2010
DOI: 10.1186/1472-6963-10-194
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Staff attitudes and the associations with treatment organisation, clinical practices and outcomes in opioid maintenance treatment

Abstract: BackgroundIn opioid maintenance treatment (OMT) there are documented treatment differences both between countries and between OMT programmes. Some of these differences have been associated with staff attitudes. The aim of this study was to 1) assess if there were differences in staff attitudes within a national OMT programme, and 2) investigate the associations of staff attitudes with treatment organisation, clinical practices and outcomes.MethodsThis study was a cross-sectional multicentre study. Norwegian OM… Show more

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Cited by 18 publications
(21 citation statements)
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“…The more rigid attitude of HAO settings reflects particularly in higher frequencies of urine tests and consequences of alcohol consumption. This does support recent findings (Gjersing et al, 2010). Settings with a high abstinence orientation (i.e., HAOs) are also more likely to initiate psychiatric and psychotherapeutic treatment.…”
Section: Discussionsupporting
confidence: 83%
See 2 more Smart Citations
“…The more rigid attitude of HAO settings reflects particularly in higher frequencies of urine tests and consequences of alcohol consumption. This does support recent findings (Gjersing et al, 2010). Settings with a high abstinence orientation (i.e., HAOs) are also more likely to initiate psychiatric and psychotherapeutic treatment.…”
Section: Discussionsupporting
confidence: 83%
“…Half of all doctors showed at least moderate grades of abstinence orientation; about 25% had high values. Latest research confirms the variation in attitude between different maintenance centers within and across different countries (Gjersing, Waal, Caplehorn, Gossop, & Clausen, 2010).…”
Section: Introductionmentioning
confidence: 90%
See 1 more Smart Citation
“…It also featured "limit-setting" -rewards for abstinence, and punishments for persisting drug use (such as dose reductions or removal from treatment). Paradoxically, efforts to promote abstinence appear to diminish the effectiveness of treatment (42,44,45).…”
Section: An Orientation To Maintenancementioning
confidence: 99%
“…Despite the aforementioned early statistical validation of the tripartite model (Breckler, 1984;Ostrom, 1969), studies measuring attitudes have consistently and increasingly assumed unidimensionality, through the use of unidimensional scaling such as Likert scales (e.g., (Baum and Nelson, 2007;Gjersing et al, 2010;Macknight and Powell, 2001;Reuben et al, 1998;Wånggren et al, 2013). In other words, research typically produces an average or summated score, along a single scale, despite the statistical evidence that the scores represent different components of an attitude (Ostrom, 1969).…”
Section: The Growing Dominance Of the Unidimensional View Of Attitudesmentioning
confidence: 99%