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Integrating Opioid Use Disorder Treatment Into Primary Care Settings
Abstract
Importance Medication for opioid use disorder (MOUD) (eg, buprenorphine and naltrexone) can be offered in primary care, but barriers to implementation exist.
Objective To evaluate an implementation intervention over 2 years...
Use of Medication for Opioid Use Disorder Among Adults With Past-Year Opioid Use Disorder in the US, 2021
Discussion
Despite guidelines recommending MOUD, approximately 1 in 5 adults with past-year OUD received any MOUD. Furthermore, some groups were substantially less likely to receive MOUD, in particular Black adults, women, those...
Stress, Coping, and Context: Examining Substance Use Among LGBTQ Young Adults With Probable Substance Use Disorders
In this research, the authors explored how lesbian, gay, bisexual, transgender, and queer (LGBTQ) young adults with problematic substance use made sense of their substance use in relation to their LGBTQ identities.
The authors...
Implementation and workflow strategies for integrating digital therapeutics for alcohol use disorders into primary care: a qualitative study
Abstract
Background
Alcohol use disorders (AUD) are prevalent and often go untreated. Patients are commonly screened for AUD in primary care, but existing treatment programs are failing to meet demand. Digital therapeutics include...
په بیړنی ریاست کې د جوړې بیرته راستنیدو کوچ مداخلې وروسته د موادو کارولو درملنې ګډون پورې اړوند عوامل
چکیده
معرفی شرکت
د ملګری بیرته راستنیدو کوچ مالتړ سره لنډ مداخله د بیړنی څانګې (ED) څخه د موادو کارولو اختلال درملنې ته راجع کولو لپاره کارول شوی. دا بیرته راګرځیدونکی مطالعې په ED کې د لنډ مداخلې وروسته د درملنې بریالی اړیکې سره تړلی...
Teacher attitudes toward evidence-based practices: Exploratory and confirmatory analyses of the school-adapted evidence-based practice attitude scale
Abstract
Background
The Evidence-Based Practice Attitudes Scale (EBPAS) is widely used in implementation research, but it has not been adapted and validated for use among general education teachers, who are most likely to deliver...
Disruptions to U.S. local public health’s role in population-based substance use prevention and response during COVID-19
Background
COVID-19 dramatically limited the scale and scope of local health department (LHD) work, redirecting resources to the response. However, the need for essential public health services—including substance use prevention—was not...
Targeted epigenomic editing ameliorates adult anxiety and excessive drinking after adolescent alcohol exposure
Abstract
Adolescent binge drinking is a major risk factor for psychiatric disorders later in life including alcohol use disorder. Adolescent alcohol exposure induces epigenetic reprogramming at the enhancer region of the activity...
Patterns of Health Care Use 5 Years After an Intervention Linking Patients in Addiction Treatment With a Primary Care Practitioner
Abstract
Importance Substance use disorders are associated with high rates of emergency department (ED) use and challenges engaging with primary care services.
Objective To examine 5-year health care engagement and utilization...
Respiratory events associated with concomitant opioid and sedative use among Medicare beneficiaries with chronic obstructive pulmonary disease
Abstract
Background Opioids and sedatives are commonly prescribed in chronic obstructive pulmonary disease (COPD) patients for symptoms of dyspnoea, pain, insomnia, depression and anxiety. Older adults are advised to avoid these...
Involvement of the ghrelin system in the maintenance and reinstatement of cocaine-motivated behaviors: a role of adrenergic action at peripheral β1 receptors
Abstract
Cocaine addiction is a significant medical and public concern. Despite decades of research effort, development of pharmacotherapy for cocaine use disorder remains largely unsuccessful. This may be partially due to insufficient...
Bupropion and Naltrexone in Methamphetamine Use Disorder
Abstract
Background
The use of naltrexone plus bupropion to treat methamphetamine use disorder has not been well studied.
Methods
We conducted this multisite, double-blind, two-stage, placebo-controlled trial with the use of a...
Trends in Cannabis Polysubstance Use During Early Pregnancy Among Patients in a Large Health Care System in Northern California
Abstract
Importance Rates of prenatal cannabis use are increasing alongside perceptions that cannabis is a harmless therapeutic for pregnancy-related ailments, while rates of prenatal use of alcohol and tobacco are decreasing. It is...
د زیپ کوډو د نژادی او قومی ترکیب له مخې د بې واکه بوپرنورفین د تجویزونو په ملی شتون کې بدلونونه
شالید
په ډول ډول ټولنو کې د عامه روغتیا بحران پاتې کیږی. د ۲۰۱۹ او ۲۰۲۰ کلونو تر منځ، د نشه یی توکو په مرګونو کې تقریبا ۴۰٪ زیاتوالی وو چې په لومړۍ سر کې د محرک او اپیوایډ دواړو انالوګس له امله وو. د افیوپی د استعمال د بې نظمۍ لپاره درمل...
Intentions and Attempts to Quit Smoking Among Sexual Minoritized Adult Smokers After Exposure to the Tips From Former Smokers Campaign
Abstract
Importance Significant disparities exist in smoking behaviors by sexual minority status in the US.
Objective To examine potential differences in the associations between exposure to the Tips From Former Smokers (Tips)...
په هغو کسانو کې چې نشه یی توکی پیچکارۍ کوی د بکتریا شدید مکرونه : د انجکشن اړوند د نمو د خرابیدو رول
خلاصه
شالید
د امریکا د انجکشن د درملو د کارولو د اوسنی اپیلیا په لړ کې ، د عامې روغتیا د زیانونو د کمولو ستراتیژی په دودیزه توګه د زیات استعمال مخنیوی او د وینې د اخته شوی ورایلې د انتقال کمولو ته پاملرنه کړې ده. په تیره لسیزه کې په...
Assessing the feasibility, usability and acceptability of the MySafeRx platform among individuals in outpatient buprenorphine treatment: Lessons learned from a pilot randomized controlled trial
Abstract
Background
Increasing buprenorphine/naloxone (B/N) access for opioid use disorder (OUD) is essential yet ensuring adherence and preventing diversion remains challenging. This study examines the feasibility, usability, and...
د درد مدیریت کې د روغتیا پاملرنې تعلیمی توپیرونه ، د ماشومتوب منفی تجربې او د موادو کارولو اختلال تعلیم سره د دوی اړیکې
د اوهایو لوی څارنوال د یو شمیر اکاډمیک برخو کارپوهان د اپیوایډ مخنیوی او تعلیم ساینسی کمیټې (SCOPE) ته وټاکل ترڅو په متحده ایالاتو کې د اپیوایډ بحران سره مبارزه کې د اوهایو ایالت سره مرسته وکړی. د SCOPE تمرکز د موادو کارولو اختلالاتو کمولو...
Outcomes After Implementation of a Benzodiazepine-Sparing Alcohol Withdrawal Order Set in an Integrated Health Care System
Abstract
Importance Alcohol withdrawal syndrome (AWS) is a common inpatient diagnosis managed primarily with benzodiazepines. Concerns about the adverse effects associated with benzodiazepines have spurred interest in using...
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