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Addiction Science & Clinical Practice

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https://www.readbyqxmd.com/read/30249279/mysaferx-a-mobile-technology-platform-integrating-motivational-coaching-adherence-monitoring-and-electronic-pill-dispensing-for-enhancing-buprenorphine-naloxone-adherence-during-opioid-use-disorder-treatment-a-pilot-study
#1
Zev Schuman-Olivier, Jacob T Borodovsky, Jackson Steinkamp, Qays Munir, Kyle Butler, Mary Ann Greene, Jonah Goldblatt, Hai Yi Xie, Lisa A Marsch
BACKGROUND: While buprenorphine/naloxone (B/N) is approved for opioid use disorder treatment, effective delivery of B/N comes with significant challenges. Most notably, many patients do not take medication daily as prescribed; this non-adherence worsens treatment outcomes, increases healthcare costs, and leads to persistent worries of diversion among providers and policymakers. The present study examines the feasibility, usability, and acceptability of MySafeRx-a mobile technology platform integrating motivational coaching, adherence monitoring, and electronic pill dispensing designed to address the challenges of office-based opioid treatment (OBOT) with B/N...
September 24, 2018: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/30126452/barriers-to-addiction-treatment-among-formerly-incarcerated-adults-with-substance-use-disorders
#2
Mandy D Owens, Jessica A Chen, Tracy L Simpson, Christine Timko, Emily C Williams
BACKGROUND: Addiction treatment improves substance use and criminal recidivism outcomes among justice-involved individuals with substance use disorders, but is underutilized. Although information exists regarding barriers to addiction treatment among individuals with substance use disorders more generally, less is known about barriers among individuals with previous justice involvement. The purpose of this pilot study was to describe barriers to addiction treatment in a sample of adults with a substance use disorder who participated in a pilot trial of brief interventions and were recently released from jail...
August 21, 2018: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/30078375/emergency-department-screening-and-interventions-for-substance-use-disorders
#3
REVIEW
Kathryn Hawk, Gail D'Onofrio
The emergency department (ED) has long been recognized as providing critical access to the health care system for many, yet only in the past few decades has the ED visit been recognized as an opportunity to identify and link patients to care for substance use disorders (SUDs). This review explores the evidence for ED-based screening, psychosocial and pharmacological interventions, and linkage to treatment for the spectrum of SUDs including high risk alcohol use and alcohol, opioid, tobacco and other SUDs. Despite knowledge gaps, methodological challenges and some inconsistency across interventions studied, opportunities for EDs to improve the care of patients across the spectrum of SUDs are robust...
August 6, 2018: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/30056804/insights-from-individuals-successfully-recovered-from-cannabis-use-disorder-natural-versus-treatment-assisted-recoveries-and-abstinent-versus-moderation-outcomes
#4
David C Hodgins, Jonathan N Stea
BACKGROUND: Increasing understanding of the pathways and processes of recovery from cannabis use disorder may help in designing effective and attractive interventions to promote recovery. We report insights from individuals who had successfully recovered from cannabis use disorder with a variety of pathways. Recovered individuals describe their perceptions of why they developed the problem, why they were successful in recovering, and the advice they would offer to individuals with similar problems...
July 30, 2018: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/30053911/prevalence-and-personal-attitudes-towards-tobacco-smoking-among-palestinian-healthcare-professionals-a-cross-sectional-study
#5
Isra Y Mizher, Shahd I Fawaqa, Waleed M Sweileh
BACKGROUND: Little is known about tobacco smoking behaviors of healthcare professionals in the Middle East where stress conditions are high and tobacco smoking regulations are either absent or loose. The objective of this study was to identify the prevalence of and attitudes toward tobacco smoking among healthcare professionals. METHODS: Trained senior medical students conducted a cross-sectional survey study in all governmental and non-governmental hospitals in Nablus city (Palestine) using a self-administered questionnaire containing both open-and closed-ended questions...
July 27, 2018: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/29730987/stigma-associated-with-medication-treatment-for-young-adults-with-opioid-use-disorder-a-case-series
#6
Scott E Hadland, Tae Woo Park, Sarah M Bagley
BACKGROUND: Opioid-related overdose deaths have risen sharply among young adults. Despite this increase, access to evidence-based medication for opioid agonist treatment (OAT) for youth remains low. Among older adults, barriers to OAT include the paucity of buprenorphine-waivered prescribers and low rates of prescribing among waivered physicians. We have increasingly found in our clinical practice significant stigma related to using OAT to treat addiction for young adults. In this series, we describe three cases of young adults who faced significant stigma related to their treatment...
May 7, 2018: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/29690936/under-one-roof-identification-evaluation-and-treatment-of-chronic-hepatitis-c-in-addiction-care
#7
LETTER
Stephen A Martin, Jordon Bosse, Amanda Wilson, Phyllis Losikoff, Lisa Chiodo
For over a decade, the vast majority of new hepatitis C virus (HCV) infections have been among young people who inject drugs (PWID). Well-characterized gaps in chronic HCV diagnosis, evaluation, and treatment have resulted in fewer than 5% of PWID receiving HCV treatment. While interferon-based treatment may have intentionally been foregone during part of this time in anticipation of improved oral therapies, the overall pattern points to deficiencies and treatment exclusions in the health care system. Treatment for HCV with all-oral, highly effective direct-acting antiviral medication for 12 weeks or less is now the standard of care, putting renewed focus on effective delivery of care...
April 25, 2018: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/29669599/mindfulness-based-treatment-of-addiction-current-state-of-the-field-and-envisioning-the-next-wave-of-research
#8
REVIEW
Eric L Garland, Matthew O Howard
Contemporary advances in addiction neuroscience have paralleled increasing interest in the ancient mental training practice of mindfulness meditation as a potential therapy for addiction. In the past decade, mindfulness-based interventions (MBIs) have been studied as a treatment for an array addictive behaviors, including drinking, smoking, opioid misuse, and use of illicit substances like cocaine and heroin. This article reviews current research evaluating MBIs as a treatment for addiction, with a focus on findings pertaining to clinical outcomes and biobehavioral mechanisms...
April 18, 2018: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/29628018/barriers-and-facilitators-affecting-the-implementation-of-substance-use-screening-in-primary-care-clinics-a-qualitative-study-of-patients-providers-and-staff
#9
Jennifer McNeely, Pritika C Kumar, Traci Rieckmann, Erica Sedlander, Sarah Farkas, Christine Chollak, Joseph L Kannry, Aida Vega, Eva A Waite, Lauren A Peccoralo, Richard N Rosenthal, Dennis McCarty, John Rotrosen
BACKGROUND: Alcohol and drug use are leading causes of morbidity and mortality that frequently go unidentified in medical settings. As part of a multi-phase study to implement electronic health record-integrated substance use screening in primary care clinics, we interviewed key clinical stakeholders to identify current substance use screening practices, barriers to screening, and recommendations for its implementation. METHODS: Focus groups and individual interviews were conducted with 67 stakeholders, including patients, primary care providers (faculty and resident physicians), nurses, and medical assistants, in two urban academic health systems...
April 9, 2018: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/29606129/adherence-intervention-for-hiv-infected-persons-who-use-drugs-adaptation-open-trial-and-pilot-randomized-hybrid-type-1-trial-protocol
#10
Kasey Claborn, Sara Becker, Don Operario, Steve Safren, Josiah D Rich, Susan Ramsey
BACKGROUND: HIV-infected people who use drugs (PWUD) exhibit the highest rates of non-adherence to antiretroviral therapy (ART) among people living with HIV. This contributes to poor treatment outcomes, increased morbidity and mortality, and HIV transmission. However, current interventions fail to address the unique barriers to adherence faced by this population. Life Steps is a brief, single session intervention that demonstrated increased ART adherence among HIV-infected individuals...
April 2, 2018: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/29592801/standardised-alcohol-screening-in-primary-health-care-services-targeting-aboriginal-and-torres-strait-islander-peoples-in-australia
#11
REVIEW
M Mofizul Islam, Helen T Oni, K S Kylie Lee, Noel Hayman, Scott Wilson, Kristie Harrison, Beth Hummerston, Rowena Ivers, Katherine M Conigrave
INTRODUCTION AND AIMS: Aboriginal and Torres Strait Islander Community Controlled Health Services (ACCHSs) around Australia have been asked to standardise screening for unhealthy drinking. Accordingly, screening with the 3-item AUDIT-C (Alcohol Use Disorders Identification Test-Consumption) tool has become a national key performance indicator. Here we provide an overview of suitability of AUDIT-C and other brief alcohol screening tools for use in ACCHSs. METHODS: All peer-reviewed literature providing original data on validity, acceptability or feasibility of alcohol screening tools among Indigenous Australians was reviewed...
March 29, 2018: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/29592800/evaluation-of-the-effect-of-methamphetamine-on-traumatic-injury-complications-and-outcomes
#12
Michael M Neeki, Fanglong Dong, Lidia Liang, Jake Toy, Braeden Carrico, Nina Jabourian, Arnold Sin, Farabi Hussain, Sharon Brown, Keyvan Safdari, Rodney Borger, David Wong
BACKGROUND: This study investigates the impact of methamphetamine use on trauma patient outcomes. METHODS: This retrospective study analyzed patients between 18 and 55 years old presenting to a single trauma center in San Bernardino County, CA who sustained traumatic injury during the 10-year study period (January 1st, 2005 to December 31st, 2015). Routine serum ethanol levels and urine drug screens (UDS) were completed on all trauma patients. Exclusion criteria included patients with an elevated serum ethanol level (> 0 mg/dL)...
March 29, 2018: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/29534735/how-do-people-with-mood-and-anxiety-disorders-perceive-and-interpret-the-drinking-motives-questionnaire-a-think-aloud-study-in-a-clinical-setting
#13
Christina Nehlin, Margareta Wennberg, Caisa Öster
BACKGROUND: Research has identified drinking motives as the final common pathway to alcohol use, and associations between specific drinking motives and drinking patterns have consistently been demonstrated. Data on drinking motives can be used for research, in the planning of prevention strategies and for treatment purposes. The Drinking Motives Questionnaire-Revised (DMQ-R) has become the most used measure of drinking motives. So far, the questionnaire has not been investigated with qualitative methods...
March 14, 2018: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/29530080/substance-use-and-the-hiv-care-continuum-important-advances
#14
EDITORIAL
P Todd Korthuis, E Jennifer Edelman
No abstract text is available yet for this article.
March 12, 2018: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/29482632/development-and-differentiability-of-three-brief-interventions-for-risky-alcohol-use-that-include-varying-doses-of-motivational-interviewing
#15
Jennifer E Hettema, Stephanie A Cockrell, Abigail Reeves, Karen S Ingersoll, Paula J Lum, Richard Saitz, Cristina M Murray-Krezan, Valerie A Carrejo
BACKGROUND: While brief intervention (BI) for risky alcohol use generally yields positive effects among those identified by screening, effect sizes are small and there is unexplained heterogeneity in outcome. The heterogeneity may be related to differences in intervention style and content, including elements of motivational interviewing (MI). To date, it has been difficult to interpret the role of MI in BI and these gaps in knowledge interfere with efforts to train, disseminate and implement BI that retains and maximizes efficacy...
February 27, 2018: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/29467033/correction-to-testing-the-effectiveness-of-a-motivational-interviewing-based-brief-intervention-for-substance-use-as-an-adjunct-to-usual-care-in-community-based-aids-service-organizations-study-protocol-for-a-multisite-randomized-controlled-trial
#16
Bryan R Garner, Heather J Gotham, Stephen J Tueller, Elizabeth L Ball, David Kaiser, Patricia Stilen, Kathryn Speck, Denna Vandersloot, Traci R Rieckmann, Michael Chaple, Erika G Martin, Steve Martino
Upon publication of the original article.
February 21, 2018: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/29409539/eligibility-for-heroin-assisted-treatment-hat-among-people-who-inject-opioids-and-are-living-with-hiv-in-a-canadian-setting
#17
Jan Klimas, Huiru Dong, Nadia Fairbairn, Eugenia Socías, Rolando Barrios, Evan Wood, Thomas Kerr, Julio Montaner, M-J Milloy
OBJECTIVES: A growing body of evidence supports the effectiveness of injectable diacetylmorphine (i.e., heroin) for individuals with treatment-refractory opioid use disorder. Despite this evidence, and the increasing toll of opioid-associated morbidity and mortality, it remains controversial in some settings. To investigate the possible contribution of heroin-assisted treatment (HAT) to HIV treatment-related outcomes, we sought to estimate the proportion and characteristics of HIV-positive people who inject opioids that might be eligible for HAT in Vancouver, Canada...
February 7, 2018: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/29353555/racial-ethnic-differences-in-the-association-between-alcohol-use-and-mortality-among-men-living-with-hiv
#18
Kara M Bensley, Kathleen A McGinnis, David A Fiellin, Adam J Gordon, Kevin L Kraemer, Kendall J Bryant, E Jennifer Edelman, Stephen Crystal, Julie R Gaither, P Todd Korthuis, Brandon D L Marshall, India J Ornelas, K C Gary Chan, Julia C Dombrowski, John C Fortney, Amy C Justice, Emily C Williams
BACKGROUND: Increasing alcohol use is associated with increased risk of mortality among patients living with HIV (PLWH). This association varies by race/ethnicity among general outpatients, but racial/ethnic variation has not been investigated among PLWH, among whom racial/ethnic minorities are disproportionately represented. METHODS: VA electronic health record data from the Veterans Aging Cohort Study (2008-2012) were used to describe and compare mortality rates across race/ethnicity and levels of alcohol use defined by the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) questionnaire...
January 22, 2018: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/29338767/effect-of-exercise-versus-cognitive-behavioural-therapy-or-no-intervention-on-anxiety-depression-fitness-and-quality-of-life-in-adults-with-previous-methamphetamine-dependency-a-systematic-review
#19
REVIEW
Linzette Morris, Jessica Stander, Wardah Ebrahim, Stephanie Eksteen, Orissa Anna Meaden, Ané Ras, Annemarie Wessels
BACKGROUND: Methamphetamine (MA) is a highly addictive psychostimulant used by approximately 52 million people worldwide. Chronic MA abuse leads to detrimental physiological and neurological changes, as well as increases in anxiety and depression, and decreases in overall fitness and quality of life. Exercise has been reported to possibly reverse physiological and neurological damage caused by previous MA use, and to reduce anxiety and depression in this population. The aim of this systematic review was to identify, clinically appraise and synthesise the available evidence for the effectiveness of exercise, compared to cognitive behavioural therapy (CBT), standard care or no intervention, on decreasing anxiety and depression and improving fitness and quality of life in previous MA users...
January 16, 2018: Addiction Science & Clinical Practice
https://www.readbyqxmd.com/read/29370875/substance-use-patterns-and-in-hospital-care-of-adolescents-and-young-adults-attending-music-concerts
#20
Stephanie M Ruest, Alexander M Stephan, Peter T Masiakos, Paul D Biddinger, Carlos A Camargo, Sigmund Kharasch
BACKGROUND: Few studies describe medical complaints and substance use patterns related to attending music concerts. As such, the objective of this study is to describe patient demographics, substance use and intoxication patterns, and medical interventions provided to adolescents and young adults assessed in an emergency department (ED) for complaints directly related to concert attendance. METHODS: A retrospective chart review of patients 13-30 years old who were transported to the ED directly from music concerts between January 2011 and December 2015 was conducted...
January 9, 2018: Addiction Science & Clinical Practice
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