Exploring nicotine dependence treatment commitment and quality of care among Portuguese substance use disorder treatment professionals

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art_CASTALDELLI-MAIA_Exploring_nicotine_dependence_treatment_commitment_and_quality_of_2022.PDF (377.29 KB)
Citações na Scopus
4
Tipo de produção
article
Data de publicação
2022
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
PERGAMON-ELSEVIER SCIENCE LTD
Autores
GIL, Felipe
TORALES, Julio
VENTRIGLIO, Antonio
Citação
JOURNAL OF SUBSTANCE ABUSE TREATMENT, v.134, Special Issue, article ID 108541, 5p, 2022
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Background: Smoking is highly prevalent among individuals with substance use disorder (SUD). No specific treatment policy exists for nicotine dependence treatment (NDT) in patients with SUD in Portugal, such as in most countries.& nbsp;Methods: We used the Index of Treatment Quality (ITTQ) and Tobacco Treatment Commitment Scale (TTCS) to assess NDT quality and commitment before and after training professionals who work in the Portuguese SUD treatment network (n = 203). The study assessed learning and competence through pre-and postknowledge tests, competence self-report, and intention-to-change questionnaires. The study carried out descriptive and inferential statistics using STATA software. We based the current study on the Revised Standards for Quality Improvement Reporting Excellence (SQUIRE 2.0).& nbsp;Results: Compared to psychologists, physicians/social workers had worse NDT perceptions (i.e., NDT should not be included in drug treatment programs; NDT could hinder client recovery; it is unfair to take tobacco away from these patients). The counseling offer level was low overall. However, the study found higher levels of smoking assessment in all regions. Knowledge of motivational interviewing, stages of motivation, and addressing return to use improved. Self-competency skills also increased following training.& nbsp;Conclusion: Treatment providers should be encouraged to implement counseling within NDT. Physicians and social workers should be aware of the importance of NDT for individuals with SUD. Attitudes and commitment to NDT for this subpopulation were quite similar to those found in U.S. studies. Our educational intervention increased learning knowledge and competence.
Palavras-chave
Smoking cessation treatment, Substance use disorders, Commitment, Quality, Portugal
URI
https://observatorio.fm.usp.br/handle/OPI/47292
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Coleções
Artigos e Materiais de Revistas Científicas - FM/Outros
Artigos e Materiais de Revistas Científicas - LIM/23
Artigos e Materiais de Revistas Científicas - ODS/03