National Drug Abuse Treatment

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Understanding Attitudes Toward Use of Medication in Substance Abuse Treatment: A Multilevel Approach.

Psychological Services 2009;6(1):74-84. [doi: 10.1037/a0013420]

John P. Fitzgerald, LPC, CAS, PhD, Dennis McCarty, PhD (both from Oregon Health & Science University, OR/HI Node).

Individual and organizational variables influence attitudes towards use of naltrexone, methadone, and buprenorphine for the treatment of alcohol and drug disorders. Prior research has not considered both sets of influences simultaneously. Hierarchical linear modeling tested the contribution of individual and organizational variables using data the National Drug Abuse Treatment Clinical Trials Network treatment unit and workforce surveys (n = 2,269 staff nested within 247 treatment units), done as part of protocol CTN-0008, "Assessment of the National Drug Abuse Clinical Trials Network: A Baseline for Investigating Diffusion of Innovation." Individual-level variables consistently had more influence on attitudes, but a unique blend of variables existed for each medication. One predictor, support for psychiatric medications, influenced attitudes across all medications. Staff attitudes towards addiction medications varied significantly between treatment units. Implications for increasing the appropriate use of addiction medications are discussed. (Article (Peer-Reviewed), English, 2009)

Keywords: Attitudes of health personnel | Baseline data | Community health services | Counselors | Methadone maintenance | Naltrexone | Pharmacological therapy | Psychiatric Services (journal)

Document No: 228

Submitted by Dennis McCarty, PhD, Principal Investigator, OR/HI Node.

 
AUTHORS SEARCH LINK
Fitzgerald, John P. search mail
McCarty, Dennis search mail
PROTOCOLS
NIDA-CTN-0008 search www
NODES & CTPs
All Nodes and CTPs were asked to participate in this protocol.

Supported by a grant from the National Institute on Drug Abuse to the University of Washington Alcohol and Drug Abuse Institute.
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Updated 6/2009 -- http://ctndisseminationlibrary.org/display/228.htm
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