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Substance Abuse

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https://www.readbyqxmd.com/read/28632485/will-strict-limits-on-opioid-prescription-duration-prevent-addiction-advocating-for-evidence-based-policymaking
#1
Mallika L Mundkur, Adam J Gordon, Stefan G Kertesz
No abstract text is available yet for this article.
June 20, 2017: Substance Abuse
https://www.readbyqxmd.com/read/28632462/examining-changes-in-negative-mood-regulation-expectancies-ptsd-depression-and-substance-use-following-integrated-cognitive-behavioral-therapy
#2
Emma Y Siegel, Moira Haller, Ruifeng Cui, Ryan S Trim, Susan R Tate, Sonya B Norman
BACKGROUND: The comorbidity of depression, posttraumatic stress disorder (PTSD), and substance use disorder (SUD) is common among veterans. Some research indicates that poor expectancies for negative mood regulation (NMR) may be associated with depression, trauma symptoms, and substance abuse. However, little is known about whether NMR expectancies can be changed through psychotherapy and if so, whether changes in NMR expectancies are related to changes in depression, PTSD, and SUD. METHODS: Therefore, this study examined 1) whether negative mood regulation (NMR) expectancies correlate with depression, PTSD, and SUD symptoms, 2) whether NMR expectancies improve after group integrated cognitive behavioral therapy (ICBT) and 3) whether these changes were associated with improvements in depression, PTSD, and SUD symptoms in a sample of 123 veterans (89% male, 64% non-Hispanic Caucasian) recruited from a Department of Veteran Affairs (VA) Healthcare System...
June 20, 2017: Substance Abuse
https://www.readbyqxmd.com/read/28622136/exploring-medical-student-s-conceptions-of-substance-use-a-follow-up-evaluation
#3
Dawn L Lindsay, Holly Hagle, Piper Lincoln, Jessica Williams, Peter F Luongo
BACKGROUND: Despite the devastating impact of alcohol and other drug involvement and misuse within society, medical students still receive very limited exposure to these issues. The Scaife Advanced Medical Student Fellowship in Alcohol and Other Drug Dependency, offered by the Institute for Research, Education and Training in Addictions for over 10 years, offers a unique, three-week intensive educational experience including didactic, observation and experiential learning in these topics to first year medical students...
June 16, 2017: Substance Abuse
https://www.readbyqxmd.com/read/28622100/prevalence-of-substance-use-among-middle-school-aged-e-cigarette-users-compared-with-cigarette-smokers-non-users-and-dual-users-implications-for-primary-prevention
#4
Alfgeir L Kristjansson, Michael J Mann, Megan L Smith
BACKGROUND: To compare the prevalence of substance use in e-cigarette (EC) only users with combustible cigarette (CC) only users, dual users, and non-users in a large sample of middle school-aged adolescents. METHODS: Population-based cross-sectional school survey conducted in 15 middle schools in three counties in West Virginia in the US between October and December of 2015 (N = 6,547, girls = 49.6%. Response rate 84.7%). RESULTS: Approximately 4...
June 16, 2017: Substance Abuse
https://www.readbyqxmd.com/read/28622099/energy-drinks-and-alcohol-related-risk-among-young-adults
#5
Celeste M Caviness, Bradley J Anderson, Michael D Stein
BACKGROUND: Energy drink consumption, with or without concurrent alcohol use, is common among young adults. This study sought to clarify risk for negative alcohol outcomes related to the timing of energy drink use. METHODS: We interviewed a community sample of 481 young adults, aged 18-25, who drank alcohol use in the last month. Past 30 day energy drink use was operationalized as no-use, use without concurrent alcohol, and concurrent use of energy drinks with alcohol ("within a couple of hours")...
June 16, 2017: Substance Abuse
https://www.readbyqxmd.com/read/28605276/substance-use-education-in-united-states-schools-of-pharmacy-a-systematic-review-of-the-literature
#6
Andrew J Muzyk, Emily Peedin, Juliana Lipetzky, Hailey Parker, Mark P McEachern, Kelan Thomas
The authors sought to systematically review the quantity and quality of literature describing substance use disorder (SUD) education in United States (U.S.) schools of pharmacy and determine the effectiveness of the educational interventions employed.  Methods: The authors conducted a systematic review of SUD education studies in U.S. pharmacy schools. All literature database searches were performed on April 30, 2016 in five databases: Ovid MEDLINE, Ovid MEDLINE In-Process & Other Non-Indexed Citations, Embase...
June 12, 2017: Substance Abuse
https://www.readbyqxmd.com/read/28605275/exploring-social-work-student-education-the-effect-of-a-harm-reduction-curriculum-on-student-knowledge-and-attitudes-regarding-opioid-use-disorders
#7
Anthony Estreet, Paul Archibald, M Taqi Tirmazi, Sapphire Goodman, Tracy Cudjoe
BACKGROUND: This study evaluates the degree to which a harm reduction intervention course module impacted MSW students' knowledge and attitudes towards addressing opioid use disorder issues and clients. METHODS: Using a mixed-methods approach, data from 124 MSW students was collected between 2011 and 2015. Students completed a 3 hour-course module that focused on harm reduction (HR) philosophy and interventions specifically for opioid use disorders. Students completed pre and posttest of the Harm Reduction Attitude Scale...
June 12, 2017: Substance Abuse
https://www.readbyqxmd.com/read/28594607/the-role-of-mindfulness-skills-in-terms-of-anxiety-related-cognitive-risk-factors-among-college-students-with-problematic-alcohol-use
#8
Kristen M Kraemer, Emily M O'Bryan, Adrienne L Johnson, Alison C McLeish
BACKGROUND: The aim of the current study was to examine the associations between the specific mindfulness skills of observing, describing, awareness, nonjudgment, and nonreactivity in terms of anxiety sensitivity (AS), distress tolerance (DT), and intolerance of uncertainty (IU) among college students with problematic alcohol use. METHODS: Participants were 202 (69.3% male; Mage = 18.96, SD = 2.24, range = 18-45 years) undergraduate college students with problematic alcohol use who completed self-report measures for course credit...
June 8, 2017: Substance Abuse
https://www.readbyqxmd.com/read/28586281/opioid-vs-nonopioid-prescribers-variations-in-care-for-a-standardized-acute-back-pain-case
#9
Kathleen Hanley, Sondra Zabar, Lisa Altshuler, Hillary Lee, Jasmine Ross, Nicomedes Rivera, Christian Marvilli, Colleen Gillespie
BACKGROUND: Opioid analgesics are effective and appropriate therapy for many types of acute pain. Epidemiologic evidence supports a direct relationship between increased opioid prescribing and increases in opioid use disorders and overdoses. OBJECTIVE: To tailor our residency curriculum, we designed and fielded an unannounced standardized patient (USP) case involving a patient with acute back pain who is requesting Vicodin (5/325 mg). We describe residents' case management and examine whether their management decisions, including opioid prescribing, were related to their core clinical skills...
June 6, 2017: Substance Abuse
https://www.readbyqxmd.com/read/28481713/internalized-smoking-stigma-in-relation-to-quit-intentions-quit-attempts-and-current-e-cigarette-use
#10
Richard J O'Connor, Vaughan W Rees, Cheryl Rivard, Dorothy K Hatsukami, K Michael Cummings
BACKGROUND: Reducing the social acceptability of smoking is associated with lowered smoking prevalence. However, denormalization strategies can also contribute to the stigmatization that some smokers may feel about their smoking. Smoking stigma may be more acute if smokers are also members of other stigmatized groups, such as racial/ethnic minorities. This study examined correlates of smoking self- and felt-stigma and discrimination, among current smokers. METHODS: Participants were recruited in the United States via a national commercial consumer panel to complete a cross-sectional, Web-based survey...
May 8, 2017: Substance Abuse
https://www.readbyqxmd.com/read/28394740/self-regulating-profession-administrative-discipline-of-pill-mill-physicians-in-florida
#11
Corey S Davis, Derek H Carr
BACKGROUND: A relatively large number of "pill mills," in which physicians prescribed and sometimes dispensed controlled substances without medical justification, operated in Florida beginning in the mid-2000s. Investigations into these operations have resulted in the arrest and conviction of dozens of physicians for activities related to illegal trafficking in controlled substances. METHODS: Using information from the federal Drug Enforcement Administration, the Florida Department of Health, and court records, we constructed a database of Florida-licensed medical doctors who had been indicted or convicted of crimes related to illegal prescribing of controlled substances in Florida during 2010-2015...
April 10, 2017: Substance Abuse
https://www.readbyqxmd.com/read/28486076/medical-providers-knowledge-and-concerns-about-opioid-overdose-education-and-take-home-naloxone-rescue-kits-within-veterans-affairs-health-care-medical-treatment-settings
#12
Rachel P Winograd, Corey S Davis, Maria Niculete, Elizabeth Oliva, Richard P Martielli
BACKGROUND: Overdose from opioids is a serious public health and clinical concern. Veterans are at increased risk for opioid overdose compared with the civilian population, suggesting the need for enhanced efforts to address overdose prevention in Department of Veterans Affairs (VA) health care settings, such as primary care clinics. METHODS: Prescribing providers (N = 45) completed surveys on baseline knowledge and concerns about the VA Overdose Education and Naloxone Distribution (OEND) initiative prior to attending an OEND educational training...
April 2017: Substance Abuse
https://www.readbyqxmd.com/read/28486075/barriers-to-patient-centered-human-immunodeficiency-virus-hiv-care-with-african-american-patients-who-use-drugs-social-construction-of-the-typical-and-ideal-care-visit
#13
Suzanne Carlberg-Racich, Lindsey Roden
BACKGROUND: A successful patient-provider relationship ensures that patients are treated as individuals and receive appropriate care for their unique circumstances. For this to occur, the relationship needs open communication and trust. African American persons who inject drugs (PWIDs) and who smoke crack cocaine are at elevated risks of poor health outcomes and are often lost to care. In addition, providers often experience difficulty serving this population. Although some barriers are documented in the peer-reviewed literature, this study sought to provide in-depth context to the relationship and how it is constructed...
April 2017: Substance Abuse
https://www.readbyqxmd.com/read/28418816/safe-and-competent-opioid-prescribing-education-increasing-dissemination-with-a-train-the-trainer-program
#14
Lara Zisblatt, Sean M Hayes, Patrice Lazure, Ilana Hardesty, Julie L White, Daniel P Alford
BACKGROUND: Due to the high prevalence of prescription opioid misuse, the US Food and Drug Administration (FDA) mandated a Risk Evaluation and Mitigation Strategy (REMS) requiring manufacturers of extended-release/long-acting (ER/LA) opioids to fund continuing education based on an FDA curricular Blueprint. This paper describes the Safe and Competent Opioid Prescribing Education (SCOPE of Pain) train-the-trainer program and its impact on (1) disseminating the SCOPE of Pain curriculum and (2) knowledge, confidence, attitudes, and performance of the participants of trainer-led compared with expert-led meetings...
April 2017: Substance Abuse
https://www.readbyqxmd.com/read/28418777/er-la-opioid-rems-and-accredited-education-survey-results-provide-insight-into-clinical-roles-educational-needs-and-learner-preferences
#15
Cynthia Kear, Tom McKeithen, Sheila Robertson
BACKGROUND: The Collaborative for REMS (Risk Evaluation and Mitigation Strategy) Education (CO*RE) includes 13 organizations that provide REMS Program Companies (RPC) grant-supported accredited education on extended-release and long-acting (ER/LA) opioid therapy. This report summarizes results of a survey designed to investigate the impact of participant criteria and to better understand the roles and preferences of continuing medical education/continuing education (CME/CE) participants...
April 2017: Substance Abuse
https://www.readbyqxmd.com/read/28398192/an-interventionist-adherence-scale-for-a-specialized-brief-negotiation-interview-focused-on-treatment-engagement-for-opioid-use-disorders
#16
Michael V Pantalon, James Dziura, Fang-Yong Li, Patricia H Owens, Patrick G O'Connor, Gail D'Onofrio
BACKGROUND: No psychometrically validated instrument for evaluating the extent to which interventionists correctly implement brief interventions designed to motivate treatment engagement for opioid use disorders has been reported in the literature. The objective of this study was to develop and examine the psychometric properties of the Brief Negotiation Interview (BNI) Adherence Scale for Opioid Use Disorders (BAS-O). METHODS: In the context of a randomized controlled trial evaluating the efficacy of 3 models of emergency department care for opioid use disorders, the authors developed and subsequently examined the psychometric properties of the BAS-O, a 38-item scale that required raters to answer whether or not ("Yes" or "No") each of the critical actions of the BNI was correctly implemented by the research interventionist...
April 2017: Substance Abuse
https://www.readbyqxmd.com/read/28394752/the-risks-of-opioid-treatment-perspectives-of-primary-care-practitioners-and-patients-from-safety-net-clinics
#17
Emily E Hurstak, Margot Kushel, Jamie Chang, Rachel Ceasar, Kara Zamora, Christine Miaskowski, Kelly Knight
BACKGROUND: Patients with a history of substance use are more likely than those without substance use to experience chronic noncancer pain (CNCP), to be prescribed opioids, and to experience opioid misuse or overdose. Primary care practitioners (PCPs) in safety-net settings care for low-income patients with CNCP and substance use, usually without specialist consultation. To inform communication related to opioid risk, we explored PCPs' and patients' perceptions of the risks of chronic opioid therapy...
April 2017: Substance Abuse
https://www.readbyqxmd.com/read/28394736/what-do-providers-want-to-know-about-opioid-prescribing-a-qualitative-analysis-of-their-questions
#18
Phoebe A Cushman, Jane M Liebschutz, Joseph G Hodgkin, Christopher W Shanahan, Julie L White, Ilana Hardesty, Daniel P Alford
BACKGROUND: In 2012, the US Food and Drug Administration (FDA) responded to the opioid crisis with a Risk Evaluation and Mitigation Strategy, requiring manufacturers of extended-release/long-acting opioids to fund continuing medical education based on the "FDA Blueprint for Prescriber Education." Topics in the Blueprint are "Assessing Patients for Treatment," "Initiating Therapy, Modifying Dosing, and Discontinuing Use," "Managing Therapy," "Counseling Patients and Caregivers about Safe Use," "General Drug Information," and "Specific Drug Information...
April 2017: Substance Abuse
https://www.readbyqxmd.com/read/28394733/training-internal-medicine-residents-to-manage-chronic-pain-and-prescription-opioid-misuse
#19
Allison L Ruff, Daniel P Alford, Robert Butler, J Henry Isaacson
BACKGROUND: Residents feel unprepared to care for patients with chronic pain on long-term opioids who exhibit signs of prescription opioid misuse. OBJECTIVE: Describe an educational intervention for internal medicine residents to improve confidence, practices, attitudes, and self-reported knowledge of resources for chronic pain and opioid misuse. METHODS: The intervention included 2 sessions. Session 1 (3 hours): a lecture on chronic pain, prescription opioid misuse, and opioid use disorders and communication skills practice...
April 2017: Substance Abuse
https://www.readbyqxmd.com/read/28394732/impact-of-a-brief-addiction-medicine-training-experience-on-knowledge-self-assessment-among-medical-learners
#20
Jan Klimas, Keith Ahamad, Christoper Fairgrieve, Mark McLean, Annabel Mead, Seonaid Nolan, Evan Wood
BACKGROUND: Implementation of evidence-based approaches to the treatment of various substance use disorders is needed to tackle the existing epidemic of substance use and related harms. Most clinicians, however, lack knowledge and practical experience with these approaches. Given this deficit, the authors examined the impact of an inpatient elective in addiction medicine amongst medical trainees on addiction-related knowledge and medical management. METHODS: Trainees who completed an elective with a hospital-based Addiction Medicine Consult Team (AMCT) in Vancouver, Canada, from May 2015 to May 2016, completed a 9-item self-evaluation scale before and immediately after the elective...
April 2017: Substance Abuse
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