance treatment (MMT), including the evidence-driven Smartphones for Opiate Addiction Recovery (SOAR) smartphone application.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Semi-structured interviews were conducted between August 2023 and July 2024 among MMT providers (<i>N</i> = 20) not previously exposed to the SOAR app. Providers viewed a video demonstrating the patient- and provider-facing user interfaces of the SOAR app. Interviews were guided by the Technology Acceptance Model and User Experience principles to inform design modifications and integration strategies for the SOAR app to reduce illicit opioid use and early treatment cessation among patients initiating methadone.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Providers were favourable toward adopting mHealth tools, including the SOAR app, in MMT settings to improve patient monitoring, self-management during initiation on methadone, patient-provider communication, and between-visit supports. Potential barriers to SOAR app adoption included interoperability challenges with electronic medical records, limited staff time to complete app training, and disparities in patient mobile phone ownership and technology literacy. Preferences for improving the adoption of the SOAR app in MMT included: (i) app integration within the electronic medical records dashboard; (ii) app-based screening for social needs; (iii) providing clinical evidence of app efficacy to stakeholders to support adoption; and (iv) enhancing patient engagement with the app by linking gamified elements to tangible rewards.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>Findings among MMT program providers endorsed the potential for scaling the adoption of mHealth, including the SOAR app, in MMT to reduce illicit opioid use and early treatment discontinuation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 6","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148994472","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient and Provider Demand for and Readiness to Adopt Medications for Stimulant Use Disorders in Real-World Settings: Pre-Planning Toward Accelerated Implementation","authors":"Enya B. Vroom,&nbsp;Erin P. Finley,&nbsp;Carma Deem Bolton,&nbsp;Tara Karns-Wright,&nbsp;Jennifer S. Potter","doi":"10.1111/dar.70247","DOIUrl":"10.1111/dar.70247","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>In the United States, rates of stimulant use disorder (StUD) have increased over the last 20 years, yet fewer than one-third of adults receive treatment. Recent research has shown the efficacy of medication for StUD, but little is known regarding demand and readiness to adopt such treatments. This study examined patient and provider perspectives on medication for StUD in real-world practice settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Semi-structured interviews were conducted with patients with substance use disorder (SUD) history (<i>n</i> = 20) and SUD care team members (<i>n</i> = 20) currently providing SUD services. Interviews elicited perceptions of treatment demand, barriers/facilitators, and recommendations for future implementation. Rapid qualitative analysis was used to distill and compare findings across groups. Analysis was guided by the Health Equity Implementation Framework (HEIF), selected for its focus on implementation and social determinants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Consistent with HEIF, multilevel patient and care team barriers and facilitators were identified, reflecting the importance of the clinical encounter and highlighting implementation challenges within the inner, outer and societal contexts, particularly related to stigma. Training for providers and education for patients and families were recommended to overcome stigma. Utilising patient-centred care approaches and addressing societal factors impacting treatment engagement were also discussed as likely to affect medication access.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion and Conclusions</h3>\u0000 \u0000 <p>Examining patient and care teams' perceptions of medications for StUD improves understanding of demand and readiness for adoption. This information, rooted in lived experiences, provides a foundation for selecting tailored implementation strategies that may assist in accelerating the adoption of medications to treat StUD in future scale-up and spread.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11318,"journal":{"name":"Drug and alcohol review","volume":"45 6","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13579492/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148976138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}