Journal of Substance Abuse Treatment最新文献

筛选
英文 中文
C2: editorial board C2:编委会
IF 3.9 2区 医学
Journal of Substance Abuse Treatment Pub Date : 2022-09-01 DOI: 10.1016/S0740-5472(22)00124-6
{"title":"C2: editorial board","authors":"","doi":"10.1016/S0740-5472(22)00124-6","DOIUrl":"https://doi.org/10.1016/S0740-5472(22)00124-6","url":null,"abstract":"","PeriodicalId":17148,"journal":{"name":"Journal of Substance Abuse Treatment","volume":"140 ","pages":"Article 108842"},"PeriodicalIF":3.9,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0740547222001246/pdfft?md5=bdfbeae0051837546e9f22965b985451&pid=1-s2.0-S0740547222001246-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72113497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Client attitudes toward virtual treatment court 客户对虚拟治疗法庭的态度
IF 3.9 2区 医学
Journal of Substance Abuse Treatment Pub Date : 2022-09-01 DOI: 10.1016/j.jsat.2022.108833
Bradley Ray , Tara Kunkel , Kristina Bryant , Bethany Hedden , Barbara Andraka-Christou , Meghan O'Neil , Philip Huynh
{"title":"Client attitudes toward virtual treatment court","authors":"Bradley Ray ,&nbsp;Tara Kunkel ,&nbsp;Kristina Bryant ,&nbsp;Bethany Hedden ,&nbsp;Barbara Andraka-Christou ,&nbsp;Meghan O'Neil ,&nbsp;Philip Huynh","doi":"10.1016/j.jsat.2022.108833","DOIUrl":"10.1016/j.jsat.2022.108833","url":null,"abstract":"<div><h3>Introduction</h3><p>As a response to the COVID-19 pandemic, many treatment courts shifted to offering teleservices. We sought to examine the barriers that clients faced when transitioning to virtual court and treatment, and how this transition impacted their perceptions of the treatment court experience.</p></div><div><h3>Methods</h3><p>The National Center for State Courts administered an online survey between January 1, 2021, and July 31, 2021, deployed to state and local court administrators, which resulted in 1356 unique client responses from 121 courts. The survey measured attitudes about the treatment court process, including interactions with the judge, the behavioral health treatment staff, and treatment groups, as well as barriers to virtual and in-person court. We hypothesized that clients with fewer technological barriers to virtual service, who shifted to virtual court or treatment, would report more positive attitudes to this service delivery.</p></div><div><h3>Results</h3><p>Clients felt more comfortable participating in virtual court sessions than in-person sessions but were less likely to feel like the judge was familiar with their case during virtual court sessions. From the treatment perspective, clients felt more connected with other group members and reported greater benefit from treatment staff when treatment services were delivered in-person, but clients felt less anxious when treatment groups were virtual.</p></div><div><h3>Conclusions</h3><p>Even though virtual experiences were more comfortable than in-person experiences for clients, the results are nuanced and show preference for some in-person connections as they transitioned to virtual connections. Future research should examine how to improve client connections with staff/group members during virtual court or treatment sessions, particularly as courts and treatment providers are likely to continue some services virtually into the future.</p></div>","PeriodicalId":17148,"journal":{"name":"Journal of Substance Abuse Treatment","volume":"140 ","pages":"Article 108833"},"PeriodicalIF":3.9,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9236911/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9587721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Treatment for hepatitis C virus with direct acting antiviral agents: Perspectives and treatment experiences of people who inject drugs 直接抗病毒药物治疗丙型肝炎病毒:注射吸毒者的观点和治疗经验
IF 3.9 2区 医学
Journal of Substance Abuse Treatment Pub Date : 2022-09-01 DOI: 10.1016/j.jsat.2022.108768
Alison Karasz , Reena Singh , M. Diane McKee , Krupa Merchant , Arthur Y. Kim , Kimberly Page , Irene Pericot-Valverde , Ellen S. Stein , Lynn E. Taylor , Katherine Wagner , Alain H. Litwin
{"title":"Treatment for hepatitis C virus with direct acting antiviral agents: Perspectives and treatment experiences of people who inject drugs","authors":"Alison Karasz ,&nbsp;Reena Singh ,&nbsp;M. Diane McKee ,&nbsp;Krupa Merchant ,&nbsp;Arthur Y. Kim ,&nbsp;Kimberly Page ,&nbsp;Irene Pericot-Valverde ,&nbsp;Ellen S. Stein ,&nbsp;Lynn E. Taylor ,&nbsp;Katherine Wagner ,&nbsp;Alain H. Litwin","doi":"10.1016/j.jsat.2022.108768","DOIUrl":"10.1016/j.jsat.2022.108768","url":null,"abstract":"<div><h3>Introduction</h3><p>Increasingly, people who inject drugs<span><span> (PWID) infected with hepatitis C virus (HCV) are gaining access to highly effective direct-acting antiviral agents (DAAs). Although past studies examined patient experiences with interferon-based </span>treatments, few have explored patient experiences with these new generation therapeutics. Research and real world experience indicate that many PWID can be successfully treated with the new DAAs. Yet a substantial minority fail to complete treatment or achieve only suboptimal adherence. This qualitative study examines experiences with treatment among participants in Project HERO, a large multisite trial designed to compare treatment delivery methods for DAAs. We explored treatment experiences among HERO participants, with the goal of understanding potential barriers to treatment engagement and completion.</span></p></div><div><h3>Methods</h3><p>We conducted qualitative interviews with a sample of 21 participants, including 14 who completed HCV treatment and 7 participants who discontinued treatment before the end of the 12-week medication course. The first phase of the analysis was descriptive, examining participants' life experiences, histories of disease and treatment seeking, experiences with the program, and barriers to treatment completion. The second phase of the analysis examined differences between completers and noncompleters.</p></div><div><h3>Results</h3><p>Participants offered a variety of reasons for seeking treatment. Both groups of participants reported highly positive experiences of the HERO trial. Participants described research staff as caring, respectful, and nonjudgmental. Substance use was reported by both groups, yet completers described “manageable” substance use, while noncompleters described substance use that sapped their energy and motivation. Shame over drug use was a barrier to treatment completion. Homelessness and a reported lack of social support were much more common in the noncompleter group.</p></div><div><h3>Conclusions</h3><p>Reasons for noncompletion were not related to features of the clinical trial or treatment program. Our results indicate the importance of: 1) recognizing and addressing severe social and economic challenges such as homelessness; and 2) building a program culture of respect and compassion in treatment programs for PWID infected with HCV.</p></div>","PeriodicalId":17148,"journal":{"name":"Journal of Substance Abuse Treatment","volume":"140 ","pages":"Article 108768"},"PeriodicalIF":3.9,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9095236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Utility of interactive voice response self-monitoring in stabilizing initial change during natural recovery attempts among persons with alcohol use disorder 交互式语音应答自我监测在酒精使用障碍患者自然恢复过程中稳定初始变化的效用
IF 3.9 2区 医学
Journal of Substance Abuse Treatment Pub Date : 2022-09-01 DOI: 10.1016/j.jsat.2022.108831
JeeWon Cheong, Jalie A. Tucker
{"title":"Utility of interactive voice response self-monitoring in stabilizing initial change during natural recovery attempts among persons with alcohol use disorder","authors":"JeeWon Cheong,&nbsp;Jalie A. Tucker","doi":"10.1016/j.jsat.2022.108831","DOIUrl":"10.1016/j.jsat.2022.108831","url":null,"abstract":"<div><h3>Background</h3><p>Providing extensive low threshold, low intensity interventions during self-initiated recovery attempts may help to stabilize initial change during early recovery when relapse risk is high. This study provided untreated persons with alcohol use disorder (AUD) daily access to an interactive voice response (IVR) self-monitoring system during the early months of a natural recovery attempt to report drinking-related variables. The study prospectively examined event-level associations among IVR call frequency, urges to drink, and drinking practices to evaluate whether more frequent IVR utilization helped participants to manage urges and attenuated the established relationship between urges and relapse.</p></div><div><h3>Methods</h3><p>Recently resolved untreated problem drinkers (<em>N</em> = 128) recruited from the community received daily IVR access via telephone for 4–5 months to report their urges to drink and drinking practices during the preceding 24 h. Among IVR callers, analyses using SAS Proc Glimmix evaluated associations among IVR utilization, urges to drink, and drinking practices.</p></div><div><h3>Results</h3><p>Consistent with previous research, greater urges were associated with a higher likelihood of heavy drinking. Moreover, heavier drinking was associated overall with higher IVR utilization, and the more frequently participants called the IVR system over time, the likelihood of heavy drinking episodes was less strongly related to urges.</p></div><div><h3>Conclusions</h3><p>Recently resolved persons with AUD who experienced higher urges to drink and were consuming alcohol above heavy drinking thresholds received some limited benefits in slowing their return to a heavy drinking pattern if they called the IVR system frequently, even though they were not successfully maintaining their initial abstinent or moderation drinking recoveries. These results, using a prospective design, indicated complex event-level associations among IVR calls, urges, and drinking during early natural recovery that merit further investigation.</p></div>","PeriodicalId":17148,"journal":{"name":"Journal of Substance Abuse Treatment","volume":"140 ","pages":"Article 108831"},"PeriodicalIF":3.9,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40552815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Using structured implementation interventions to improve referral to substance use treatment among justice-involved youth: Findings from a multisite cluster randomized trial 使用结构化的实施干预措施,以改善司法参与青年的物质使用治疗转诊:来自多地点集群随机试验的结果
IF 3.9 2区 医学
Journal of Substance Abuse Treatment Pub Date : 2022-09-01 DOI: 10.1016/j.jsat.2022.108829
Steven Belenko , Richard Dembo , Danica K. Knight , Katherine S. Elkington , Gail A. Wasserman , Angela A. Robertson , Wayne N. Welsh , James Schmeidler , George W. Joe , Tisha Wiley
{"title":"Using structured implementation interventions to improve referral to substance use treatment among justice-involved youth: Findings from a multisite cluster randomized trial","authors":"Steven Belenko ,&nbsp;Richard Dembo ,&nbsp;Danica K. Knight ,&nbsp;Katherine S. Elkington ,&nbsp;Gail A. Wasserman ,&nbsp;Angela A. Robertson ,&nbsp;Wayne N. Welsh ,&nbsp;James Schmeidler ,&nbsp;George W. Joe ,&nbsp;Tisha Wiley","doi":"10.1016/j.jsat.2022.108829","DOIUrl":"10.1016/j.jsat.2022.108829","url":null,"abstract":"<div><h3>Introduction</h3><p>Youth involved in the justice system have high rates of alcohol and other drug<span> use, but limited treatment engagement. JJ-TRIALS tested implementation activities with community supervision (CS) and behavioral health (BH) agencies to improve screening, identification of substance use service need, referral, and treatment initiation and engagement, guided by the BH Services Cascade and EPIS frameworks. This paper summarizes intervention impacts on referrals to treatment among youth on CS.</span></p></div><div><h3>Methods</h3><p><span>This multisite cluster-randomized trial involved 18 matched pairs of sites in 36 counties in seven states randomly assigned to core or enhanced conditions after implementing the core intervention at all sites for six months. Enhanced sites received external facilitation for local change team activities to reduce unmet treatment needs; Core sites were encouraged to form interagency workgroups. The dependent variable was percentage referred to treatment among youth in need (</span><em>N</em> = 14,012). Two-level Bayesian regression assessed factors predicting referral across all sites and time periods. Generalized linear mixed models using logit transformation tested two hypotheses: (H1) referrals will increase from baseline to the experimental period, (H2) referral increases will be larger in enhanced sites than in core sites.</p></div><div><h3>Results</h3><p>Although the intervention significantly increased referral, condition did not significantly predict referral across all time periods. Youth who tested drug positive, had an alcohol/other drug–related or felony charge, were placed in secure detention or assigned more intensive supervision, or who were White were more likely to be referred. H1 (<em>p</em> &lt; .05) and H2 (<em>p</em> &lt; .0001) were both significant in the hypothesized direction. Interaction analyses comparing site pair differences showed that findings were not consistent across sites.</p></div><div><h3>Conclusions</h3><p>The percentage of youth referred to treatment increased compared with baseline overall, and enhanced sites showed larger increases in referrals over time. However, variations in effects suggest that site-level differences were important. Researchers should carry out mixed methods studies to further understand reasons for the inconsistent findings within randomized site pairs, and how to further improve treatment referrals across CS and BH systems. Findings also highlight that even when CS agencies work collaboratively with BH providers to improve referrals, most justice-involved youth who need SU services are not referred.</p></div>","PeriodicalId":17148,"journal":{"name":"Journal of Substance Abuse Treatment","volume":"140 ","pages":"Article 108829"},"PeriodicalIF":3.9,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10135244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Using machine learning to examine predictors of treatment goal change among individuals seeking treatment for alcohol use disorder 使用机器学习检查寻求酒精使用障碍治疗的个体治疗目标变化的预测因素
IF 3.9 2区 医学
Journal of Substance Abuse Treatment Pub Date : 2022-09-01 DOI: 10.1016/j.jsat.2022.108825
Frank J. Schwebel , Noah N. Emery , Rory A. Pfund , Matthew R. Pearson , Katie Witkiewitz
{"title":"Using machine learning to examine predictors of treatment goal change among individuals seeking treatment for alcohol use disorder","authors":"Frank J. Schwebel ,&nbsp;Noah N. Emery ,&nbsp;Rory A. Pfund ,&nbsp;Matthew R. Pearson ,&nbsp;Katie Witkiewitz","doi":"10.1016/j.jsat.2022.108825","DOIUrl":"10.1016/j.jsat.2022.108825","url":null,"abstract":"<div><h3>Introduction</h3><p><span>The goals of individuals seeking treatment for </span>alcohol use disorder (AUD) are typically quantified as abstinent or nonabstinent (e.g., moderate drinking) goals. However, treatment goals can vary over time and be influenced by life circumstances. This study aims to identify predictors of treatment goal change and direction of change from baseline to six-month follow-up among individuals seeking treatment for AUD.</p></div><div><h3>Methods</h3><p>This study is a secondary analysis of data from the Relapse Replication and Extension Project. The study included participants who completed assessments at baseline and six-month follow-up in the analysis (<em>n</em> = 441). We used decision trees to examine 111 potential predictors of treatment goal change. The study cross-validated results using random forests. The team examined changes in goal between baseline and follow-up (Decision Tree 1) and quantified them as being toward or away from a complete abstinence goal (Decision Tree 2).</p></div><div><h3>Results</h3><p>Nearly 50 % of the sample changed their treatment goal from baseline to 6 months, and 68.7 % changed from a nonabstinence goal toward a complete abstinence goal. The study identified seven unique predictors of goal change. The most common predictors of changing a treatment goal were number of recent treatment sessions prior to enrolling in the study, other substance use, negative affect, anxiety, social support, and baseline drinks per drinking day. Participants with a greater number of recent treatment sessions and who sought social support were most likely to change their goal. Additionally, individuals with more substance use tended to change away from complete abstinence goals. Cross-validation supported baseline drinks per drinking day, social support, baseline maximum blood alcohol concentration (BAC), lifetime tobacco use, baseline average BAC, lifetime cocaine use, Inventory of Drinking Situations total score, and Situational Confidence Questionnaire average score as important predictors.</p></div><div><h3>Conclusions</h3><p>This study identified seven unique predictors of treatment goal change while in AUD treatment. Prior treatment, drinking to cope, and social support were most associated with goal changes. This information can inform providers who seek to understand factors associated with treatment goal selection and changes in goals during treatment.</p></div>","PeriodicalId":17148,"journal":{"name":"Journal of Substance Abuse Treatment","volume":"140 ","pages":"Article 108825"},"PeriodicalIF":3.9,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10123268","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Associations of tobacco cigarette use and dependence with substance use disorder treatment completion by sex/gender and race/ethnicity 按性别/性别和种族/民族划分的烟草使用和依赖与物质使用障碍治疗完成的关系
IF 3.9 2区 医学
Journal of Substance Abuse Treatment Pub Date : 2022-09-01 DOI: 10.1016/j.jsat.2022.108834
Jung-Yun Min , Jacob Levin , Andrea H. Weinberger
{"title":"Associations of tobacco cigarette use and dependence with substance use disorder treatment completion by sex/gender and race/ethnicity","authors":"Jung-Yun Min ,&nbsp;Jacob Levin ,&nbsp;Andrea H. Weinberger","doi":"10.1016/j.jsat.2022.108834","DOIUrl":"10.1016/j.jsat.2022.108834","url":null,"abstract":"<div><h3>Introduction</h3><p>Individuals with substance use disorders (SUD) are approximately five times more likely to smoke cigarettes than the general population. Individuals who smoke cigarettes have greater odds of SUD relapse compared to individuals who do not smoke cigarettes, but we know little about how cigarette use is related to SUD treatment completion overall by sex/gender or race/ethnicity.</p></div><div><h3>Methods</h3><p>This study examined 2855 adults (71.98 % male; &gt;70 % racial/ethnic minority) in outpatient and residential SUD treatment at a New York–based treatment agency over a six-month period in 2018.</p></div><div><h3>Results</h3><p>Overall, approximately three-fourths of SUD treatment-seeking participants smoked cigarettes, with high rates across sex/gender and racial/ethnic groups. Nicotine dependence did not differ by sex/gender, and White Non-Hispanic adults had the highest levels of nicotine dependence across racial/ethnic groups. Those who smoked cigarettes were significantly less likely to complete treatment compared to those who did not smoke cigarettes (OR = 0.69; 95 % CI: 0.58, 0.82). The study found no overall differences in SUD treatment completion and length of stay by sex/gender or race/ethnicity.</p></div><div><h3>Conclusions</h3><p>Given the high prevalence of cigarette smoking and lower odds of completing SUD treatment, the current system of care for SUD treatment may be enhanced by addressing cigarette smoking from onset of treatment.</p></div>","PeriodicalId":17148,"journal":{"name":"Journal of Substance Abuse Treatment","volume":"140 ","pages":"Article 108834"},"PeriodicalIF":3.9,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40494797","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
A randomized clinical trial evaluating the impact of counselor training and patient feedback on substance use disorder patients' sexual risk behavior 一项评估辅导员培训和患者反馈对药物使用障碍患者性风险行为影响的随机临床试验
IF 3.9 2区 医学
Journal of Substance Abuse Treatment Pub Date : 2022-09-01 DOI: 10.1016/j.jsat.2022.108826
Mary A. Hatch , Elizabeth A. Wells , Tatiana Masters , Blair Beadnell , Robin Harwick , Lynette Wright , Michelle Peavy , Esther Ricardo-Bulis , Katerina Wiest , Carrie Shriver , John S. Baer
{"title":"A randomized clinical trial evaluating the impact of counselor training and patient feedback on substance use disorder patients' sexual risk behavior","authors":"Mary A. Hatch ,&nbsp;Elizabeth A. Wells ,&nbsp;Tatiana Masters ,&nbsp;Blair Beadnell ,&nbsp;Robin Harwick ,&nbsp;Lynette Wright ,&nbsp;Michelle Peavy ,&nbsp;Esther Ricardo-Bulis ,&nbsp;Katerina Wiest ,&nbsp;Carrie Shriver ,&nbsp;John S. Baer","doi":"10.1016/j.jsat.2022.108826","DOIUrl":"10.1016/j.jsat.2022.108826","url":null,"abstract":"<div><h3>Introduction</h3><p><span>High risk sex—such as sex with multiple partners, condomless sex, or transactional or commercial sex—is a risk factor in individuals with substance use disorders (SUDs). SUD treatment can reduce sexual risk </span>behavior, but interventions to reduce such behavior in this context have not been consistently effective. This study sought to determine if the impact of treatment on sexual risk behavior can be increased.</p></div><div><h3>Methods</h3><p>In a nested 2 × 2 factorial repeated measures design, we examined outcomes of two interventions: training for counselors in talking to patients about sexual risk; and availability to both counselors and patients of a personalized feedback report based on patient self-report of sexual behavior. Counselors received either a brief, information-based, Basic Training, or a multi-session, skills-based Enhanced Training. Their patients completed an audio-assisted computerized assessment of sexual behavior and received either No Feedback or a Personalized Feedback Report (PFR). Four hundred seventy six patients participated. Patient follow-up occurred 3- and 6-months postbaseline. Primary patient outcome measures were Number of Unsafe Sex Occasions (USO) and whether patients reported talking about sex in counseling sessions (Discussed Sex), both in the past 90 days. Secondary outcomes included Number of Sexual Partners, Sex Under the Influence of Substances, and Perceived Condom Barriers.</p></div><div><h3>Results</h3><p>Patients of Enhanced-condition counselors compared to those of Basic-condition counselors were more likely to report talking about sex with their counselor at 6-month follow-up. Personalized feedback also increased the likelihood of reporting counselor discussions at 6-month follow-up. Neither the training nor the feedback condition affected USO, Number of Partners, or Sex Under the Influence.</p></div><div><h3>Discussion</h3><p>We discuss why these two interventions apparently altered counselor-patient communication about sexual risk behavior without affecting the behavior itself.</p></div>","PeriodicalId":17148,"journal":{"name":"Journal of Substance Abuse Treatment","volume":"140 ","pages":"Article 108826"},"PeriodicalIF":3.9,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40397504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
“If I had them, I would use them every time”: Perspectives on fentanyl test strip use from people who use drugs “如果我有,我每次都会用”:吸毒者对芬太尼试纸条使用的看法。
IF 3.9 2区 医学
Journal of Substance Abuse Treatment Pub Date : 2022-09-01 DOI: 10.1016/j.jsat.2022.108790
Megan K. Reed , Venise J. Salcedo , Amanda Guth , Kristin L. Rising
{"title":"“If I had them, I would use them every time”: Perspectives on fentanyl test strip use from people who use drugs","authors":"Megan K. Reed ,&nbsp;Venise J. Salcedo ,&nbsp;Amanda Guth ,&nbsp;Kristin L. Rising","doi":"10.1016/j.jsat.2022.108790","DOIUrl":"10.1016/j.jsat.2022.108790","url":null,"abstract":"<div><h3>Introduction</h3><p><span>Fentanyl contamination in the </span>illicit drug<span> supply has contributed to a significant increase in overdose deaths in the United States. Fentanyl test strips (FTS), which can detect the presence of fentanyl in drugs, are increasingly given to people who use drugs (PWUD) as an overdose prevention intervention. No studies to date have described PWUD's perspectives from a real-world setting about ideal FTS program characteristics. These perspectives, specifically any identified facilitators, barriers, and suggestions for use, are crucial to informing scalability and implementation of FTS.</span></p></div><div><h3>Methods</h3><p>The study team conducted qualitative interviews between January and May 2021 with PWUD in Philadelphia, PA, who had used FTS on a variety of substances. The study recruited participants outside of a harm reduction agency and provided informed consent. The team conducted interviews utilizing a semi-structured interview guide, and audio-recorded and transcribed them. The research team analyzed interviews with a conventional content analysis approach.</p></div><div><h3>Results</h3><p>A total of 29 PWUD participated in an interview. Participants were predominantly cisgender male (<em>n</em> = 21, 72.4%) and White (<em>n</em><span><span> = 18, 62.1%). Participants reported previously using FTS on heroin (65.5%), crack cocaine (55.2%), powder cocaine (48.3%), synthetic cannabinoids (31.0%), and </span>benzodiazepines<span> (24.1%). Eighty-six percent of participants learned about FTS through harm reduction or other social service organizations. Most participants incorporated FTS into their daily lives and found them easy to use. Participants identified key barriers, including lack of necessary supplies needed to test, not having an ideal testing location, and confusion reading test results. Suggestions included adding supplies needed for using FTS to distribution packets, ensuring that each PWUD receives enough FTS per distribution, and expanding the types of programs distributing FTS.</span></span></p></div><div><h3>Conclusions</h3><p>While most participants reported FTS as practical and easy to use, participants identified a few key barriers to use that should be addressed to optimize FTS use across a broader population. These barriers include expanding training materials and distributing additional testing materials (e.g., water, cookers) with FTS. Findings can inform sustainable and effective FTS distribution practices, such as distributing FTS in packs of 20 and distributing at other locations that regularly interact with PWUD (e.g., emergency departments, housing shelters, and food banks).</p></div>","PeriodicalId":17148,"journal":{"name":"Journal of Substance Abuse Treatment","volume":"140 ","pages":"Article 108790"},"PeriodicalIF":3.9,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44828673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
Poking the bear: The inapplicability of the RNR principles for justice-involved women 戳熊:RNR原则对涉及正义的妇女的不适用性。
IF 3.9 2区 医学
Journal of Substance Abuse Treatment Pub Date : 2022-09-01 DOI: 10.1016/j.jsat.2022.108798
Nena P. Messina , Patricia Esparza
{"title":"Poking the bear: The inapplicability of the RNR principles for justice-involved women","authors":"Nena P. Messina ,&nbsp;Patricia Esparza","doi":"10.1016/j.jsat.2022.108798","DOIUrl":"10.1016/j.jsat.2022.108798","url":null,"abstract":"","PeriodicalId":17148,"journal":{"name":"Journal of Substance Abuse Treatment","volume":"140 ","pages":"Article 108798"},"PeriodicalIF":3.9,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42129565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
0
×
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×
相关产品
×
本文献相关产品
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:481959085
Book学术官方微信