Roger Zoorob, Sung In Kim-Vences, Jacqueline M. Hirth, Kylie Schaper, Larissa Grigoryan, Sandra Gonzalez, Alicia Kowalchuk
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Multivariable linear regression examined factors potentially associated with confidence and intention to implement changes. Clinician feedback regarding the course was included.</p></div><div><h3>Results</h3><p>Of 613 respondents, 50.9% were practicing family medicine clinicians. Knowledge of adolescent screening tools increased from 21.9% to 75.7% (<em>p</em> < 0.001). Knowledge about the number of drinks that define excessive drinking among non-pregnant women increased from 24.5% at baseline to 64.9% (p < 0.001). Clinicians reported lowest confidence in providing opioid use disorder pharmacotherapy, which improved after program participation. Intent to implement SBI and medication for alcohol, nicotine and opioid use disorders increased (<em>p</em> < 0.001) after training. No factors were associated with change in confidence or intention to implement in multivariable models (<em>p</em> > 0.05). Satisfaction was high and nearly 60% reported intention to change their clinical practice because of the program.</p></div><div><h3>Conclusion</h3><p>Knowledge, confidence, and intent to implement SBI and SUD treatment increased after completing the online course. Clinician satisfaction was high and demonstrated improved intention to implement SBI and SUD treatment.</p></div>","PeriodicalId":20339,"journal":{"name":"Preventive medicine","volume":null,"pages":null},"PeriodicalIF":4.3000,"publicationDate":"2024-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Asynchronous online training increased knowledge, confidence, and intent to screen and treat substance use disorders among primary care clinicians practicing in Texas\",\"authors\":\"Roger Zoorob, Sung In Kim-Vences, Jacqueline M. 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Clinician feedback regarding the course was included.</p></div><div><h3>Results</h3><p>Of 613 respondents, 50.9% were practicing family medicine clinicians. Knowledge of adolescent screening tools increased from 21.9% to 75.7% (<em>p</em> < 0.001). Knowledge about the number of drinks that define excessive drinking among non-pregnant women increased from 24.5% at baseline to 64.9% (p < 0.001). Clinicians reported lowest confidence in providing opioid use disorder pharmacotherapy, which improved after program participation. Intent to implement SBI and medication for alcohol, nicotine and opioid use disorders increased (<em>p</em> < 0.001) after training. No factors were associated with change in confidence or intention to implement in multivariable models (<em>p</em> > 0.05). 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引用次数: 0
摘要
导言:尽管药物使用障碍(SUD)的发病率越来越高,但在初级医疗机构接受诊断和治疗的患者却寥寥无几。本研究评估了临床医生参加异步在线教育课程后,在知识、信心以及实施筛查和简单干预(SBI)和药物使用障碍治疗的意向方面的变化:2021 年 3 月至 2023 年 7 月,德克萨斯州的初级保健临床医生自选样本参加了在线 SBI 和 SUD 教育。基线调查和培训后调查评估了实施 SBI 和 SUD 治疗的知识、信心和意向方面的变化。使用配对 t 检验比较了这些变化。多变量线性回归检查了与信心和实施改变的意向可能相关的因素。还包括临床医生对课程的反馈意见:在 613 名受访者中,50.9% 是执业的家庭医学临床医生。对青少年筛查工具的了解从 21.9% 增加到 75.7%(P 0.05)。满意度很高,近 60% 的受访者表示有意因该计划而改变他们的临床实践:结论:完成在线课程后,实施 SBI 和 SUD 治疗的知识、信心和意向均有所提高。临床医生的满意度很高,并表现出更高的实施 SBI 和 SUD 治疗的意愿。
Asynchronous online training increased knowledge, confidence, and intent to screen and treat substance use disorders among primary care clinicians practicing in Texas
Introduction
Despite increasing prevalence of substance use disorders (SUD), few patients are diagnosed and treated in primary care settings. This study evaluated changes in knowledge, confidence, and intention to implement screening and brief intervention (SBI) and SUD treatment after clinicians participated in an asynchronous online education course.
Methods
A self-selected sample of primary care clinicians in Texas participated in online SBI and SUD education March 2021–July 2023. Baseline and post-training surveys evaluated changes in knowledge, confidence, and intent to implement SBI and SUD treatment. Changes were compared using paired t-tests. Multivariable linear regression examined factors potentially associated with confidence and intention to implement changes. Clinician feedback regarding the course was included.
Results
Of 613 respondents, 50.9% were practicing family medicine clinicians. Knowledge of adolescent screening tools increased from 21.9% to 75.7% (p < 0.001). Knowledge about the number of drinks that define excessive drinking among non-pregnant women increased from 24.5% at baseline to 64.9% (p < 0.001). Clinicians reported lowest confidence in providing opioid use disorder pharmacotherapy, which improved after program participation. Intent to implement SBI and medication for alcohol, nicotine and opioid use disorders increased (p < 0.001) after training. No factors were associated with change in confidence or intention to implement in multivariable models (p > 0.05). Satisfaction was high and nearly 60% reported intention to change their clinical practice because of the program.
Conclusion
Knowledge, confidence, and intent to implement SBI and SUD treatment increased after completing the online course. Clinician satisfaction was high and demonstrated improved intention to implement SBI and SUD treatment.
期刊介绍:
Founded in 1972 by Ernst Wynder, Preventive Medicine is an international scholarly journal that provides prompt publication of original articles on the science and practice of disease prevention, health promotion, and public health policymaking. Preventive Medicine aims to reward innovation. It will favor insightful observational studies, thoughtful explorations of health data, unsuspected new angles for existing hypotheses, robust randomized controlled trials, and impartial systematic reviews. Preventive Medicine''s ultimate goal is to publish research that will have an impact on the work of practitioners of disease prevention and health promotion, as well as of related disciplines.