Uncategorized Archives - Page 57 of 65

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.“

The Authors’ Own Words: In-hospital training in addiction medicine: A mixed methods study of health care provider benefits and differences

Nov 19, 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.

In-hospital training in addiction medicine: A mixed methods study of health care provider benefits and differences

Lauren Gorfinkel, B.Arts.Sc, MPH (Cand); Jan Klimas, MSc, PhD; Breanne Reel, BSc, MPH; Huiru Dong, MSc, PhD (Cand); Keith Ahamad, MD, CCFP; Christopher Fairgrieve, BMSc, MD, CCFP, ABAM; Mark McLean, MD, FRCPC; Annabel Mead, MD, CCFP; Seonaid Nolan, MD, FRCPC; Will Small, MA, PhD; Walter Cullen, MD, MRCGP, MICGP; Evan Wood, MD, PhD, FRCPC; & Nadia Fairbairn, MD, FRCPC

Substance Abuse Vol. 40, Iss. 2, 2019

“Although hands-on training in addiction medicine tends to be overlooked in medical education, our findings suggest that both emerging and established physicians appear to be responsive to a hospital-based dedicated elective in addiction medicine, and that overall, medical students appear to feel that they benefit most from this intervention compared to other types of learners. As substance use disorders are not limited to a single field of medicine, spanning primary care, internal medicine, pain treatment, and more, focusing education on an earlier stage of training may ultimately allow for more effective identification and treatment in a broader range of contexts. In light of the pressing need for improved knowledge of substance use disorders in healthcare settings, all learner types should be targeted for training in addiction medicine; however, our study findings suggest that medical school is the optimal time to introduce this type of training.“

The Authors’ Own Words: The intersection of women’s sexual pleasure and injection drug use

Nov 19, 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.

The intersection of women’s sexual pleasure and injection drug use

Caroline Katzman, BA & Ellen Tuchman, MSW, PhD

Substance Abuse Vol. 40, Iss. 2, 2019

“After conducting a thorough literature search, I found that most research about women who inject drugs focuses primarily on health risks, sex work, and interpersonal violence, with no mention of female pleasure or agency. When I began reading through these semi-structured qualitative interviews, I knew immediately that these women’s voices needed to be heard. Their voices were strong, their agency was clear, and they provided a positive viewpoint about sexual pleasure and relationships that has not yet been considered. We must share the nuances of all women’s perspectives to help shape our interventions because no intervention can be “one-size-fits-all.” It is imperative to understand the diversity in patient perspectives and experiences to help our patients stay healthy and safe.“