Staff-perceived barriers to nutrition intervention in substance use disorder treatment

Abstract Objective: While organisational change in substance use disorder (SUD) treatment has been extensively studied, there is no research describing facility-wide changes related to nutrition interventions. This study evaluates staff-perceived barriers to change before and after a wellness initiative. Design: A pre-intervention questionnaire was administered to participating staff prior to facility-wide changes (n 40). The questions were designed to assess barriers across five domains: (1) provision of nutrition-related treatment; (2) implementation of nutrition education; (3) screening, detecting and monitoring (nutrition behaviours); (4) facility-wide collaboration and (5) menu changes and client satisfaction. A five-point Likert scale was used to indicate the extent to which staff anticipate difficulty or ease in implementing facility-wide nutrition changes, perceived as organisational barriers. Follow-up questionnaires were identical to the pre-test except that it examined barriers experienced, rather than anticipated (n 50). Setting: A multisite SUD treatment centre in Northern California which began implementing nutrition programming changes in order to improve care. Participants: Staff members who consented to participate. Results: From pre to post, we observed significant decreases in perceived barriers related to the provision of nutrition-related treatment (P = 0·019), facility-wide collaboration (P = 0·036), menu changes and client satisfaction (P = 0·024). Implementation of nutrition education and the domain of screening, detecting and monitoring did not reach statistical significance. Conclusions: Our results show that staff training, food service changes, the use of targeted curriculum for nutrition groups and the encouragement of discussing self-care in individual counselling sessions can lead to positive shifts about nutrition-related organisational change among staff.

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Managing Substance Use Disorder through a Walking/Running Training Program

Substance Abuse Research and Treatment ◽

10.1177/1178221820936681 ◽

2020 ◽

Vol 14 ◽

pp. 117822182093668 ◽

Cited By ~ 1

Author(s):

Chia-Liang Dai ◽

Ching-Chen Chen ◽

George B Richardson ◽

Howard R. D. Gordon

Keyword(s):

Substance Use ◽

Training Program ◽

Substance Use Disorder ◽

Sense Of Belonging ◽

Exercise Program ◽

Perceived Barriers ◽

Finish Line ◽

Supervised Exercise ◽

Exercise Training Program ◽

Supervised Exercise Program

While emerging studies have demonstrated the benefit of exercise in Substance Use Disorder (SUD) recovery outcomes, lack of motivation to engage in exercise has been indicated as one of many perceived barriers that contribute to low recruitment and adherence rates in SUD treatment. The current study aimed to explore participants’ perceptions of attending a supervised exercise program (boot camp workouts, walking/running practice, and a race event) while in treatment for SUD. A total of 109 participants were recruited to a 14-week exercise training program and 61 chose to participate in, and completed, a race at the close of the program. Interviews were conducted during weeks 6 through 14 and data were examined using Thematic Analysis. Three main themes were identified: (1) pushing forward recovery through running, (2) gaining a sense of achievement by crossing the finish line, and (3) building a sense of belonging in the program. Implications for SUD recovery programs are discussed.

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Work-Related Satisfaction among Clinicians Working at Inpatient Treatment Facilities for Substance Use Disorder: The Role of Recovery Orientation

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18147423 ◽

2021 ◽

Vol 18 (14) ◽

pp. 7423

Author(s):

Dagny Adriaenssen Johannessen ◽

Trond Nordfjærn ◽

Amy Østertun Geirdal

Keyword(s):

Substance Use ◽

Psychosocial Factors ◽

Substance Use Disorder ◽

Survey Study ◽

Cross Sectional ◽

Staff Members ◽

Work Related ◽

Recovery Orientation ◽

Treatment Facilities

Several psychosocial factors have been suggested as facilitators of change among inpatients treated for substance use disorder (SUD). Research suggests that staff members are also influenced by the practice in which they are involved, and by contextual psychosocial factors at their treatment facilities. This cross-sectional questionnaire survey study was conducted to investigate the role of recovery-orientated interventions in describing work-related satisfaction among clinicians at inpatient SUD treatment facilities. The respondents (n = 407) rated items indicating work-related satisfaction and the degree of recovery orientation at their treatment facilities. The main findings of two block regression analyses indicated that clinicians’ work-related satisfaction was positively influenced by inpatients’ opportunities to pursue their goals and choices, and negatively influenced by inpatient involvement. The change in clinicians’ work-related satisfaction could not be described by the degree of individually tailored and varied interventions at the treatment facility. Clinicians should be supported and involved in the process of implementing measures to increase inpatient involvement in the treatment programmes, and treatment measures that enable inpatients to pursue their goals and choices should be enhanced. The findings of this and previous studies indicate that a recovery-oriented framework promotes clinicians’ work-related satisfaction and has an enabling influence on both inpatients and clinicians.

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A Corpus Linguistics Study of Text Message Interventions in Substance Use Disorder Treatment

10.31234/osf.io/ub394 ◽

2019 ◽

Author(s):

Megan Partch ◽

Cass Dykeman

Keyword(s):

Substance Use ◽

Substance Use Disorder ◽

Corpus Linguistics ◽

Statistical Significance ◽

Text Message ◽

Treatment Session ◽

Text Messages ◽

Substance Use Disorder Treatment ◽

National Norms ◽

Disorder Treatment

Technology is being leveraged in numerous ways to improve client care. Health-related text messages aim to engage clients, assure treatment session attendance, and promote healthy habits. Research on the use of text messages in substance use disorder treatment demonstrates the efficacy of this intervention; however, research is lacking related to the linguistic composition of provider text messages. Text messages interventions were collected from previously published research on the treatment of substance use disorders. A corpus of 71 text messages was composed totaling 1,624 words. Using Linguistic Inquiry and Word Count software (LIWC), the corpora of text messages were examined for use of terminology thought to enhance client engagement. Results demonstrated statistical significance of six LIWC measures when compared against national blog norms (i.e., Twitter). Clout, a score that demonstrates writer expertise and confidence was higher than expected when compared to national norms, while Authenticity, writing that is both honest and personal in nature, was found to be significantly lower than expected. The Emotional Tone of text message communications from substance use disorder treatment providers was found to be neutral. The use of Biological terms and Leisure words were found to be more prevalent in substance use disorder treatment text messages than national norms. Informal terminology, however, was used at a lesser rate than expected.

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