Change in Medical Student Attitudes Toward Patients with Substance Use Disorders After Course Exposure

Research output: Contribution to journalArticle

Abstract

Objective: Negative physician attitudes toward patients with substance use disorders (SUD) pose a significant barrier to treatment. This study tests the overall and intra-individual change in attitudes of second year medical students after exposure to a 15 hour SUD course. Methods: Two cohorts of second year medical students (2014 and 2015) responded to an anonymous 13-item previously published survey exploring personal views regarding patients with SUD using a four-point Likert scale. Students were surveyed one day before and up to one month after course completion. Survey items were grouped into the following categories: treatment optimism/confidence in intervention, moralism, and stereotyping. The Wilcoxon nonparametric signed-rank test (α=0.05) was used to compare the pre- and post- survey responses. Results: In 2014 and 2015 respectively, 118 and 120 students participated in the SUD course with pre- and post-response rates of 89.0% and 75.4% in 2014 and 95.8% and 97.5% in 2015. Of the 13 survey questions, paired responses to eight questions showed a statistically significant positive change in attitudes with a medium (d = 0.5) to large effect size (d = 0.8). Items focused on treatment optimism and confidence in treatment intervention reflected a positive attitude change, as did items associated with stereotyping and moralism. Conclusions: These results support the hypothesis that exposure to a course on SUD was associated with positive change in medical students’ attitudes toward patients with SUD.

Original languageEnglish (US)
Pages (from-to)283-287
Number of pages5
JournalAcademic Psychiatry
Volume42
Issue number2
DOIs
StatePublished - Apr 1 2018

Fingerprint

Medical Students
Substance-Related Disorders
medical student
optimism
Stereotyping
confidence
attitude change
Students
student
physician
Therapeutics
Physicians
Surveys and Questionnaires

Keywords

  • Attitude of health personnel
  • Medical education
  • Substance-related disorders

ASJC Scopus subject areas

  • Education
  • Psychiatry and Mental health

Cite this

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title = "Change in Medical Student Attitudes Toward Patients with Substance Use Disorders After Course Exposure",
abstract = "Objective: Negative physician attitudes toward patients with substance use disorders (SUD) pose a significant barrier to treatment. This study tests the overall and intra-individual change in attitudes of second year medical students after exposure to a 15 hour SUD course. Methods: Two cohorts of second year medical students (2014 and 2015) responded to an anonymous 13-item previously published survey exploring personal views regarding patients with SUD using a four-point Likert scale. Students were surveyed one day before and up to one month after course completion. Survey items were grouped into the following categories: treatment optimism/confidence in intervention, moralism, and stereotyping. The Wilcoxon nonparametric signed-rank test (α=0.05) was used to compare the pre- and post- survey responses. Results: In 2014 and 2015 respectively, 118 and 120 students participated in the SUD course with pre- and post-response rates of 89.0{\%} and 75.4{\%} in 2014 and 95.8{\%} and 97.5{\%} in 2015. Of the 13 survey questions, paired responses to eight questions showed a statistically significant positive change in attitudes with a medium (d = 0.5) to large effect size (d = 0.8). Items focused on treatment optimism and confidence in treatment intervention reflected a positive attitude change, as did items associated with stereotyping and moralism. Conclusions: These results support the hypothesis that exposure to a course on SUD was associated with positive change in medical students’ attitudes toward patients with SUD.",
keywords = "Attitude of health personnel, Medical education, Substance-related disorders",
author = "Makeida Koyi and Archana Nelliot and Mackinnon, {Dean F} and Rastegar, {Darius A} and Fingerhood, {Michael I} and Alvanzo, {Anika A.H.} and Leonard Feldman and Neufeld, {Karin Jane}",
year = "2018",
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doi = "10.1007/s40596-017-0702-8",
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AU - Nelliot, Archana

AU - Mackinnon, Dean F

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AU - Fingerhood, Michael I

AU - Alvanzo, Anika A.H.

AU - Feldman, Leonard

AU - Neufeld, Karin Jane

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N2 - Objective: Negative physician attitudes toward patients with substance use disorders (SUD) pose a significant barrier to treatment. This study tests the overall and intra-individual change in attitudes of second year medical students after exposure to a 15 hour SUD course. Methods: Two cohorts of second year medical students (2014 and 2015) responded to an anonymous 13-item previously published survey exploring personal views regarding patients with SUD using a four-point Likert scale. Students were surveyed one day before and up to one month after course completion. Survey items were grouped into the following categories: treatment optimism/confidence in intervention, moralism, and stereotyping. The Wilcoxon nonparametric signed-rank test (α=0.05) was used to compare the pre- and post- survey responses. Results: In 2014 and 2015 respectively, 118 and 120 students participated in the SUD course with pre- and post-response rates of 89.0% and 75.4% in 2014 and 95.8% and 97.5% in 2015. Of the 13 survey questions, paired responses to eight questions showed a statistically significant positive change in attitudes with a medium (d = 0.5) to large effect size (d = 0.8). Items focused on treatment optimism and confidence in treatment intervention reflected a positive attitude change, as did items associated with stereotyping and moralism. Conclusions: These results support the hypothesis that exposure to a course on SUD was associated with positive change in medical students’ attitudes toward patients with SUD.

AB - Objective: Negative physician attitudes toward patients with substance use disorders (SUD) pose a significant barrier to treatment. This study tests the overall and intra-individual change in attitudes of second year medical students after exposure to a 15 hour SUD course. Methods: Two cohorts of second year medical students (2014 and 2015) responded to an anonymous 13-item previously published survey exploring personal views regarding patients with SUD using a four-point Likert scale. Students were surveyed one day before and up to one month after course completion. Survey items were grouped into the following categories: treatment optimism/confidence in intervention, moralism, and stereotyping. The Wilcoxon nonparametric signed-rank test (α=0.05) was used to compare the pre- and post- survey responses. Results: In 2014 and 2015 respectively, 118 and 120 students participated in the SUD course with pre- and post-response rates of 89.0% and 75.4% in 2014 and 95.8% and 97.5% in 2015. Of the 13 survey questions, paired responses to eight questions showed a statistically significant positive change in attitudes with a medium (d = 0.5) to large effect size (d = 0.8). Items focused on treatment optimism and confidence in treatment intervention reflected a positive attitude change, as did items associated with stereotyping and moralism. Conclusions: These results support the hypothesis that exposure to a course on SUD was associated with positive change in medical students’ attitudes toward patients with SUD.

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