Albright, Skipper, Riley, Wilhelm e Rayburn (2012)Albright, B., Skipper, B., Riley, S., Wilhelm, P., & Rayburn, W. F. (2012). Medical students’ comfort with pregnant women with substance-use disorders: A randomized educational study. Academic Psychiatry, 36(6), 457-460. doi:10.1176/appi.ap.11070134 https://doi.org/10.1176/appi.ap.11070134...
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96 medical students |
Education and contact with pregnant women who use drugs |
Increased comfort in talking about drug use and its negative effects |
Ballon and Skinner (2008)Ballon, B. C., & Skinner, W. (2008). Attitude is a little thing that makes a big difference”: Reflection techniques for addiction psychiatry training. Academic Psychiatry , 32(8), 218-224. doi:10.1176/appi.ap.32.3.218 https://doi.org/10.1176/appi.ap.32.3.218...
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28 psychiatric residents |
Education, contact with dependents, training, group visits |
Improved attitudes |
Barron et al. (2012)Barron, R., Frank, E., & Gitlow, S. (2012). Evaluation of an experiential curriculum for addiction education among medical students. Journal of Addiction Medicine, 6(2), 131-136. doi:10.1097/ADM.0b013e3182548abd https://doi.org/10.1097/ADM.0b013e318254...
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140 doctors and 105 medical students |
Experiential learning at the Summer Institute for Medical Students |
Increased confidence in acknowledging available resources for dependents and talking about drug use |
Bigby and Barnes (1993)Bigby, J., & Barnes, H. N. (1993). Evaluation of a faculty development program in substance abuse education. Journal of General Internal Medicine, 8(6), 301-305. doi:10.1007/bf02600141 https://doi.org/10.1007/bf02600141...
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87 professor and doctors |
Course; role-play, case discussions, and group meeting |
Improved attitudes; increased confidence in clinical skills |
Bland et al. (2001)Bland, E., Oppenheimer, L., Brisson-Carroll, G., Morel, C., Holmes, P., & Gruslin, A. (2001). Influence of an educational program on medical students’ attitudes to substance use disorders in pregnancy. American Journal of Drug and Alcohol Abuse, 27(3), 483-490. doi:10.1081/ada-100104513 https://doi.org/10.1081/ada-100104513...
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84 medical students |
Educational modules, simulated contact with the patient, and lectures |
Increased comfort in dealing with patients; improved attitudes |
Chappel and Veach (1987)Chappel, J. N., & Veach, T. L. (1987). Effect of a course on students’ attitudes toward substance abuse and its treatment. Journal of Medical Education, 62(5), 394-400. doi:10.1097/00001888-198705000-00004 https://doi.org/10.1097/00001888-1987050...
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45 medical students |
Course; discussion groups, clinical cases, and technical visits |
Improved attitudes, unrelated to good clinical practices |
Cleary et al. (2009)Cleary, M., Hunt, G. E., Malins, G., Matheson, S., & Escott, P. (2009). Drug and alcohol education for consumer workers and caregivers: A pilot project assessing attitudes toward persons with mental illness and problematic substance use. Archives of Psychiatric Nursing, 23(2), 104-110. doi:10.1016/j.apnu.2008.05.004 https://doi.org/10.1016/j.apnu.2008.05.0...
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32 caregivers |
Workshops |
Improved attitudes; greater sympathy; equal rights to health |
Crapanzano et al. (2014)Crapanzano, K., Vath, R. J., & Fisher, D. (2014). Reducing stigma towards substance users through an educational intervention: Harder than it looks. Academic Psychiatry , 38(4), 420-425. doi:10.1007/s40596-014-0067-1 https://doi.org/10.1007/s40596-014-0067-...
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28 doctors |
Teaching and discussions, contact, and reflective writing |
Contact had positive effects, but stigmatizing attitudes were maintained |
Gabel and Pearsol (1993)Gabel, L. L., & Pearsol, J. A. (1993). The twin epidemics of substance use and HIV: A state-level response using a train-the-trainer model. Family Practice, 10(4), 400-405. doi:10.1093/fampra/10.4.400 https://doi.org/10.1093/fampra/10.4.400...
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120 doctors and nurses |
Training for professionals |
Improved knowledge and attitudes towards people who use drugs and with HIV/AIDS |
Gerace et al. (1995)Gerace, L. M., Hughes, T. L., & Spunt, J. (1995). Improving nurses’ responses toward substance-misusing patients: A clinical evaluation project. Archives of Psychiatric Nursing , 9(5), 286-294. doi:10.1016/s0883-9417(95)80048-4 https://doi.org/10.1016/s0883-9417(95)80...
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32 nurses |
Classes, contact, self-awareness exercises, role-play, case studies, and brief intervention |
Positive results in the experimental group, compared to the control group, mainly in the optimism in treatment |
Gopalan et al. (1992)Gopalan, R., Santora, P., Stokes, E. J., Moore, R. D., & Levine, D. M. (1992). Evaluation of a model curriculum on substance abuse at The Johns Hopkins University School of Medicine. Academic Medicine, 67(4), 260-266. doi:10.1097/00001888-199204000-00014 https://doi.org/10.1097/00001888-1992040...
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892 medical students |
Elective modules and experiences related to drug use |
Improved attitudes, responsibility, and knowledge |
Gorman et al. (1990)Gorman, D. M., Werner, J. M., Jacobs, L. M., & Duffy, S. W. (1990). Evaluation of an alcohol education package for non-specialist health care and social workers. British Journal of Addiction, 85(2), 223-233. doi:10.1111/j.1360-0443.1990.tb03075.x https://doi.org/10.1111/j.1360-0443.1990...
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63 health professionals and social workers |
Education, discussions, and role-play |
No significant improvement in knowledge and attitudes |
Heiligman and Nagoshi (1994)Heiligman, R. M., & Nagoshi, C. T. (1994). A longitudinal study of family practice residents’ attitudes toward alcoholism. Family Medicine, 26(7), 447-451.
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43 residents |
Classes on dependence and visits to AA |
No significant changes in attitudes |
Hettema et al. (2009)Hettema, J. E., Sorensen, J. L., Uy, M., & Jain, S. (2009). Motivational enhancement therapy to increase resident physician engagement in substance abuse education. Substance Abuse, 30(3), 244-247. doi:10.1080/08897070903041210 https://doi.org/10.1080/0889707090304121...
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9 medical students |
Motivational Enhancement Therapy, Education, and SBIRT |
No significant changes in attitudes |
Junqueira et al. (2015)Junqueira, M. A., Rassool, G. H., Santos, M. A., & Pillon, S. C. (2015). The impact of an educational program in brief interventions for alcohol problems on undergraduate nursing students: A Brazilian context. Journal of Addictions Nursing, 26(3), 129-135. doi:10.1097/JAN.0000000000000086 https://doi.org/10.1097/JAN.000000000000...
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120 nursing students |
Theoretical and practical classes |
Improved knowledge and attitudes; experimental group with greater improvement than control group |
Kokotailo et al. (1995)Kokotailo, P. K., Langhough, R., Neary, E. J., Matson, S. C., & Fleming, M. F. (1995). Improving pediatric residents’ alcohol and other drug use clinical skills: Use of an experiential curriculum. Pediatrics, 96(1), 99-104.
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44 psychiatric residents |
Education, role-play and interviews, participation in drug assessment and intervention programs |
Improved general knowledge, interest, specific skills, and trust regarding drugs |
Meltzer et al. (2013)Meltzer, E. C., Suppes, A., Burns, S., Shuman, A., Orfanos, A., Sturiano, C. V., ... Fins, J. J. (2013). Stigmatization of substance use disorders among internal medicine residents. Substance Abuse , 34(4), 356-362. doi:10.1080/08897077.2013.815143 https://doi.org/10.1080/08897077.2013.81...
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128 medical residents |
Knowledge, interactive sessions, lectures on SBIRT, The Brief Negotiated Interview (BNI), and field trip |
Increased consideration regarding dependents of alcohol and pain medications |
Meng, Rayburn, Ramirez-Cacho and Rayburn (2007)Meng, C., Rayburn, B. B., Ramirez-Cacho, W. A., & Rayburn, W. F. (2007). Effect of a specialized prenatal clinic on medical student attitudes toward women with drinking problems. The Journal of Maternal-Fetal & Neonatal Medicine, 20(3), 217-220. doi:10.1080/14767050601057564 https://doi.org/10.1080/1476705060105756...
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117 medical students |
Contact with the group |
Improved attitudes; increased comfort with pregnant patients with alcohol use disorder |
Munro et al. (2007)Munro, A., Watson, H. E., & McFadyen, A. (2007). Assessing the impact of training on mental health nurses’ therapeutic attitudes and knowledge about co-morbidity: A randomised controlled trial. International Journal of Nursing Studies, 44(8), 1430-1438. doi:10.1016/j.ijnurstu.2006.07.024 https://doi.org/10.1016/j.ijnurstu.2006....
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49 nurses |
Groups, education, evidence-based intervention, ethical issues, and public policies |
Improved attitudes in the experimental group |
Ockene et al.(1997)Ockene, J. K., Wheeler, E. V., Adams, A., Hurley, T. G., & Hebert, J. (1997). Provider training for patient-centered alcohol counseling in a primary care setting. Archives of Internal Medicine, 157(20), 2334-2341. doi:10.100/archinte.1997.00440410066007 https://doi.org/10.100/archinte.1997.004...
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14 doctors, 12 residents, and 5 nursing professionals |
Educational strategies, role-play, and counseling skills |
Improved confidence, optimism in treatment, and stereotyped beliefs |
Oliveira et al. (2013)Oliveira, M. C., Martins, L. F., Richter, K., & Ronzani, T. M. (2013). Evaluation of an intervention to reduce health professional stigma toward drug users: A pilot study. Journal of Nursing Education and Practice, 3(5), 138-148. doi:10.5430/jnep.v3n5p138 https://doi.org/10.5430/jnep.v3n5p138...
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95 primary healthcare professionals |
SBIRT training for experimental and control groups, anti-stigma training for experimental group, and supervision |
No significant differences in the experimental and control groups stigma |
Puskar et al. (2013)Puskar, K., Gotham, H. J., Terhorst, L., Hagle, H., Mitchell, A. M., Braxter, B.,... Burns, H. K. (2013). Effects of Screening, Brief Intervention, and Referral to Treatment (SBIRT) education and training on nursing students’ attitudes toward working with patients who use alcohol and drugs. Substance Abuse , 34(2), 122-128. doi:10.1080/08897077.2012.715621 https://doi.org/10.1080/08897077.2012.71...
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319 nursing students |
ATN-SBIRT Program and education |
Greater preparation and responsibility; less motivation to work with patients with alcohol use disorder |
Ramirez-Cacho, Strickland, Beraun, Meng and Rayburn (2007)Ramirez-Cacho, W. A., Strickland, L., Beraun, C., Meng, C., & Rayburn, W. F. (2007). Medical students’ attitudes toward pregnant women with substance use disorders. American Journal of Obstetrics and Gynecology, 196(1), 86.e1-5. doi:10.1016/j.ajog.2006.06.092 https://doi.org/10.1016/j.ajog.2006.06.0...
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104 medical students |
Education and contact in clinical care |
Increased comfort in talking about the effects of drugs and related problems |
Rose et al. (2006)Rose, A. J., Stein, M. R., Arnsten, J. H., & Saitz, R. (2006). Teaching internal medicine resident physicians about alcoholics anonymous: A pilot study of an educational intervention. Substance Abuse , 27(3), 5-11. doi:10.1300/J465v27n03_02 https://doi.org/10.1300/J465v27n03_02...
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36 medical residents |
Educational intervention, lecture about the AA, and technical visit |
Improved attitudes towards AA; greater belief in its effectiveness |
Salvalaggio et al. (2013)Salvalaggio, G., Dong, K., Vandenberghe, C., Kirkland, S., Mramor, K., Brown, T.,... Wild, T. C. (2013). Enhancing screening, brief intervention, and referral to treatment among socioeconomically disadvantaged patients: Study protocol for a knowledge exchange intervention involving patients and physicians. BMC Health Services Research, 13, 108. doi:10.1186/1472-6963-13-108 https://doi.org/10.1186/1472-6963-13-108...
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300 doctors |
Booklets, online education, workshops, case studies, SBIRT training, and contact |
Description of the protocol: methodological care and community challenges |
Silins, Conigrave, Rakvin, Dobbins and Curry (2007)Silins, E., Conigrave, K. M., Rakvin, C., Dobbins, T., & Curry, K. (2007). The influence of structured education and clinical experience on the attitudes of medical students towards substance misusers. Drug and Alcohol Review, 26(2), 191-200. doi:10.1080/09595230601184661 https://doi.org/10.1080/0959523060118466...
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445 medical students |
Lectures, groups, case studies, and contact |
Improved attitudes, especially towards smokers; lower hatred towards people who use alcohol |
Strang, Hunt, Generated and Marsden (2007)Strang, J., Hunt, C., Gerada, C., & Marsden, J. (2007). What difference does training make? A randomized trial with waiting-list control of general practitioners seeking advanced training in drug misuse. Addiction , 102(10), 1637-1647. doi:10.1111/j.1360-0443.2007.01929.x https://doi.org/10.1111/j.1360-0443.2007...
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112 doctors |
Training, conferences, and expert supervision |
Improved attitudes; increased group support in the treatment for people who use drugs |
Vadlamudi, Adams, Hogan, Wu and Wahid (2008)Vadlamudi, R. S., Adams, S., Hogan, B., Wu, T., & Wahid, Z. (2008). Nurses’ attitudes, beliefs and confidence levels regarding care for those who abuse alcohol: Impact of educational intervention. Nurse Education in Practice, 8(4), 290-298. doi:10.1016/j.nepr.2007.10.003 https://doi.org/10.1016/j.nepr.2007.10.0...
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181 nursing graduate students |
The Brief Negotiated Interview (BNI), didactic training, and role-play |
Improved attitudes and beliefs; increased confidence |