为农村社区和医疗服务提供者设计和评估阿片类药物滥用预防培训。

IF 1.6 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health Promotion Practice Pub Date : 2024-09-01 Epub Date: 2023-05-18 DOI:10.1177/15248399231174920
Cheryl L Eschbach, Bengt B Arnetz, Judith E Arnetz
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引用次数: 0

摘要

通过药物滥用和心理健康服务管理局的资助,密歇根州立大学(MSU)推广部门与密歇根州立大学家庭医学和密歇根西北部卫生部门合作,为社区成员和医疗服务提供者开展培训,以提高他们的认识,并改善农村地区针对阿片类药物使用障碍(OUD)的预防工作。我们成立了密歇根州药物使用预防、教育和康复 (MiSUPER) 项目,以设计和评估阿片类药物滥用预防培训。社会生态预防模型是该项目的基本概念框架,并推动了培训、产品开发和测量中使用的策略。本研究的目的是确定针对农村社区成员和医疗服务提供者的一次性在线教育培训活动在社区 OUD 问题、治疗选择和对康复者的支持方面的有效性。2020 年至 2022 年期间,农村参与者完成了培训前、培训后和 30 天的跟踪评估调查。我们报告了社区参与者(451 人)和医疗服务提供者(59 人)的人口特征、自我报告获得的知识以及对培训的总体看法。研究结果表明,社区成员的知识水平从培训前到培训后都有所提高(p < .001),并在 3 个月后保持不变,而医疗服务提供者的知识水平则没有变化。培训后,社区参与者在与家人和朋友谈论成瘾问题时感到更加自在(p < .001),医疗服务提供者对当地为无力负担阿片类药物滥用治疗费用的患者提供的资源有了更多了解(p < .05)。所有参与者都表示了解了有关阿片类药物滥用预防、治疗和康复的社区资源(p < .01)。阿片类药物滥用预防培训经调整后可充分利用当地资源,因此可能最为有效。
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Designing and Evaluating Opioid Misuse Prevention Training for Rural Communities and Health Care Providers.

Through Substance Abuse and Mental Health Services Administration funding, Michigan State University (MSU) Extension partnered with MSU's Family Medicine and Health Department of Northwest Michigan to implement trainings for community members and health care providers to increase awareness and improve prevention efforts addressing opioid use disorder (OUD) in rural areas. We formed the Michigan Substance Use Prevention, Education and Recovery (MiSUPER) project to design and evaluate opioid misuse prevention trainings. A socio-ecological prevention model was an underlying conceptual framework for this project and drove strategies used in trainings, products created, and measurement. The purpose of this study is to determine the effectiveness of one-time online educational training events for rural community members and health care providers on community OUD issues, treatment options, and supports for those in recovery. Between 2020 and 2022, rural participants completed pre- and posttraining, and 30-day follow-up evaluation surveys. We report the demographic characteristics of community (n = 451) and provider (n = 59) participants, self-reported knowledge gained, and overall perceptions of the trainings. Findings show community members' knowledge increased from pre- to posttraining (p < .001) and was maintained at 3 months, while providers' knowledge was unchanged over time. Posttraining, community participants felt more comfortable speaking about addiction with family and friends (p < .001), and providers had better knowledge of local resources for patients who could not afford opioid misuse treatments (p < .05). All participants reported gaining knowledge of community resources for opioid misuse prevention, treatment, and recovery (p < .01). Opioid misuse prevention trainings may be most effective when adapted to leverage local resources.

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来源期刊
Health Promotion Practice
Health Promotion Practice PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.80
自引率
5.30%
发文量
126
期刊介绍: Health Promotion Practice (HPP) publishes authoritative articles devoted to the practical application of health promotion and education. It publishes information of strategic importance to a broad base of professionals engaged in the practice of developing, implementing, and evaluating health promotion and disease prevention programs. The journal"s editorial board is committed to focusing on the applications of health promotion and public health education interventions, programs and best practice strategies in various settings, including but not limited to, community, health care, worksite, educational, and international settings. Additionally, the journal focuses on the development and application of public policy conducive to the promotion of health and prevention of disease.
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