| Counselor attitudes toward the use of naltrexone in substance abuse treatment: a multi-level modeling approach. | |
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MedLine Citation:
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PMID: 21382667 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Alcohol use disorders (AUDs) continue to be one of the most pervasive and costly of the substance use disorders (SUDs). Despite evidence of clinical effectiveness, adoption of medications for the treatment of AUDs is suboptimal. Low rates of AUD medication adoption have been explained by characteristics of both treatment organizations and individual counselor's attitudes and behaviors. However, few studies have simultaneously examined the impact of organizational-level and counselor-level characteristics on counselor perceptions of EBPs. To address this gap in the literature, we use data from a national sample of 1178 counselors employed in 209 privately funded treatment organizations to examine the effects of organizational and individual counselor characteristics on counselor attitudes toward tablet and injectable naltrexone. Results of hierarchical linear modeling (HLM) show that organizational characteristics (use of tablet/injectable naltrexone in the program, 12-step orientation) were associated with counselor perceptions of naltrexone. Net of organizational characteristics, several counselor level characteristics were associated with attitudes toward tablet and injectable naltrexone including gender, tenure in the field, recovery status, percentage of AUD patients, and receipt of medication-specific training. These findings reveal that counselor receptiveness toward naltrexone is shaped in part by the organizational context in which counselors are embedded. |
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Authors:
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Amanda J Abraham; Traci Rieckmann; Thomas McNulty; Anne E Kovas; Paul M Roman |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural Date: 2011-01-28 |
Journal Detail:
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Title: Addictive behaviors Volume: 36 ISSN: 1873-6327 ISO Abbreviation: Addict Behav Publication Date: 2011 Jun |
Date Detail:
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Created Date: 2011-04-04 Completed Date: 2011-09-13 Revised Date: 2012-02-09 |
Medline Journal Info:
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Nlm Unique ID: 7603486 Medline TA: Addict Behav Country: England |
Other Details:
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Languages: eng Pagination: 576-83 Citation Subset: IM |
Copyright Information:
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Copyright © 2011 Elsevier Ltd. All rights reserved. |
Affiliation:
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Institute for Behavioral Research, Center for Research on Behavioral Health and Human Services Delivery, University of Georgia, Athens, GA 30602, USA. aabraham@uga.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Attitude of Health Personnel* Counseling / education* Cross-Sectional Studies Female Humans Injections Male Middle Aged Multilevel Analysis Naltrexone / administration & dosage* Narcotic Antagonists / administration & dosage* Substance-Related Disorders / drug therapy* Tablets / administration & dosage United States |
| Grant Support | |
ID/Acronym/Agency:
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R01 AA015974-04/AA/NIAAA NIH HHS; R01 DA013110-05/DA/NIDA NIH HHS; R01 DA014482-10/DA/NIDA NIH HHS; R01AA015974/AA/NIAAA NIH HHS; R01DA13110/DA/NIDA NIH HHS; R01DA14482/DA/NIDA NIH HHS; R37 DA013110-12/DA/NIDA NIH HHS |
| Chemical | |
Reg. No./Substance:
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0/Narcotic Antagonists; 0/Tablets; 16590-41-3/Naltrexone |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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