Substance Abuse in WV - West Virginia State Medical Association

More documents

Recommendations

Info

Scientific Article | Special Issueto also report their satisfaction withtheir WVPDAQ experience, andchanges in prescription drug usebehavior (including quit attempts).Among tobacco users, threeprimary factors are known to predictsuccess (dependence, readinessto quit, and the use of quit aids). 14Thus, the WVPDAQ also requeststhis information from callers duringthe intake and during each followupsession. Although the WVPDAQrequests callers to report on theirreadiness to quit, this request is notbound within the TranstheoreticalModel’s stages of change, owing tothe equivocal evidence in the stagesof change in predicting quit successin the tobacco literature. 15,16,17Data AnalysisData reported in this paperinclude data collected by theWVPDAQ from September 11, 2008to March 1, 2010. Analyses includedescriptive summaries of callerdemographics and satisfaction withWVPDAQ services, followed byinferential analyses to preliminarilyevaluate WVPADQ success. Allanalyses were conducted with SASversion 9.1. Owing to the relativelysmall sample size among callerscompleting both the 1 st (n=177)and 2 nd follow up surveys (n=89),which violated the assumption ofnormality, a Wilcoxon signed ranksum test for two dependent sampleswas performed to test differencesbetween the scores of intake callersand the follow-up callers. The nullhypothesis stated that there wouldbe no difference between intakeand follow-up survey scores. Theseanalyses were executed in twosteps. First, those that completedboth the intake and 1 st (one week)follow-up surveys were compared.Second, those that completed boththe intake and 2 nd (one month)follow-up surveys was compared.A p-value less than 0.05 wasconsidered as statistically significant.For these analyses, some recodingwas necessary to modify severalquestion response options fromordinal to nominal responses. Forexample, for the question “Doyou feel that you are addicted toprescription medications?” theresponse options of (1) ‘yes’, (2) ‘no’,(3) ‘refused’, and (4) ‘other’ neededto be altered to (1) changed (e.g.,responses that changed from ‘yes’to ‘no’, ‘yes’ to ‘refused’, etc. acrossthe surveys) and (2) no change (i.e.responses that remained consistent).ResultsDescription of the SampleTo date, the WVPDAQ hasreceived a total of 1,056 calls. Thesecalls included 670 intakes, 1771 st follow-ups, 89 2 nd follow-ups,36 3 rd follow ups, and 84 callersatisfaction surveys. Table 1 providesJoin our team! At HIMG, we listen to our patients. As our patient base continues to grow,they have requested that we provide primary care services focused on theneeds of our female patients. If you’re a primary care provider with passionfor your profession, you may be the person we’re looking for.We’d like you to consider becoming part of our team.Headquartered in Huntington, West Virginia, HIMG is the largest privately heldmulti-specialty group in the state. Our 150,000 square-foot facility and ourbusiness practices have been a model for many operations throughout thenation. 5170 U.S. Route 60 EastHuntington, WV 25705(304) 40 West Virginia Medical Journal
Special Issue | Scientific ArticleTable 1: Description of the Sample*Questionnaire Item n (%)Caller typeCalling for SelfCaller for Other (Health Professional, Friend/Family Member)GenderMaleFemaleEthnicityWhiteOtherEducationLess than Grade 12High School Degree or GEDSome CollegeCollege Degree or greaterHealth InsuranceYesNoHealth insurance typeMedicaid/MedicarePrivateVeteranSelf-pay/Do Not HaveHow did you learn about the Quitline?MediaReferralOther advertising (billboards, flyers, brochures, phone directory)Use of Prescription Drugs Non-MedicallyEverydaySome days (Less than 7 per week)Not at allHow soon after waking do you take your prescription drugs?30 minutes or lessMore than 30 minutesAge of 1 st useLess than 20 yrs.20 to 3930 to 4950 or more yrsIntentions to quit, next 30 daysYesNoDon’t know*Numbers and percentages may not add to 100%, owing to missing datademographic and behavioraldescriptive data for all WVPDAQcallers. This information wasobtained from the responses tothe WVPDAQ intake survey andthe percentages shown have been422 (63.0)248 (37.0)186 (47.6)205 (52.4)364 (95.0)19 (5.0)76 (20.3)168 (44.9)81 (21.7)49 (13.1)198 (52.0)183 (48.0)109 (28.8)89 (23.5)3 (0.9)177 (46.8)136 (19.9)136 (19.9)356 (54.1)315 (76.6)55 (13.4)41 (10.0)320 (88.6)41 (11.4)95 (24.5)229 (59.2)45 (11.6)18 (4.7)317 (81.3)15 (3.8)58 (14.9)computed by excluding callers whodid not answer a particular question.Although not tabled, 76% (n=494)of callers reported abusing opioids(most commonly Oxycodone andHydrocodone). Callers reportedobtaining prescription drugs mostcommonly by buying drugs fromthe street (77%, n=283) or froma friend or family member (50%,n=185). Notably, only 11% (n=41)reported obtaining their drugs bydoctor shopping. Not surprisingly,because of the addictive nature ofopiates, 46% (n=266) of callers statedthey take prescription drugs to feelnormal and another 24% (n=135) forchronic pain relief. Still, 11% (n=109)of callers reported taking prescriptiondrugs to achieve a “high”.Satisfaction with WVPDAQ ServicesIn September 2009, the WVPDAQimplemented a caller satisfactionsurvey. The caller satisfaction surveyis a brief, five question survey thatasks callers about their opinionsand satisfaction with the WVPDAQservices. When callers were asked“How satisfied were you withthe services you received today?”100% (n=84) of callers reportedbeing somewhat to very satisfiedwith the services they receivedwith 83% (n=70) reporting theywere very satisfied. When asked,“How quickly were you able tospeak to an educator?” 98% (n=82)of callers reported that they wereable to speak to an educator rightaway. Finally when asked, “Wouldyou recommend the Quitline toothers who have a problem withprescription drug abuse?” 94%(n=79) of callers said that theywould definitely or probablyrecommend the Quitline to others.Drop-out AnalysesAfter removing proxy (non-user)callers (n=248, 37%) from surveys,a chi-square test for independencewas employed to determine if anygroup differences existed betweenWVPDAQ callers who completed atleast one follow-up survey againstcallers who only completed the intakesurvey at the baseline (intake surveydata). Analyses were conductedamong caller demographicsand behavioral characteristics.Demographic variables included: a)males and females, b) education levelSUBSTANCE ABUSE IN WV | Vol. 1061
Page 4 and 5: Successful EHR implementation is af
Page 6 and 7: President’s MessageDrinking The P
Page 8 and 9: afternoon, on the same day that the
Page 10 and 11: What’s Good for Them Is Good for
Page 12 and 13: Scientific Article | Special IssueP
Page 14 and 15: Scientific Article | Special IssueF
Page 18 and 19: Scientific Article | Special IssueW
Page 20 and 21: Scientific Article | Special IssueF
Page 22: Scientific Article | Special IssueT
Page 25 and 26: Special Issue | Scientific Articlea
Page 27 and 28: Special Issue | Scientific ArticleC
Page 29 and 30: Special Issue | Scientific Articlem
Page 31 and 32: Special Issue | Scientific Articlec
Page 33 and 34: Special Issue | Scientific Articlew
Page 35 and 36: Ears, nose and throat medical and s
Page 39 and 40: Special Issue | Scientific Articleo
Page 41: Special Issue | Scientific Articlec
Page 45 and 46: Special Issue | Scientific Articlem
Page 47 and 48: Special Issue | Scientific Articlet
Page 49 and 50: Experience. Success. Teamwork. Comm
Page 51 and 52: Special Issue | Scientific ArticleT
Page 55 and 56: Substanceabuse hurtsIf you have a p
Page 57 and 58: Management of the Drug Seeking Pati
Page 59 and 60: Special Issue | Scientific Articles
Page 63 and 64: Special Issue | Scientific Articleh
Page 65 and 66: Special Issue | Scientific Articler
Page 67 and 68: Special Issue | Scientific Articleb
Page 69 and 70: Special Issue | Scientific Articlet
Page 71 and 72: Special Issue | Scientific ArticleA
Page 74: Scientific Article | Special IssueA
Page 81 and 82: Continuing Medical EducationOpportu
Page 85 and 86: Special Issue | Scientific Articleo
Page 87 and 88: consequences or losses associatedwi
Page 89 and 90: | New MembersWe would like to welco
Page 91 and 92: Bureau for Public Health | NEWS Con
Page 93 and 94:
Marshall University Joan C. Edwards
Page 95 and 96:
West Virginia Medical Foundation |
Page 98 and 99:
96 West Virginia Medical Journal
Page 100 and 101:
BOOK REVIEWHave you ever wondered w
Page 102 and 103:
Physician Practice Advocate | NEWSC
Page 104 and 105:
WV Medical Insurance Agency | NEWST
Page 106 and 107:
ObituariesThe WVSMA remembersour es
Page 108 and 109:
CME Answer & Registration FormThis
Page 110 and 111:
Manuscript GuidelinesThanks To Our
Page 112:
West Virginia Medical JournalP.O. B
show all

Substance Abuse in WV - West Virginia State Medical Association

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?