An Interprofessional Substance Use Disorder Course to Improve Students' Educational Outcomes and Patients' Treatment Decisions

被引:26
作者
Muzyk, Andrew [1 ,2 ]
Mullan, Patricia [3 ]
Andolsek, Kathryn M. [4 ]
Derouin, Anne [5 ]
Smothers, Zachary P. W. [6 ]
Sanders, Charles [5 ]
Holmer, Shelley [7 ]
机构
[1] Campbell Univ, Coll Pharm & Hlth Sci, Dept Pharm Practices, Buies Creek, NC 27506 USA
[2] Duke Univ, Sch Med, Med Educ, Durham, NC USA
[3] Univ Michigan, Learning Hlth Sci Div Profess Educ, Ann Arbor, MI 48109 USA
[4] Duke Univ, Sch Med, Dept Community & Family Med, Durham, NC USA
[5] Duke Univ, Sch Nursing, Sci Nursing, Durham, NC USA
[6] Duke Univ, Sch Med, Program Med, Durham, NC USA
[7] Duke Univ, Sch Med, Dept Psychiat & Behav Sci, Durham, NC USA
关键词
STIGMA;
D O I
10.1097/ACM.0000000000002854
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
Purpose Substance use is a public health concern. Health professions organizations recommend improvements in substance use disorder (SUD) education. Mezirow's transformative learning theory was used as the educational framework to develop a course that would provide students with opportunities to improve their understanding of SUDs; to assess, challenge, and reflect on their attitudes toward patients with SUDs; to receive direct observation, assessment, and feedback on behavior change counseling; and to engage in interprofessional education. The study's purpose was to evaluate the impact of an interprofessional SUD course on students' educational outcomes and their attitudes toward interprofessionalism. Method Students from several health professions-medicine, pharmacy, physician assistant, nursing, and social work-attended a monthly interprofessional education SUD course starting in spring 2018. The course, taught by an interprofessional faculty, consisted of 4 interactive classes focused on empathy and recognizing personal bias; behavioral change counseling; and recognition, screening, and treatment of SUDs. Students attended a 12-step recovery meeting and had an optional opportunity to counsel a patient using behavioral change counseling. Results Seventy-eight students completed the course. Students demonstrated significant improvements in their attitudes toward patients with SUDs and toward interprofessionalism, as measured by the Substance Abuse Attitude Survey and the Student Perceptions of Interprofessional Clinical Education survey. Nearly 70% of students counseled a patient with an SUD, and 93% of counseled patients agreed to follow-up care. Conclusions The course (1) enriched students' understanding, attitudes, and behaviors toward patients with SUDs and toward interprofessional collaboration and (2) positively influenced patients' treatment decisions.
引用
收藏
页码:1792 / 1799
页数:8
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