The Authors' Own Words Archives - Page 17 of 38

The Authors’ Own Words: Substance use is independently associated with pneumonia severity in persons living with HIV

Nov 22, 2019 by AMERSA

The Authors’ Own Words:

We ask authors to describe their impressions regarding the implications of their accepted work, how their findings will change practice, and what is noteworthy about the work.

Substance use is independently associated with pneumonia severity in persons living with HIV

Sarah E. Jolley, MD, MSc & David A. Welsh, MD

Substance Abuse Vol. 40, Iss. 2, 2019

“Our manuscript highlights the impact of illicit drug use on pneumonia severity in people living with HIV/AIDS. It shows that illicit drug use is common and that use of intravenous drugs or inhalational crack/cocaine is associated with increased pneumonia severity. Interestingly, use of marijuana is associated with less severe pneumonia and marijuana use mitigates the negative effect of alcohol on pneumonia risk. Finally, our manuscript describes a significant interaction between patient sex and alcohol use on pneumonia severity with women with an alcohol use disorder experiencing more severe pneumonia. We feel our results will aid in risk stratification of pneumonia patients and highlight a high risk group for targeted hospital-based interventions aimed at addressing addiction.“

The Authors’ Own Words: Use of Online Opioid Overdose Prevention Training for First Year Medical Students: A Comparative Analysis of Online vs In-Person training

Nov 21, 2019 by AMERSA

The Authors’ Own Words:

We ask authors to describe their impressions regarding the implications of their accepted work, how their findings will change practice, and what is noteworthy about the work.

Use of Online Opioid Overdose Prevention Training for First Year Medical Students: A Comparative Analysis of Online vs In-Person training

Noah Berland, MD, MS; Daniel Lugassy, MD; Aaron Fox, MD, MS; Keith Goldfeld, DrPh; So-Young Oh, MS; Babak Tofighi, MD, MSc; & Kathleen Hanley, MD

Substance Abuse Vol. 40, Iss. 2, 2019

“Using conventional in-person education modalities to adding topics related to substance use disorders to medical school curriculum, or simply expanding training to greater numbers of individuals is challenging and often faculty intensive. In our article we demonstrate that online administered opioid overdose prevention training produced not meaningfully different outcomes from in-person administered opioid overdose prevention training. We believe that this provides evidence of further expanding opioid overdose prevention training by using online training modalities to be less resource intense and more easily disseminated. This article further adds to the new and growing research comparing online and in-person modalities for education.“

The Authors’ Own Words: Harm Reduction Treatment for Smoking (HaRT-S): Findings from a Single-arm Pilot Study with Smokers Experiencing Chronic Homelessness

Nov 21, 2019 by AMERSA

The Authors’ Own Words:

We ask authors to describe their impressions regarding the implications of their accepted work, how their findings will change practice, and what is noteworthy about the work.

Harm Reduction Treatment for Smoking (HaRT-S): Findings from a Single-arm Pilot Study with Smokers Experiencing Chronic Homelessness

Susan E. Collins, PhD; Lonnie A. Nelson, PhD; Joey Stanton; Nigel Mayberry, RN; Tatiana Ubay, BS; Emily M. Taylor, BS; Gail Hoffmann, BS; Silvi C. Goldstein, BA; Andrew J. Saxon, MD; Daniel K. Malone, MPH; Seema L. Clifasefi, PhD, MSW; Kolawole Okuyemi, MD, MPH; & The HaRT-S Community Advisory Board

Substance Abuse Vol. 40, Iss. 2, 2019

“This study is the first to examine initial feasibility, acceptability and smoking-related outcomes for explicitly harm-reduction counseling for smoking with support of safer nicotine delivery systems, including ENDS. Taken in context with the very few other smoking cessation treatment studies in homeless populations, HaRT-S findings indicated favorable initial feasibility and acceptability in a chronically homeless population. Additionally, participants evinced expected, significant, linear increases in likelihood of point-prevalence abstinence as well as decreases in smoking frequency and dependence on cigarettes over the 14-week follow-up. Participants who reported using ENDS were even more likely to report decreases in smoking intensity and cigarette dependence.“

The Authors’ Own Words: Single and dual diagnoses of Major Depressive Disorder and Post-Traumatic Stress Disorder predicted by triple comorbid trajectories of tobacco, alcohol, and marijuana use among urban adults

Nov 20, 2019 by AMERSA

The Authors’ Own Words:

We ask authors to describe their impressions regarding the implications of their accepted work, how their findings will change practice, and what is noteworthy about the work.

Single and dual diagnoses of Major Depressive Disorder and Post-Traumatic Stress Disorder predicted by triple comorbid trajectories of tobacco, alcohol, and marijuana use among urban adults

Substance Abuse Vol. 40, Iss. 2, 2019

“As the prevalence of substance use increases, it is significant to examine the associations between earlier use of three substances simultaneously and later MDD and/or PTSD. From a clinical perspective, individuals presenting with tobacco, alcohol, and marijuana use should be evaluated for MDD and/or PTSD. The findings of the present study could lead to improvements in individualized treatments for African American and Puerto Rican patients who have both MDD and PTSD and who also use tobacco, alcohol, and marijuana.“

The Authors’ Own Words: Counselor turnover in substance use disorder treatment research: Observations from one multi-site trial

Nov 20, 2019 by AMERSA

The Authors’ Own Words:

We ask authors to describe their impressions regarding the implications of their accepted work, how their findings will change practice, and what is noteworthy about the work.

Counselor turnover in substance use disorder treatment research: Observations from one multi-site trial

Mary A. Hatch-Maillette, PhD; Robin Harwick, PhD; John S. Baer, PhD; Tatiana Masters, PhD; Kasie Cloud, MSW; Michelle Peavy, PhD; Katharina Wiest, PhD; Lynette Wright, MSW; Blair Beadnell, MSW; & Elizabeth A. Wells, PhD

Substance Abuse Vol. 40, Iss. 2, 2019

“In this paper, we report on counselor workforce-related implementation challenges in substance use disorder clinical trials, and make observations that could inform researchers seeking to implement effectiveness research in SUD treatment settings. This is relevant because researchers, insurers and public agencies are increasingly asking counselors and treatment organizations to mount complicated evidence-based practices, resulting in multiple sources of performance pressure and competing priorities. Effectiveness research is an indispensable step in moving an innovation into practice, yet counselor attrition is a significant factor in intervention delivery that must be recognized. It is incumbent upon researchers to understand and articulate the challenges in integrating behavioral research into daily provision of care and apply those lessons productively going forward. We believe that this manuscript is relevant to the audience of addiction service delivery and research, and to the journal’s focus on implementation science and clinical research in the addiction treatment context.“