Does it matter how we refer to individuals with substance-related conditions? A randomized study of two commonly used terms

Kelly, John F.; Westerhoff, Cassandra M.

doi:10.1016/j.drugpo.2009.10.010

Cited by 346 publications

(212 citation statements)

References 21 publications

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“…Term selection was also informed by labeling research from other domains (for example, substance use and mental illness). 32,41 Perceptions of weight terms were assessed by asking participants to rate the degree that each of the 10 weight terms were (1) stigmatizing, (2) blaming a person for their weight and (3) motivating to reduce weight. All items were rated on a five-point scale (for example, 1 ¼ not at all stigmatizing to 5 ¼ very stigmatizing).…”

Section: Methodsmentioning

confidence: 99%

Motivating or stigmatizing? Public perceptions of weight-related language used by health providers

2012

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BACKGROUND:Research demonstrates that health providers express negative attitudes toward overweight and obese patients that can be conveyed through weight-related language, yet little is known about people's perceptions of weight-related language used by providers. The current study examined public preferences and perceptions of weight-based terminology used by health-care providers to describe excess weight. METHOD: A national sample of American adults (N ¼ 1064) completed an online survey to assess perceptions and preferences associated with 10 common terms to describe body weight. Participants rated how much they perceived each term to be desirable, stigmatizing, blaming or motivating to lose weight (using five-point Likert scales), and how they would react if stigmatized by their doctor's reference to their weight. RESULTS: The terms 'weight' (3.43, 95% confidence interval (CI) 3.35-3.50) and 'unhealthy weight' (3.24, 95% CI 3.15-3.33) were rated most desirable, and the terms 'unhealthy weight' (3.77, 95% CI 3.69-3.84) and 'overweight' (3.51, 95% CI 3.43-3.58) were rated most motivating to lose weight. The terms 'morbidly obese', 'fat' and 'obese' were rated as the most undesirable (95% CI 1.61-2.06), stigmatizing (95% CI 3.66-4.05) and blaming (95% CI 3.62-3.94) language used by health providers. Notably, participant ratings were consistent across socio-demographic variables and body weight categories. A total of 19% of participants reported they would avoid future medical appointments and 21% would seek a new doctor if they felt stigmatized about their weight from their doctor. CONCLUSION: This study advances our understanding of why individuals prefer particular weight-related terms, and how patients may react if their provider uses stigmatizing language to refer to their weight. It also offers suggestions for practical strategies that providers can use to improve discussions about weight-related health with patients.

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Section: Methodsmentioning

confidence: 99%

Motivating or stigmatizing? Public perceptions of weight-related language used by health providers

2012

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“…Terms that define a person by their illness such as "addict" or "substance abuser" carry stigmatizing connotations. [26] In 2013, the American Psychiatric Association removed the terms "addiction" and "abuse" from the Diagnostic and Statistical Manual because they were difficult concepts to define and held negative connotations. [27] Replacing this language is the term "use disorder" which is predicated by the specific substance i.e.…”

Section: Terminologymentioning

confidence: 99%

“…[28] Changing terminology traditionally used to describe patients with SUDs does reduce stigma. [26] But since these terms have become part of health care providers' vocabulary and in a sense their cultural model, it will take considerable effort to remove them from our lexicon of SUD treatment. To change the terminology and thinking about SUDs, negative comments and actions toward people with substance use disorders should be addressed similarly to other prejudicial comments such as those related to race or micro-aggression.…”

Section: Terminologymentioning

confidence: 99%

“Turning the tide” in Treatment of substance use: A nursing response

Worley

Delaney²

2017

JNEP

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Objective: To analyze science and practice surrounding nursing approaches to substance use disorders (SUDs) and make recommendations for the future. Methods: A review of literature and topics related to healthcare provider stigma, science surrounding SUDs, nursing approaches to SUDs in education and practice and evidence based treatment was conducted, analyzed and synthesized. Results: Stigma is embedded in nursing approach to SUDs, up to date information regarding SUDs is not widely disseminated or practiced in nursing. Conclusions: To reduce the impact of stigma and to bring nurses into the "turning the Tide" movement requires an understanding of how beliefs root stigma, building knowledge related to SUDs as an illness, and expansion of nurses' skill when intervening with individuals dealing with SUDs.

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“…The three goals of treatment of alcohol withdrawal syndrome are initiating abstinence, reducing withdrawal symptoms and severe complications, and retaining the patient in treatment. To help patients to continue reduction in alcohol consumption and maintain alcohol abstinence after the withdrawal phase, nurses are expected to provide counseling interventions, psychosocial counseling, and engage patients into self-help groups [16].The results of these nursing practices for alcohol-dependent patients may let nurses fail to engage with patients and may be uncertain whether this is within their scope of nursing practice, or they may perceive a lack of knowledge and skills in identifying and responding to affected patients [16].Furthermore, according to an addiction terminology, it has been found that addiction affects attitudes of professions toward patients [17]. The consequences of nurses' attitudes toward their patients can be identified as follows: quality of care, level of recognition of addiction as a treatable chronic condition, judgments, and stereotyped perceptions [7,18,19].…”

Section: Background and Conceptual Frameworkmentioning

confidence: 99%

Development and Testing of the Psychometric Properties of Thai Nurses’ Attitudes toward Alcohol-dependent Patients Scale

Srikosai¹,

Piboonsri²

2017

APJHS

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Background: The attitudes of nurses can impact quality of patient care. Aim: To develop and test the psychometric properties of Thai nurses' attitudes toward alcohol-dependent patients scale. Method: Instrument development research design was conducted in two phases. Phase 1 was focus group interviews to better understand the meaning and concept of attitudes of nurses toward alcohol-dependent patients, creating components of attitude and developing specific scale items. Phase 2 was the evaluation of psychometric properties of the scale through fieldtesting for construct validity and reliability. Data was analyzed using the Pearson correlation coefficient test, t-test, factor analysis technique with varimax rotation, and Cronbach's alpha coefficient test. Results: 28 items showed good item discrimination power. The item-total correlations showed medium to high levels of correlation with factor loadings ≥0.44, and displayed a total variance of 73.19%. Exploratory factor analysis revealed 5 components: nurses' opinion alcohol-dependent patients in terms of behavior, beliefs, opinion on personalities, feeling about image, and opinion on care. The reliability coefficient alpha of Cronbach was 0.96. Conclusion: Nurses' attitudes toward alcohol-dependent patients scale shows high validity, high reliability, and could be used as a scale of Thai nurses' attitudes toward alcohol-dependent patients. Keywords: alcohol dependent patients,attitudes,nurses,psychometric properties,scale IntroductionAlcohol consumption is a main factor for burden of disease. The World Health Organization (WHO) estimates that 76.3 million people in the world have been affected by alcohol abuse and dependence [1]. Around 5% of Thai people were classified to be alcohol dependent according to a report by the Integrated Movement on Alcohol Problems -Health in 2012(IMAP-Health).A study of burden of disease among Thai population in 2009 found that alcohol dependence and harmful alcohol use was the number one factor among 10 causes of burden of disease [2]. Alcohol dependence is a chronic disease and alcohol relapse can occur anytime; it is often combined with other physical or psychiatric co-morbid diseases leading to complicated treatment and care. The prevalence of alcohol dependence or alcohol related ______________________________ *Correspondence Soontaree SrikosaiRajanagarindra Institute of Child Development, Department of Mental Health. 196 Moo 10, Don Kaew T. Mae Rim A. 50180, Chiang Mai, Thailand E Mail: s.srikosai@gmail.com problems in government psychiatric hospitals in Thailand is the second highest after schizophrenia. In the last 5 years at Suan Prung Psychiatric Hospital in Northern Thailand, a 700-bed tertiary care facility, 45 percent of alcohol-dependent patients have been readmitted within 1 year [3]. According to two studies, "The History and Future of "Aftercare" by White and Godley and "Alcohol relapse repetition, gender, and predictive validity" by Zywiak et al., alcohol relapse is most often found during thefirst1-2 month...

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Does it matter how we refer to individuals with substance-related conditions? A randomized study of two commonly used terms

Cited by 346 publications

References 21 publications

Motivating or stigmatizing? Public perceptions of weight-related language used by health providers

Motivating or stigmatizing? Public perceptions of weight-related language used by health providers

“Turning the tide” in Treatment of substance use: A nursing response

Development and Testing of the Psychometric Properties of Thai Nurses’ Attitudes toward Alcohol-dependent Patients Scale

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