Addictive Behaviors Reports最新文献

{"title":"Gradual improvement in functioning and mental distress during long-term outpatient SUD treatment – A prospective pre-post study","authors":"Karin Berle Gabrielsen ,&nbsp;Thomas Clausen ,&nbsp;Siri Håvås Haugland ,&nbsp;John-Kåre Vederhus","doi":"10.1016/j.abrep.2024.100525","DOIUrl":"https://doi.org/10.1016/j.abrep.2024.100525","url":null,"abstract":"<div><h3>Background</h3><p>Globally, outpatient programs for substance use disorder (SUD) treatment have gained prominence. To assess the broader clinical implications of this trend we investigated shifts in functioning experienced by outpatients undergoing treatment.</p></div><div><h3>Methods</h3><p>We describe the clinical characteristics of a cohort of 93 SUD patients in a Norwegian outpatient treatment clinic. Using paired-samples t-tests, we examined changes in perceived functioning, mental distress, and other clinically relevant outcome variables in a 5-month time interval during the treatment course.</p></div><div><h3>Results</h3><p>We obtained follow-up data for 67 (72%) of the included patients, with no significant difference in patient-related factors between those who completed the treatment course and those who were not assessed at follow-up. Perceived functioning increased significantly from study inclusion (Time 0) (mean 19.8, standard deviation ± 8.8) to its conclusion (Time 1) (24.3, ±9.3; <em>t</em> (66) = 4.5, (95% CI: 2.5–6.5, <em>p</em> &lt; 0.001). We also identified significant improvement in most other measured variables, including mental distress, self-reported sleep quality, restlessness, and obsessive thinking. Substance use–related variables showed a modest, non-significant improvement at T1.</p></div><div><h3>Conclusion</h3><p>During a 5-month course of outpatient treatment, patients’ subjective experience of functioning improved significantly. Those with the lowest functioning levels at T0 improved the most. Structured monitoring may be a valuable clinical tool for personalizing intervention, enhancing treatment outcomes, and supporting the clinical decision-making process.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352853224000026/pdfft?md5=4a2fdec1cfbca190d00b8a86946d361b&pid=1-s2.0-S2352853224000026-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139111444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between psychosocial factors and co-morbid cigarette smoking and alcohol use in a population experiencing homelessness","authors":"Olanrewaju Onigbogi ,&nbsp;Rebekah Pratt ,&nbsp;Xianghua Luo ,&nbsp;Susan A. Everson-Rose ,&nbsp;Ned L. Cooney ,&nbsp;Sheila Specker ,&nbsp;Kolawole Okuyemi","doi":"10.1016/j.abrep.2023.100523","DOIUrl":"https://doi.org/10.1016/j.abrep.2023.100523","url":null,"abstract":"<div><p>The prevalence of combustible cigarette smoking in populations experiencing homelessness in the United States is five times that of the general population. The psychosocial well-being of persons who smoke and experience homelessness is poorer if such persons also use alcohol heavily. The PTQ2 study was a randomized clinical trial among persons experiencing homelessness who were also current smokers and heavy alcohol consumers. Secondary data analysis of the PTQ2 baseline data was conducted to examine associations among psychosocial variables (anxiety, depression, hopelessness, social network size), heaviness of smoking (cigarettes/day) and alcohol consumption (drinking days/month), and duration and frequency of homelessness. Among the 420 participants, the majority were male (75%), black (70%) and non-Hispanic (94%) with a mean age of 46.6 years (<em>SD</em> = 11.6).  Bivariate analyses show that heaviness of smoking was positively correlated with social network size (<em>r</em> = 0.16, <em>p</em> = .001). Heaviness of drinking was positively correlated with the MINI anxiety score (<em>r</em> = 0.13, <em>p</em> = .009) and marijuana use (median total number of drinks in past 30 days among those who used marijuana in past 30 days vs. did not use: 50 vs. 24, <em>p</em> &lt; .0001), and associated with frequency of homelessness (median total number of drinks in past 30 days among those experiencing homelessness once vs. &gt;1 time: 30 vs. 44, <em>p</em> = .022). The findings highlight the psychosocial factors that warrant consideration when addressing heavy smoking and alcohol consumption in persons experiencing homelessness.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352853223000457/pdfft?md5=c088bc2311b4146bf5a5cd44aa217bdd&pid=1-s2.0-S2352853223000457-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138838525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From game engagement to craving responses – The role of gratification and compensation experiences during video-gaming in casual and at-risk gamers","authors":"S. Antons ,&nbsp;M. Liebherr ,&nbsp;M. Brand ,&nbsp;A. Brandtner","doi":"10.1016/j.abrep.2023.100520","DOIUrl":"https://doi.org/10.1016/j.abrep.2023.100520","url":null,"abstract":"<div><h3>Introduction</h3><p>Although playing videogames is a common leisure activity some individuals develop problematic gaming behaviors or even symptoms of a gaming disorder. Game engagement may be involved in reinforcement learning that may result in experiences of craving, an important feature of gaming disorder. In the following study we aimed to approach the question which aspects contribute to increased craving for gaming.</p></div><div><h3>Methods</h3><p>Overall, 439 individuals participated in an online survey, answering questionnaires on game engagement, experience of gratification and compensation, craving, and symptoms of gaming disorder. A mediation model testing if the association between game engagement and facets of craving are mediated by the experience of gratification and compensation during gaming.</p></div><div><h3>Results</h3><p>Three facets of craving (reward/relief, physiological, obsessive craving) were statistically explained by game engagement and the experience of gratification and compensation. Models differed between casual gamers and at-risk gamers. The effects on reward/relief and physiological craving were fully mediated in the casual group and partially mediated in the at-risk group by gratification and compensation experiences.</p></div><div><h3>Conclusion</h3><p>Game engagement may contribute to the development of craving by increasing the experience of gratification and compensation and thus might be important in reinforcement learning. Games evoking a high engagement may therefore have a higher addictive potential. Further processes potentially related to game engagement, such as intrusive thoughts and desire thinking, which are related to craving experiences, should be considered in future studies.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352853223000421/pdfft?md5=d5ff6288c5e1dd0b5e753d19ceb153ba&pid=1-s2.0-S2352853223000421-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138501839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes over time in reasons for quitting vaping among treatment-seeking young people from 2019 to 2022","authors":"Sarah Cha ,&nbsp;Michael S. Amato ,&nbsp;George D. Papandonatos ,&nbsp;Giselle Edwards ,&nbsp;Isabel Berdecio ,&nbsp;Megan A. Jacobs ,&nbsp;Amanda L. Graham","doi":"10.1016/j.abrep.2023.100521","DOIUrl":"https://doi.org/10.1016/j.abrep.2023.100521","url":null,"abstract":"<div><h3>Objectives</h3><p>The landscape of availability, policies, and norms around e-cigarette use and cessation has changed rapidly in the last few years. There is also high interest in quitting vaping among teens and young adults. Understanding the motivation of those who want to quit vaping is important for effective intervention development. This analysis compares user-submitted reasons for quitting (RFQ) vaping from 2022 to a previous analysis from 2019 to determine whether motivations have shifted among young people.</p></div><div><h3>Methods</h3><p>We reviewed 2000 RFQ submissions from users who enrolled in a vaping cessation text message program in 2022. Each response was coded by ≥ 2 researchers and categorized into one of 16 themes. Findings were compared to the 2019 analysis using item-wise comparisons.</p></div><div><h3>Results</h3><p>The most frequent RFQ in 2022 were <em>health</em> (56.1%), <em>social influence</em> (15.8%), and <em>other</em> (11.7%). In comparison to 2019, health remained the top reason, but the rank order of all other reasons shifted. Theme prevalence changed significantly, with <em>cost</em> decreasing and <em>health</em> increasing. Among health-related sub-categories, <em>current</em> and <em>mental health</em> increased compared to 2019 submissions.</p></div><div><h3>Discussion</h3><p>RFQ among young people shifted between 2019 and 2022. We observed greater concern about current and mental health, possibly from experiencing negative health impacts from vaping or from increased awareness of these impacts. The lower prevalence of cost may reflect the widespread availability of cheaper e-cigarettes. RFQ likely change rapidly with the fluctuating e-cigarette landscape and should be considered in cessation interventions, promotional campaigns, and policy.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352853223000433/pdfft?md5=e7e185abfbe477e3f23fbd33a5cd77c4&pid=1-s2.0-S2352853223000433-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138559047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association between cannabis vaping and other substance use","authors":"Ruoyan Sun ,&nbsp;David Mendez ,&nbsp;Kenneth E. Warner","doi":"10.1016/j.abrep.2023.100519","DOIUrl":"https://doi.org/10.1016/j.abrep.2023.100519","url":null,"abstract":"<div><h3>Introduction</h3><p>The popularity of cannabis vaping has increased rapidly, especially among adolescents and young adults. We posit some possible explanations and, to evaluate them, examine whether cannabis vapers differ from non-vaping cannabis users in other substance use.</p></div><div><h3>Methods</h3><p>Using nationally representative data from the Population Assessment of Tobacco and Health (PATH) Study wave 5 (Dec. 2018-Nov. 2019), we assessed the association between cannabis vaping and other substance use. A total of 1,689 adolescents and 10,620 adults who reported cannabis use in the past 12 months were included in the study. We employed multivariable logistic regressions to assess the association between cannabis vaping and other substance use.</p></div><div><h3>Results</h3><p>Among past 12-month cannabis users, compared with those who do not vape cannabis, participants who vape cannabis had higher risks of using alcohol (adjusted relative risk [aRR] = 1.04, 95 % CI, 1.01–1.07), cigarettes (aRR = 1.09, 95 % CI, 1.02–1.15), cigars (aRR = 1.17, 95 % CI, 1.06–1.30), other tobacco products (aRR = 1.29, 95 % CI, 1.14–1.45), electronic nicotine products (aRR = 4.64, 95 % CI, 4.32–4.99), other illicit drugs (aRR = 1.53, 95 % CI, 1.29–1.80), and misuse of prescription drugs (aRR = 1.43, 95 % CI, 1.19–1.72). Compared to older cannabis vapers, younger cannabis vapers were at risk of using more other substances. Cannabis vaping was associated with all seven measures of substance use among young adults.</p></div><div><h3>Conclusions</h3><p>Compared to non-vaping cannabis users, cannabis vapers have higher likelihood of using other substances. Research is needed to understand why, as well as the implications of the association.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S235285322300041X/pdfft?md5=e47ab4030e132c690d8a68a5bfdff8ac&pid=1-s2.0-S235285322300041X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138448466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patients with cocaine use disorder exhibit reductions in delay discounting with episodic future thinking cues regardless of incarceration history","authors":"Taylor M. Torres ,&nbsp;Stuart R. Steinhauer ,&nbsp;Steven D. Forman ,&nbsp;Sarah E. Forster","doi":"10.1016/j.abrep.2023.100518","DOIUrl":"https://doi.org/10.1016/j.abrep.2023.100518","url":null,"abstract":"<div><p>Research examining episodic future thinking (EFT; i.e., imagining oneself in future contexts) in community samples has demonstrated reduced discounting of delayed rewards when personalized event cues are included to prompt EFT related to reward latencies. While this EFT effect was recently demonstrated in individuals with substance use disorders, it is not yet known if it manifests similarly in individuals with and without a significant incarceration history—the latter being at elevated risk for negative outcomes including criminal recidivism. Individuals with cocaine use disorder (n = 35) identified personally-relevant future events and participated in a computerized delay discounting task, involving decisions between smaller immediate rewards or larger delayed rewards with and without EFT cues. Individuals with (n = 19) and without (n = 16) a significant history of incarceration were identified using the Addiction Severity Index-Lite. A significant reduction in discounting rates was observed when event cues were included to promote EFT (p = 0.02); however, there was no main effect of incarceration history on discounting behavior, or interaction between episodic future thinking condition and incarceration history. Results suggest personalized cues included to evoke EFT reduce discounting behavior in individuals with cocaine use disorder, regardless of incarceration history. EFT–based interventions may therefore have promise to reduce impulsive decision-making in individuals with cocaine use disorder with and without a significant history of incarceration, potentially supporting improved outcomes with respect to both substance use and future criminality.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352853223000408/pdfft?md5=9a8237de394fbed92f47ee561f44a8b6&pid=1-s2.0-S2352853223000408-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91685156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Why can’t smokers quit? Longitudinal study of smokers in the US using the Population Assessment of Tobacco and Health (PATH) waves 1 to 5","authors":"Nantaporn Plurphanswat ,&nbsp;Brad Rodu","doi":"10.1016/j.abrep.2023.100517","DOIUrl":"https://doi.org/10.1016/j.abrep.2023.100517","url":null,"abstract":"<div><h3>Introduction</h3><p>Most adult cigarette smokers have tried unsuccessfully to quit. We followed participants in the Population Assessment of Tobacco and Health (PATH) study through five waves (2013–2019), comparing smoking, quit behaviors and other characteristics between persistent smokers and those who became and stayed former smokers.</p></div><div><h3>Methods</h3><p>The main analysis employed treatment effects to estimate mean differences in smoking and quitting behaviors among smoker groups. Logistic models were used to estimate predicted means based on continuing smokers’ demographic characteristics to ensure that any differences in outcomes did not come from differences in demographic characteristics.</p></div><div><h3>Results</h3><p>Among smokers enrolled in PATH Wave 1, 68 % persisted in all subsequent waves. Compared with smokers who quit after Wave 1, persistent smokers had remarkably stable smoking behaviors, including significantly higher proportions of everyday smokers, consuming 10+ cigarettes per day, and smoking within 30 min of waking up. Persistent smokers were also less likely to try to quit completely, and experienced more negative symptoms from nicotine withdrawal. They also showed less interest in quitting and were less confident of being successful than smokers who quit by the next wave. Neither electronic nicotine delivery systems nor menthol played a role in continued smoking or quitting.</p></div><div><h3>Conclusions</h3><p>The characteristics and behaviors of persistent smokers in this study were stable over five waves of data collection during a six-year period, suggesting that these smokers need new cessation options.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2352853223000391/pdfft?md5=bc826ea2f94f19b6be0333506aa92bb1&pid=1-s2.0-S2352853223000391-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91685157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Loot box purchasing and indebtedness: The role of psychosocial factors and problem gambling","authors":"Anu Sirola,&nbsp;Jussi Nyrhinen,&nbsp;Julia Nuckols,&nbsp;Terhi-Anna Wilska","doi":"10.1016/j.abrep.2023.100516","DOIUrl":"https://doi.org/10.1016/j.abrep.2023.100516","url":null,"abstract":"<div><h3>Introduction</h3><p>Loot boxes are increasingly common random-reward monetization mechanisms in digital games. They are popular among gamblers and pose various risks due to their gambling-like nature, but little is known about psychosocial vulnerabilities and financial consequences of purchasing them. This article examined psychosocial associations with self-reported increase in loot box purchasing and indebtedness among past-year gamblers during the COVID-19 pandemic.</p></div><div><h3>Methods</h3><p>Cross-sectional survey data were collected in April 2021 from Finnish, Swedish, and British past-year gamblers aged 18 to 75 (n = 2,022). Measures of loneliness, psychological resilience, and problem gambling were studied in relation to loot box purchasing and indebtedness. Structural equation modeling was used as an analytical technique.</p></div><div><h3>Results</h3><p>Loneliness was positively associated with self-reported increase in loot box purchasing. No evidence was found regarding the protective role of psychological resilience in loot box purchasing. Increased loot box purchasing was associated with problem gambling. Problem gambling mediated the relationship between loot box purchasing and indebtedness.</p></div><div><h3>Conclusions</h3><p>The findings bring valuable insight into the psychosocial vulnerabilities and financial consequences in loot box purchasing. Loot box purchasing can add to one’s financial strain particularly among vulnerable individuals such as problem gamblers, making it crucial to regulate such monetization practices.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49817692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Access to medication for opioid use disorder supported by telemedicine and healthcare coverage: A web-based survey during the COVID-19 pandemic","authors":"Mollie A. Monnig ,&nbsp;Samantha E. Clark ,&nbsp;Hayley Treloar Padovano ,&nbsp;Alexander W. Sokolovsky ,&nbsp;Kimberly Goodyear ,&nbsp;Jasjit S. Ahluwalia ,&nbsp;Peter M. Monti","doi":"10.1016/j.abrep.2023.100515","DOIUrl":"10.1016/j.abrep.2023.100515","url":null,"abstract":"<div><h3>Background and Aims</h3><p>Medications for opioid use disorder (MOUD) are highly effective in improving treatment outcomes and reducing overdose. Concerns about interrupted access to critical MOUD services led to expansion of telemedicine services during the COVID-19 pandemic in the US. The current study tested the hypothesis that telemedicine usage and healthcare coverage would be significantly associated with access to MOUD in the early phase of the COVID-19 pandemic.</p></div><div><h3>Design</h3><p>A cross-sectional online survey was administered to a non-probability sample from June 18-July 19, 2020 using the Amazon Mechanical Turk platform.</p></div><div><h3>Setting</h3><p>Northeastern United States during the early phase of the COVID-19 pandemic. At the time of the survey, federal regulators had waived the longstanding requirement for in-office visits for MOUD prescription receipt and provided guidance on increasing third-party payer reimbursement rates for telehealth visits in order to mitigate barriers to care associated with COVID-19 safety guidelines.</p></div><div><h3>Participants</h3><p>Individuals 18 years or older residing in Connecticut, Massachusetts, New Jersey, New York, or Rhode Island were eligible to complete the survey. The analytic sample was participants who reported using opioids not as prescribed by a physician in the past seven days.</p></div><div><h3>Measurements</h3><p>Demographics, telemedicine usage, and healthcare coverage were assessed as explanatory variables. The primary outcome was whether participants reported ability to access MOUD in the past four weeks.</p></div><div><h3>Findings</h3><p>In this sample of individuals who used illicit opioids in the past week (N = 191), one in two individuals who utilized telehealth or had healthcare coverage were able to access MOUD, whereas only one in five of their respective counterparts who did not have telehealth access or healthcare coverage were able to access these medications.</p></div><div><h3>Conclusions</h3><p>Telemedicine and healthcare coverage were associated with greater MOUD access early in the COVID-19 pandemic, when barriers to care were high. Such findings speak to the importance of not only extending but also formalizing temporary policy changes instituted during the pandemic to allow MOUD prescribing via telemedicine.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/34/4b/main.PMC10507580.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41161372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association of medical providers’ attitudes about naloxone and treating people with opioid use disorder and their self-reported low-barrier treatment practices","authors":"Rachel P. Winograd,&nbsp;Bridget Coffey,&nbsp;Melissa Nance,&nbsp;Ryan Carpenter","doi":"10.1016/j.abrep.2023.100514","DOIUrl":"https://doi.org/10.1016/j.abrep.2023.100514","url":null,"abstract":"<div><p>Opioid-involved overdose deaths continue to climb, in part because of suboptimal access to and retention on medications for opioid use disorder (MOUD), including buprenorphine. Low barrier buprenorphine treatment aims to reduce or eliminate the threshold for getting and staying on medication by providing immediate and long-term access to buprenorphine without strict rules or requirements. This study examines associations between medical providers’ beliefs about treating people with opioid use disorder (OUD) and naloxone access with their self-reported low-barrier buprenorphine prescribing practices. We surveyed and analyzed responses from providers (N = 86) who completed X-waiver courses in Missouri between March 2017 and September 2019, of which 55% (<em>n</em> = 47) both completed the full survey and endorsed prescribing buprenorphine since the training. The survey included questions about buprenorphine prescribing behaviors as well as the Naloxone-Related Risk Compensation Beliefs (NaRCC-B) scale and the Attitudes toward Patients with OUD scale. Analyses consisted of a series of linear and logistic regressions with the NaRCC-B and OUD Attitudes scales predicting various domains of low-barrier prescribing behaviors. Findings indicate medical providers’ beliefs about treating people with OUD are associated with their practice of addiction medicine, with individuals with more favorable views being more likely to endorse low-barrier buprenorphine prescribing practices including offering telemedicine and at-home inductions, prescribing higher doses of buprenorphine, treating larger caseloads, and discussing overdose risk and protective factors with their patients. Providers’ beliefs about naloxone being enabling were less related to their buprenorphine practices but strongly related to their likelihood of providing naloxone. Future research may examine which strategies effectively change prescriber attitudes and their adoption of lower-barrier prescribing practices.</p></div>","PeriodicalId":38040,"journal":{"name":"Addictive Behaviors Reports","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49776475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}