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

Dados Bibliográficos

ID15091081
AutoresDavid A Wiss (0000-0003-1788-7368, University of California, Los Angeles, autor correspondente), Lisa Russell (0000-0001-7690-3060, Santa Cruz County Office of Education), Michael Prelip (University of California, Los Angeles)
Ano2021
Volume24
Fascículo11
Páginas3488-3497
Data de publicação2021-08-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoPublic Health Nutrition (JOURNAL)
Identificadores do periódicoISSN: 1368-9800 • E-ISSN: 1475-2727
EditoraCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980020003882
PMID33138886
OpenAlexW3095391973
IdiomaEN
Referências citadas49

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

Environmental health · Intervention (counseling · Psychiatry · Substance use · Food Security and Health in Diverse Populations · Medicine · Nursing · Opioid Use Disorder Treatment · Psychology · Substance Abuse Treatment and Outcomes

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