Bakgrund: Drogberoende patienters upplevda förmåga att hantera sitt drogberoende, antas påverka utfallet av vården. Self-efficacy förmodas spela en framträdande roll, tillsammans med sjuksköterskans förhållningsätt och stöd för denna patientgrupp.     Syfte: Att beskriva self-efficacy och dess roll vid påverkan på patienter med drogberoende.  Metod: Genom litteraturöversikt skapa en kunskapsöversikt över self-efficacys roll och påverkan på drogberoende patienter.   Resultat: Resultatet bekräftar self-efficacy som en viktig faktor, men att andra faktorer verkar självständigt och styrande i sitt förhållande till self-efficacy, i en komplex kontext. Andra viktiga faktorer utöver self-efficacy framkommer i resultatet, är socialt stöd och social kontext, kognitiva faktorer och psykisk hälsa, interventioner och behandling.  Slutsats: Self-efficacy är som faktor viktig och ingår i ett komplext sammanhang med andra faktorer. Self-efficacy framstår som en viktig faktor i sin roll för påverkan på de drogberoende patienterna. I detta sammanhang är sjuksköterskans personcentrerade förhållningssätt viktigt, för att genom ett evidensinformerat arbete sammanföra detta med den nödvändiga kunskapen som patienten har om sig själv och för att så stötta patienten på bästa sätt. Vidare omvårdnadsforskning bör göras på drogberoende patienters olika följdsjukdomar, tidiga interventioner och negativt behandlings utfall, med ett focus på self-efficacy. / Background:  Drug dependent patients perceived ability to deal with where drug addiction, are assumed to influence the outcome of care. Self-efficacy is likely to play a prominent role, together with the nurse's attitude and support for this group of patients.  Purpose:  To describe the role of self-efficacy and its effects on patients with drug dependence.  Method:  Through literature overview create a knowledge overview of self-efficacy’s effect on drug dependent patients.  Results:  The result confirms self-efficacy as an important factor, but other factors seems to be autonomous and self-governing in its relationship with self-efficacy, in a complex context. Other important factors that emerge in the result set in addition to selfefficacy are social support and social context, cognitive factors and mental health, interventions and treatment.  Conclusion:  Self-efficacy is as a factor important and are included in a complex context with other factors. Self-efficacy is emerging as an important factor in his role for the impact on the drug dependent patients. In this context, the nurse's personcentered approach is important, because with an evidence informed work combine this with the necessary knowledge that the patient has about himself and in so support the patient in the best way. Nursing research should be done on various sequelae of drug dependent patients, early interventions and negative treatment outcome, with a focus on self-efficacy.

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Prescription drug abuse (PDA) is an epidemic nationwide and has disproportionally impacted the Southern Appalachian region. Situated within a geographic area known for pervasive PDA and its consequences, The Gatton College of Pharmacy and Academic Health Sciences Center (AHSC) at East Tennessee State University are proactively engaging the Region and its health professions students to address the problem. Over the College’s six-year history of community engagement in PDA, efforts have focused on primary prevention activities, PDA treatment, awareness, education, and interprofessional collaboration as the key impact sectors. Notable programs include Generation Rx, Operation Rx Disposal, continuing education (CE) programming, and establishment of the ETSU Diversity-promoting Institutions Drug Abuse Research Program. In 2013-2014, 3 faculty and 38 Generation Rx pharmacy students engaged 4000 children and adolescents in PDA prevention education. Operation Rx Disposal employed 5 faculty members and 35 student pharmacists to assist more than 1000 households in removing unwanted medication from their homes through conduction of drug take-back events. Over 2000 health care providers from regional communities participated in PDA CE events conducted by 3 pharmacy faculty members. Additionally, 3 externally funded, PDA-specific grants totaling $2.26 million were awarded to pharmacy faculty members to engage communities, health care professionals, and students in innovative PDA prevention research. The College’s efforts have been nationally recognized by peers, professional organizations, state boards of pharmacy and within the evidentiary literature.

Thesis (Ph.D. (Social Work)) -- University of Limpopo, 2018 / The scourge of substance abuse globally amongst the youth today is probably one of the most talked about risky health behaviours in history, and is increasing at an alarming rate. Socio-cultural practices contribute towards the use and abuse of substances by the youth in rural areas. The “Ke Moja” programme that dealt with youth substance abuse was rarely received in these areas. The researcher sought to study the impact of socio-cultural practices towards substance abuse amongst the youth to develop a school-based intervention programme. The researcher’s research methodology included a mixed methodological approach that is, exploratory-descriptive design. Stratified-systematic and purposive sampling methods were used to draw a sample from learners, educators, social workers and SGB members. The data collection methods employed was semi-structured interview schedule and questionnaires. Data was analysed using thematic analysis. The results reveal that alcohol and drugs serve as agents of socialisation in socio-cultural events. It was found that there are different types of traditional home-brewed beers that the youth abuse almost daily because they are cheap, easily accessible and available. The findings also reveal that socio-cultural events contribute towards substance abuse in rural areas. The study reveals that sociocultural events take place almost every weekend where the youth use substaces as agents of socialisation. The findings reveal that the need for socio-culturally appropriate substance abuse prevention programmes amongst the youth is important in rural areas. The programme is called “Hambanani” which literally means doing away with the use and abuse of substances. The researcher concludes that socio-cultural practices contribute towards the abuse of substances by the youth in rural areas. The researcher recommends that social workers implement a school-based intervention programme on the impact of socio-cultural practices towards substance abuse amongst the rural youth.

Both smoking addiction and illicit substance abuse are prevalent issues in the United States today. Furthermore, these are issues that have significant impact on women’s health and mental state. Despite research that shows that smoking cessation coupled with substance abuse recovery can decrease likelihood of relapse post-recovery, few substance abuse recovery facilities today offer smoking cessation programming options. To address the issue of smoking addiction on top of substance abuse recovery, formative research was conducted through this study to determine the underlying causes of smoking habits coupled with recovery efforts and the attitudes. Through focus group sessions with women in a residential treatment facility in the southeastern US, a determination of the specific audience’s motivations to smoke and perceived self-efficacy to quit smoking was made. Based on the findings of this formative research, a full social marketing plan was then developed to offer an intervention program option for smoking cessation among a target audience of women undergoing residential treatment for substance abuse. The study conducted and the social marketing developed from it proposes a pilot program that may be implemented in other similar settings with similar populations in the future.

<p> The aim of this study was to examine how young people, who have been treated for their misuse and/or to learn to handle a parent's misuse, portrayed the network's implication in their wishes about improving their lives, to make new choices. The network included members of nuclear family, relatives, important persons at school/work and friends. The “professional network” (therapists and social workers) also became a part in the young people's life during a period. The main issues of this study concerned differences in their experiences of the young persons´ network relationships in before, during and after completed treatment. And also what has been important in the treatment. The most important result of the study shows that despite that all the young people have had experiences of difficult problems and life relations nevertheless came to improve their life conditions. The process of change, for several of the young people, took place during a long period of time, sometimes several years. The most important aspect in this process was the own will to change. The study shows a significant change in the composition of the network. From the time of drug abuse friends of the same age were the most important persons in the network. But the relationships with the family network did improve and was experienced as important after the completion of the drug abuse, also when the youth was over 18 years of age. When the treatment was connected to a network perspective the youths´ social networks came to play a more important role after completed treatment. And thus, when there was no network approach the youth often stood entirely alone, lacking support from both family and “the professional network”. Other important factors in the treatment concerned the relationship between the youth and the professional, where private consultations played an important role. It was likewise important that the professional made it possible for the youth and other members of the family network to start a dialogue about problems in the life situation of the youth. The fact, furthermore, that other related persons outside the core family has been invited to conversations, did also contribute to a positive outcome of the process.</p> / Uppsatsen är också publicerad genom FoU Södertörn, Skriftserie nr 77/09 - Att göra nya val - om nätverkets delaktighet i ungdomars väg ut ur missbruk

The aim of this study was to examine how young people, who have been treated for their misuse and/or to learn to handle a parent's misuse, portrayed the network's implication in their wishes about improving their lives, to make new choices. The network included members of nuclear family, relatives, important persons at school/work and friends. The “professional network” (therapists and social workers) also became a part in the young people's life during a period. The main issues of this study concerned differences in their experiences of the young persons´ network relationships in before, during and after completed treatment. And also what has been important in the treatment. The most important result of the study shows that despite that all the young people have had experiences of difficult problems and life relations nevertheless came to improve their life conditions. The process of change, for several of the young people, took place during a long period of time, sometimes several years. The most important aspect in this process was the own will to change. The study shows a significant change in the composition of the network. From the time of drug abuse friends of the same age were the most important persons in the network. But the relationships with the family network did improve and was experienced as important after the completion of the drug abuse, also when the youth was over 18 years of age. When the treatment was connected to a network perspective the youths´ social networks came to play a more important role after completed treatment. And thus, when there was no network approach the youth often stood entirely alone, lacking support from both family and “the professional network”. Other important factors in the treatment concerned the relationship between the youth and the professional, where private consultations played an important role. It was likewise important that the professional made it possible for the youth and other members of the family network to start a dialogue about problems in the life situation of the youth. The fact, furthermore, that other related persons outside the core family has been invited to conversations, did also contribute to a positive outcome of the process. / Uppsatsen är också publicerad genom FoU Södertörn, Skriftserie nr 77/09 - Att göra nya val - om nätverkets delaktighet i ungdomars väg ut ur missbruk

For patients afflicted with symptoms of anxiety and insomnia, benzodiazepines are generally a safe and effective short-term pharmacological treatment option. Although considered safer than other sedative-hypnotic medications, substantial concern exists regarding the addictive nature and abuse potential of benzodiazepines along with potentially inappropriate prescribing and utilization in clinically vulnerable populations. These medication misadventures can have a significant impact on public health. Examples of medication misadventures as they pertain to benzodiazepines include the prescribing and use in clinically vulnerable populations for whom they are contraindicated or their efficacy has not been evaluated, the development of tolerance or addiction, abuse of the medication, and the manifestation of negative health outcomes including cognitive impairment, withdrawal symptoms upon discontinuation, or the reoccurrence of a preexisting substance use disorder. In order to better understand medication misadventures associated with benzodiazepines retrospective analyses using populations extracted from large health claims databases are employed. To understand how benzodiazepine use may lead to adverse events causing patient harm, the risk of exacerbations in benzodiazepine users diagnosed with chronic obstructive pulmonary disease was estimated. The inherent risk of benzodiazepine addiction and abuse was estimated in an HIV-infected population, a population with a high prevalence of substance use disorders. This risk was estimated by first determining whether HIV-infected individuals are more likely to have any benzodiazepine use compared to their uninfected counterparts, and secondly, by examining the association between HIV-infection and potentially problematic benzodiazepine use. Finally, in an effort to mitigate unexpected and undesirable consequences to public health associated with the prescription drug abuse epidemic in the US, states have implemented prescription drug monitoring programs (PDMPs) to track the prescribing and dispensing of controlled substance medications. The effect of these programs on benzodiazepine dispensing is evaluated on a state and national level. Findings will provide healthcare professionals a better understanding regarding the risk of medication misadventures involving benzodiazepines when evaluating their appropriateness in patients with anxiety, depression, and insomnia. Additionally, policymakers will understand the implications of PDMPs on the dispensing of benzodiazepines as they become a more widely used tool to combat prescription drug abuse and diversion.

This study employs interviews to measure the perceptions of sixteen teachers, nine school principals, and seven School Resource Officers on the Drug Abuse Resistance Education (DARE) program, offered to grade six students in one small (population approximately 70,000) city in western Canada. Perceptions in three areas are examined: curricular content, program delivery, and efficacy. Subjects overwhelming viewed the curricular content favourably. Similarly, there was strong agreement that the program was well delivered. The efficacy of the program was judged less positively; however, this did not mitigate the subjects' strong desire to continue implementation of the program. These results are consistent with the research literature on DARE which documents the popularity of the program, but acknowledges that it appears to have limited effects upon reducing student drug use. The results of this study are used to examine five options for delivering an in-school program for preventing or reducing drug abuse and violence among students. The options explored range from retaining the DARE program in its current form, to eliminating it, reforming it, implementing an alternative program, or designing an entirely new drug and violence prevention program. The conclusion drawn is that the DARE program should be withdrawn and replaced with an entirely new drug and violence prevention program and curriculum specific to community realities and needs. / vii, 109 leaves ; 28 cm.

Thesis (M.G.S.)--Miami University, Dept. of Sociology and Gerontology, 2008. / Title from first page of PDF document. Includes bibliographical references (p. 47-49).