Abstract

Aims

A novel professional training was developed to reduce stigma toward harm reduction and pharmacotherapy for substance use disorders.

Methods

The training was delivered over three sessions to n = 147 health professionals in Utah between 2019 and 2020, including n = 40 substance use disorder treatment professionals. Pre and post-training survey measures provided evaluation information on knowledge, attitudes, and planned action regarding harm reduction and pharmacotherapy. Items were grouped into a stigma score, and multilevel modeling, regression analyses, and McNemar tests were used to quantify changes in overall stigma toward harm reduction interventions both before and after the training.

Results

The training significantly decreased the total stigma score toward harm reduction (b = −0.09, p < .001, β = −0.34). At the individual item level, 6 of the 22 items showed significant change in reduced stigma (all p < .047), and all items moved in the direction of decreased stigma. These items include both attitudes and planned action aspects of the total stigma score.

Conclusions

This study suggests that education targeting prejudice and discriminatory actions against harm reduction and pharmacotherapy interventions among healthcare professionals may contribute to stigma reduction. These results provide a basis for intervention effectiveness, addressing preconceived ideas, and show community need for such substance use interventions, as a component of future stigma reduction efforts.

中文翻译：

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专业教育，以减少提供者对减少危害和药物治疗的污名

摘要

目标

开发了一种新的专业培训，以减少对物质使用障碍减少危害和药物治疗的污名。

方法

 培训在 2019 年至 2020 年期间在犹他州为n = 147 名卫生专业人员提供了三个课程，其中包括n  = 40 名物质使用障碍治疗专业人员。培训前和培训后的调查措施提供了有关减少危害和药物治疗的知识、态度和计划行动的评估信息。项目被分组为污名评分，并使用多层次建模、回归分析和 McNemar 测试来量化培训前后对减少伤害干预措施的整体污名的变化。

结果

培训显着降低了减少伤害的总污名评分（b = -0.09，p < .001，β = -0.34）。在单项水平上，22 个项目中有 6 个项目的污名减少有显着变化（所有p < .047），所有项目都朝着减少污名的方向移动。这些项目包括总污名分数的态度和计划行动方面。

结论

这项研究表明，针对医疗保健专业人员对减少危害和药物治疗干预的偏见和歧视行为的教育可能有助于减少污名。这些结果为干预有效性提供了基础，解决了先入为主的想法，并表明社区需要这种物质使用干预，作为未来减少污名工作的一个组成部分。