Use of Stimulant Diversion Prevention Strategies in Pediatric Primary Care and Associations With Provider Characteristics.
Implementation
Pediatric primary care
Stimulant diversion
Stimulant misuse
Journal
The Journal of adolescent health : official publication of the Society for Adolescent Medicine
ISSN: 1879-1972
Titre abrégé: J Adolesc Health
Pays: United States
ID NLM: 9102136
Informations de publication
Date de publication:
04 2021
04 2021
Historique:
received:
17
09
2020
revised:
23
11
2020
accepted:
04
12
2020
pubmed:
16
1
2021
medline:
6
7
2021
entrez:
15
1
2021
Statut:
ppublish
Résumé
Diversion of stimulant medications for ADHD is a prevalent problem. Pediatric primary care providers (PCPs) are well-positioned to reduce diversion risk among adolescents prescribed stimulants, but little is known about their use of prevention strategies. The objectives of this study were to describe the frequency with which pediatric PCPs use diversion prevention strategies and examine potential determinants (facilitators and barriers) of strategy use. Participants were pediatric PCPs (N = 76) participating in a randomized controlled trial of stimulant diversion prevention strategies. At baseline, before randomization, PCPs rated the frequency with which they used specific strategies in each of four categories: patient/family education, medication management/monitoring, assessment of mental health symptoms/functioning, and assessment of risky behaviors. They completed measures of attitudes toward diversion prevention, subjective norms (i.e., implementation climate), and perceived behavioral control (i.e., knowledge/skill, resource constraints). Associations between determinants and strategy use were tested with correlational and regression analyses. PCPs used strategies for assessing mental health symptoms/functioning most frequently and patient/family education strategies least frequently. Attitudes about the effectiveness of diversion prevention, implementation climate, knowledge/skill, and resource constraints were positively correlated with the use of at least one category of strategies. In regression analysis, PCP knowledge/skill was positively associated with patient/family education, medication management, and risk assessment strategies. Findings suggest that improving knowledge and skill may increase the use of diversion prevention strategies by PCPs. Identifying provider-level determinants of strategy use informs implementation efforts in pediatric primary care and can facilitate efforts to prevent stimulant diversion among adolescents.
Identifiants
pubmed: 33446402
pii: S1054-139X(20)30702-3
doi: 10.1016/j.jadohealth.2020.12.006
pmc: PMC8012236
mid: NIHMS1654331
pii:
doi:
Substances chimiques
Central Nervous System Stimulants
0
Types de publication
Journal Article
Randomized Controlled Trial
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
808-815Subventions
Organisme : NCATS NIH HHS
ID : UL1 TR001857
Pays : United States
Organisme : NCATS NIH HHS
ID : KL2 TR001856
Pays : United States
Organisme : NIAAA NIH HHS
ID : T32 AA007453
Pays : United States
Organisme : NIDA NIH HHS
ID : U01 DA040213
Pays : United States
Organisme : NIDA NIH HHS
ID : R34 DA035464
Pays : United States
Organisme : NIMH NIH HHS
ID : T32 MH018951
Pays : United States
Organisme : NIMH NIH HHS
ID : K23 MH121585
Pays : United States
Organisme : NCATS NIH HHS
ID : TL1 TR001858
Pays : United States
Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2020 Society for Adolescent Health and Medicine. All rights reserved.
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