Some Answers About Treatment Effectiveness for Drug Users

1992 ◽  
Vol 37 (2) ◽  
pp. 134-134
Author(s):  
Bernard Segal
Keyword(s):  
Drug Users ◽  
Treatment Effectiveness

scholarly journals Assessment of the level of health literacy of drug users in the Primary Health Care of the Brazilian Unified Health System

2021 ◽  
Vol 10 (11) ◽  
pp. e157101119444
Author(s):  
Solange Aparecida Nappo ◽  
André Luiz Bigal
Keyword(s):  
Health Literacy ◽  
Health System ◽  
Odds Ratio ◽  
Drug Users ◽  
Adverse Reactions ◽  
Treatment Effectiveness ◽  
Crude Odds Ratio ◽  
Know How ◽  
Unified Health System ◽  
Primary Health

Patients’ knowledge and awareness of their disease and medication (health literacy) are essential to ensure treatment effectiveness. This work analyzed the health literacy (HL) level of users of the Brazilian Unified Health System (SUS) in Diadema city (SP) and its consequences concerning the rational use of prescribed medication. A total of 1,121 SUS users were interviewed and descriptive and inferential analyses were performed. Bivariate analyses estimated the crude odds ratio. A logistic regression model was developed, and the results were presented as adjusted odds ratio. Almost half of the sample did not know the name of the drug, 20% did not know the reason for using it, 14% did not know how to use the drug, 71% declared that they were unaware of the drug’s adverse reactions, 21.3% believed that the drug did not cause any adverse reaction, and only 7.7% considered that the drug could cause some problem and 92% claimed not to have asked the doctor anything about this matter. The data show an inadequate level of HL of SUS users concerning basic information about the prescribed drug and a potential risk arising from the drug’s misuse, considering the patient’s lack of familiarity with the medication and their pathology and poor interaction with the health professional.

Preliminary Findings on the Use of Session Questionnaires to Improve Clinician-Client Alliance With Special Consideration to Clinical Education

2015 ◽  
Vol 25 (1) ◽  
pp. 50-60
Author(s):  
Anu Subramanian
Keyword(s):  
Graduate Students ◽  
Clinical Education ◽  
Clinical Decision Making ◽  
Rating Scale ◽  
Treatment Effectiveness ◽  
Clinical Decision ◽  
Added Value ◽  
Therapeutic Outcomes ◽  
Specific Feedback ◽  
Stakeholder Perspective

ASHA's focus on evidence-based practice (EBP) includes the family/stakeholder perspective as an important tenet in clinical decision making. The common factors model for treatment effectiveness postulates that clinician-client alliance positively impacts therapeutic outcomes and may be the most important factor for success. One strategy to improve alliance between a client and clinician is the use of outcome questionnaires. In the current study, eight parents of toddlers who attended therapy sessions at a university clinic responded to a session outcome questionnaire that included both rating scale and descriptive questions. Six graduate students completed a survey that included a question about the utility of the questionnaire. Results indicated that the descriptive questions added value and information compared to using only the rating scale. The students were varied in their responses regarding the effectiveness of the questionnaire to increase their comfort with parents. Information gathered from the questionnaire allowed for specific feedback to graduate students to change behaviors and created opportunities for general discussions regarding effective therapy techniques. In addition, the responses generated conversations between the client and clinician focused on clients' concerns. Involving the stakeholder in identifying both effective and ineffective aspects of therapy has advantages for clinical practice and education.

Research Consumerism 101: Evaluating External Evidence of Treatment Effectiveness

2008 ◽  
Vol 17 (2) ◽  
pp. 43-49
Author(s):  
James L. Coyle
Keyword(s):  
Treatment Effectiveness ◽  
Code Of Ethics ◽  
Oropharyngeal Dysphagia ◽  
Clinical Importance ◽  
Professional Services ◽  
Adverse Outcomes ◽  
Professional Judgment ◽  
Evidence Based ◽  
Intervention Selection ◽  
Published Research

Abstract The modern clinician is a research consumer. Rehabilitation of oropharyngeal impairments, and prevention of the adverse outcomes of dysphagia, requires the clinician to select interventions for which evidence of a reasonable likelihood of a successful, important outcome exists. The purpose of this paper is to provide strategies for evaluation of published research regarding treatment of oropharyngeal dysphagia. This article utilizes tutorial and examples to inform and educate practitioners in methods of appraising published research. It provides and encourages the use of methods of efficiently evaluating the validity and clinical importance of published research. Additionally, it discusses the importance of the ethical obligation we, as practitioners, have to use evidence-based treatment selection methods and measurement of patient performance during therapy. The reader is provided with tactics for evaluating treatment studies to establish a study's validity and, thereby, objectively select interventions. The importance of avoiding subjective or unsubstantiated claims and using objective methods of generating empirical clinical evidence is emphasized. The ability to evaluate the quality of research provides clinicians with objective intervention selection as an important, essential component of evidence-based clinical practice. ASHA Code of Ethics (2003): Principle I, Rule F: “Individuals shall fully inform the persons they serve of the nature and possible effects of services rendered and products dispensed…” (p. 2) Principle I, Rule G: “Individuals shall evaluate the effectiveness of services rendered and of products dispensed and shall provide services or dispense products only when benefit can reasonably be expected.” (p. 2) Principle IV, Rule G: “Individuals shall not provide professional services without exercising independent professional judgment, regardless of referral source or prescription.” (p. 4)

Treating hepatitis C in recovering injection drug users

2001 ◽  
Vol 120 (5) ◽  
pp. A568-A568
Author(s):  
D SYLVESTRE ◽  
R ARON ◽  
D GREENE ◽  
P PERKINS
Keyword(s):  
Hepatitis C ◽  
Injection Drug Users ◽  
Drug Users ◽  
Injection Drug

Substance Abuse and Drug-Related Death, Suicidal Ideation, and Suicide: A Review

Crisis ◽  
1999 ◽  
Vol 20 (1) ◽  
pp. 28-35 ◽  
Author(s):  
Annie Mino ◽  
Arnaud Bousquet ◽  
Barbara Broers
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Substance Abuse ◽  
Suicidal Ideation ◽  
Family Support ◽  
Drug Users ◽  
Suicide Attempts ◽  
Public Health Problem ◽  
Major Public Health Problem ◽  
Hiv Epidemic

The high mortality rate among drug users, which is partly due to the HIV epidemic and partly due to drug-related accidental deaths and suicides, presents a major public health problem. Knowing more about prevalence, incidence, and risk factors is important for the development of rational preventive and therapeutic programs. This article attempts to give an overview of studies of the relations between substance abuse, suicidal ideation, suicide, and drug-related death. Research in this field is hampered by the absence of clear definitions, and results of studies are rarely comparable. There is, however, consensus about suicidal ideation being a risk factor for suicide attempts and suicide. Suicidal ideation is also a predictor of suicide, especially among drug users. It is correlated with an absence of family support, with the severity of the psychosocial dysfunctioning, and with multi-drug abuse, but also with requests for treatment. Every clinical examination of a drug user, not only of those who are depressed, should address the possible presence of suicidal ideation, as well as its intensity and duration.

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