Abstract:
BACKGROUND:The number of active opioid analgesic prescriptions has risen steadily, causing increases in nonmedical opioid use, addiction, and overdose. Insufficient focus on patient discharge instructions has contributed to lack of patient awareness regarding dangers of opioids. This study examines whether an educational Khan Academy-style animation discharge instruction on the dangers and safe usage of opioid analgesics elicits higher knowledge acquisition than current standard of care. Additionally, it measures the feasibility of implementing this video discharge instruction in the emergency department (ED). METHODS:Fifty-two English-speaking patients aged 18 years or older receiving an opioid prescription were enrolled in this study. Patients were randomized into 2 groups. The standard of care group received verbal instruction and an informational sheet, whereas the video animation group received a 6-minute video on proper usage of opioids in addition to standard of care. Video content was sourced from samhsa.gov and administered within the ED prior to discharge. Both groups received a 26-question test regarding the dangers and safe usage of opioids immediately after education. An unpaired t test compared knowledge acquisition between the 2 groups. RESULTS:Fifty-four patients were approached, 52 patients enrolled; 27 in the standard group and 25 in the animation group. The standard of care group averaged 65% knowledge acquisition (16.8/26 correct), whereas the animation group averaged 82% acquisition (21.2/26 correct). The video animation significantly increased patient knowledge acquisition about opioid medications' risks and proper usage and disposal (P = .001). CONCLUSION:It can be concluded that medical knowledge acquisition is improved in the video animation group compared with the current standard of care (P = .001). It can also be concluded that it is feasible to implement a novel media platform to educate patients receiving opioid analgesics in the ED (96.1%).
journal_name
Subst Abusjournal_title
Substance abuseauthors
Chakravarthy B,Somasundaram S,Mogi J,Burns R,Hoonpongsimanont W,Wiechmann W,Lotfipour Sdoi
10.1080/08897077.2017.1375061subject
Has Abstractpub_date
2018-01-02 00:00:00pages
27-31issue
1eissn
0889-7077issn
1547-0164journal_volume
39pub_type
杂志文章,随机对照试验相关文献
Substance Abuse文献大全abstract::Most women in substance abuse treatment have experienced significant losses. This preliminary study examined the effectiveness of a therapy group addressing grief and loss among women enrolled in a gender-specific residential substance abuse treatment program. The intervention group consisted of 24 grief group partici...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897079909511393
更新日期:1999-03-01 00:00:00
abstract:BACKGROUND:Alcohol consumption at hazardous levels is more prevalent and associated with poor health outcomes among persons living with the human immunodeficiency virus (HIV; PLWH). Although PLWH are receptive to using technology to manage health issues, it is unknown whether a cell phone app to self-manage alcohol use...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897077.2017.1356793
更新日期:2018-01-02 00:00:00
abstract::The 19th Annual Meeting of the International Society of Addiction Medicine (ISAM) was held in Abu Dhabi, United Arab Emirates, in October 2017. Contained in this paper are the abstracts of scientific work presented at the conference. ...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897077.2018.1441946
更新日期:2018-01-02 00:00:00
abstract:OBJECTIVE:The objective of this study was to assess drinking patterns of Spanish-speaking patients using a bilingual computerized alcohol screening and brief intervention (CASI) tablet computer equipped with the Alcohol Use Disorders Identification Test (AUDIT). METHODS:This retrospective study was conducted in a tert...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897077.2012.728990
更新日期:2013-01-01 00:00:00
abstract::Background: Despite the clear success of office-based buprenorphine treatment in increasing availability of effective treatment for opioid use disorder, constraints on its effectiveness include high attrition and limited high-quality behavioral care in many areas. Web-based interventions may be a novel strategy for pr...
journal_title:Substance abuse
pub_type: 杂志文章,随机对照试验
doi:10.1080/08897077.2019.1569192
更新日期:2019-01-01 00:00:00
abstract::Alcohol, steroids and cocaine have all been shown to be independent risk factors for osteonecrosis when taken in excess. Here we present a case of a young girl who developed debilitating osteonecrosis secondary to low doses of alcohol, steroids and cocaine. We feel it is important to highlight to those caring for such...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897077.2011.562751
更新日期:2011-07-01 00:00:00
abstract:BACKGROUND:Human immunodeficiency virus (HIV)-infected patients have a high prevalence of chronic pain and opioid use, making HIV care a critical setting for improving the safety of opioid prescribing. Little is known about HIV treatment providers' perspectives about opioid prescribing to patients with chronic pain. M...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897077.2015.1129391
更新日期:2016-01-01 00:00:00
abstract::The majority of youth with substance use disorders (SUDs) manifest one or more co-occurring psychiatric disorders. Consequently, many of these youths are being prescribed with psychotropic medications. As prescribing rates continue to increase for early-onset psychiatric disorders, potential risk for substance of abus...
journal_title:Substance abuse
pub_type: 杂志文章,评审
doi:10.1080/08897070903442665
更新日期:2010-01-01 00:00:00
abstract:BACKGROUND:Harm reduction agencies complement addiction treatment by providing diverse services that improve the health of people who use drugs. Buprenorphine maintenance treatment (BMT) is an effective opioid addiction treatment that may be provided from flexible settings, potentially including harm reduction agencies...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897077.2015.1011820
更新日期:2015-01-01 00:00:00
abstract::The purpose of this study was to assess the feasibility of utilizing a computerized alcohol screening and intervention (CASI) kiosk in an emergency department (ED). An interactive English and Spanish audiographical computer program, developed for used on a mobile computer cart, was administered to 5103 patients. Patie...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897077.2010.514245
更新日期:2010-10-01 00:00:00
abstract::Across all care environments, pharmacists play an essential role in the care of people who use and misuse psychoactive substances, including those diagnosed with substance use disorders. To optimize, sustain, and expand these independent and collaborative roles, the Association for Multidisciplinary Education and Rese...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897077.2019.1694618
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Large-scale dissemination efforts seek to expand opportunities for the addiction treatment community to receive training in empirically supported treatments (ESTs). Prospective consumers of such training are valuable sources of input about content of interest, preferences for how training events are structur...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897077.2013.789816
更新日期:2014-01-01 00:00:00
abstract::The aim of the current study was to examine, through posthoc analyses, changes in and predictive utility of mood-related cognitive variables as a function of treatment modality in a group of alcohol dependent patients with elevated depressive symptoms. In addition to the background partial hospital treatment for alcoh...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897070209511487
更新日期:2002-09-01 00:00:00
abstract:UNLABELLED:There are some rationales for developing anticonvulsants for the treatment of substance abuse. The blockade of the AMPA/kainate subtype of glutamate receptor by topiramate may be of particular interest, as preclinical studies of withdrawal from opioids suggest that whilst AMPA-receptor antagonists may not be...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1300/j465v25n04_04
更新日期:2004-12-01 00:00:00
abstract:BACKGROUND:Interim methadone treatment (i.e., temporary medication-only treatment) has been tested in a few U.S. studies as a method for facilitated referral to and initiation of opioid maintenance treatment in heroin dependence. However, despite the favorable safety profile of buprenorphine compared with methadone, in...
journal_title:Substance abuse
pub_type: 临床试验,杂志文章
doi:10.1080/08897077.2015.1065541
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:This study was performed to investigate the efficacy of a voucher-based reinforcement therapy (VBRT) rewarding drug-free urine for adolescents with cannabis use disorder. METHODS:A controlled 10-week study where 59 adolescents aged 14-18 years were assigned by cohorts into groups of either an integrated cog...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897077.2014.933724
更新日期:2014-01-01 00:00:00
abstract::Background: Over the past decade, availability and use of novel psychoactive substances such as synthetic cannabinoid receptor agonists (SCRA) have proliferated globally. However, the prevalence of SCRAs use remains uncertain, as does the degree to which individuals reporting SCRA use prefer SCRA to other drugs. Metho...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897077.2018.1528495
更新日期:2019-01-01 00:00:00
abstract:PURPOSE:To determine knowledge of a national sample of medical students about substance withdrawal, screening and early intervention, medical and psychiatric complications of addiction, and treatment options. METHODS:Based on learning objectives developed by medical faculty, twenty-two questions on addictions were inc...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1300/j465v27n04_01
更新日期:2006-12-01 00:00:00
abstract:BACKGROUND:The purpose of this study was to estimate opioid use disorder prevalence rates at the county level among veterans in Alabama and to determine hotspots of said rates. Methods: By combining data from the National Survey on Drug Use and Health and the American Community Survey, we developed a mixed-effects gene...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897077.2019.1703066
更新日期:2021-01-01 00:00:00
abstract::The objectives of this article are, first, to provide a brief review of screening and assessment of adolescents substance use and substance use disorders; second, to describe the work done with the Teen Addiction Severity Index (T-ASI) in different countries; and third, to address challenges and opportunities in order...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897070802219230
更新日期:2008-01-01 00:00:00
abstract::
The objectives of the present paper were to determine the rate and factors associated with seeking readmission among the clients admitted to an inpatient medical withdrawal management program, Vancouver Detox (VD). All clients who were admitted to VD between July 1, 2003, and June 30, 2004, were included in the stu...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897070802418519
更新日期:2008-01-01 00:00:00
abstract:BACKGROUND:Housing plays a crucial role in providing resources for and aiding an individual's reentry into the community following incarceration and substance use treatment. As such, this study examined the influence of recovery homes on a sample of former female substance-using women with criminal justice involvement....
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897077.2015.1037946
更新日期:2016-01-01 00:00:00
abstract::This paper used bivariate and multivariate analyses to estimate the relationships between chronic drug use and various measures of criminal activity. The data for these analyses were derived from the 1993 (1) and 1995 (2) National Household Surveys on Drug Abuse (NHSDA). Measures of criminal justice system contact and...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897070009511422
更新日期:2000-06-01 00:00:00
abstract::Poor sleep is common in substance use disorders (SUDs) and is a risk factor for relapse. Within the context of a multicomponent, mindfulness-based sleep intervention that included mindfulness meditation (MM) for adolescent outpatients with SUDs (n = 55), this analysis assessed the contributions of MM practice intensit...
journal_title:Substance abuse
pub_type: 临床试验,杂志文章
doi:10.1080/08897071003641297
更新日期:2010-04-01 00:00:00
abstract:BACKGROUND:As rates of substance use disorder during pregnancy rise, pediatric trainees are increasingly caring for infants with neonatal abstinence syndrome (NAS). This study evaluated the knowledge, attitudes, and practices of trainees caring for substance-exposed newborns and their families, comparing differences by...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897077.2017.1356423
更新日期:2017-10-01 00:00:00
abstract::Benzodiazepines (BZDs) are the drug of choice for the suppression of alcohol withdrawal symptoms. Gabapentin, a drug approved for use as adjunctive therapy in the treatment of partial seizures, has none of the BZD-type difficulties (drug interactions, abuse potential). We retrospectively report on the use of gabapenti...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897070309511541
更新日期:2003-06-01 00:00:00
abstract::Many youth who present for substance abuse treatment report co-occurring suicidality. Therefore, it is important to learn about the characteristics of this population and effective treatment strategies. The purpose of this paper is to provide an overview of some of the key issues that arise when treating youth with su...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897070802092835
更新日期:2008-01-01 00:00:00
abstract::Problem drinking is common among patients in primary medical care, but often unrecognized. Brief physician interventions can be helpful, but several barriers hinder their adoption in practice, notably a lack of time. We conducted a randomized pilot study of written behavioral contracts that patients wrote with help fr...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897070009511434
更新日期:2000-12-01 00:00:00
abstract:BACKGROUND:This study aimed to test the effectiveness of a Web-based intervention in preventing alcohol abuse among nightclub patrons. METHODS:A probabilistic sample of the patrons of 31 nightclubs in São Paulo, Brazil, was invited to participate in an online screening using the Alcohol Use Disorders Identification Te...
journal_title:Substance abuse
pub_type: 杂志文章,随机对照试验
doi:10.1080/08897077.2018.1437586
更新日期:2018-01-01 00:00:00
abstract::Using a sample of entering college freshmen (N = 311), the purposes of this study were to examine 1). whether perceived norms for college student alcohol use and problems differed by gender and level of intended Greek involvement (Greek intent); 2). associations between perceived norms, Greek intent, and alcohol use a...
journal_title:Substance abuse
pub_type: 杂志文章
doi:10.1080/08897070209511474
更新日期:2002-03-01 00:00:00