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Advancing the Implementation of Medication-Assisted Treatment in Residential Treatment

Description

Abstract
Objective: To assess the attitudes and knowledge of behavioral health technicians (BHTs)
towards opioid overdose management and to assess the effect of online training on opioid
overdose response on BHTs’ attitudes and knowledge, and the confidence to identify and
respond to opioid overdose situations.

Design/Methods: Pre-intervention Opioid Overdose Knowledge Scale (OOKS) and Opioid
Overdose Attitude…

Abstract
Objective: To assess the attitudes and knowledge of behavioral health technicians (BHTs)
towards opioid overdose management and to assess the effect of online training on opioid
overdose response on BHTs’ attitudes and knowledge, and the confidence to identify and
respond to opioid overdose situations.

Design/Methods: Pre-intervention Opioid Overdose Knowledge Scale (OOKS) and Opioid
Overdose Attitude Scale (OOAS) surveys were administered electronically to five BHTs in
2020. Data obtained were de-identified. Comparisons between responses to pre-and post-surveys questions were carried out using the standardized Wilcoxon signed-rank statistical test(z). This study was conducted in a residential treatment center (RTC) with the institutional review board's approval from Arizona State University. BHTs aged 18 years and above, working at this RTC were included in the study.

Interventions: An online training was provided on opioid overdose response (OOR) and
naloxone administration and on when to refer patients with opioid use disorder (OUD) for
medication-assisted treatment.

Results: Compared to the pre-intervention surveys, the BHTs showed significant improvements
in attitudes on the overall score on the OOAS (mean= 26.4 ± 13.1; 95% CI = 10.1 - 42.7; z =
2.02; p = 0.043) and significant improvement in knowledge on the OOKS (mean= 10.6 ± 6.5;
95% CI = 2.5 – 18.7; z =2.02, p = 0.043).

Conclusions and Relevance: Training BHTs working in an RTC on opioid overdose response is
effective in increasing attitudes and knowledge related to opioid overdose management. opioid
overdose reversal in RTCs.

Keywords: Naloxone, opioid overdose, overdose education, overdose response program
ContributorsQuie, Georgette (Author) / Guthery, Ann (Thesis advisor)
Created2021-04-12

How do coping styles influence the association between COVID stressors and depression in Mexican-American heritage families?

Description

The coronavirus pandemic has proven to be a challenging time for the Hispanic community, facing impacts on stress and depression symptoms at disproportionate rates. The current study examined the associations between socioeconomic COVID stressors and depression symptoms; and coping styles, including problem-focused and emotion-focused coping, and depression symptoms amongst Mexican…

The coronavirus pandemic has proven to be a challenging time for the Hispanic community, facing impacts on stress and depression symptoms at disproportionate rates. The current study examined the associations between socioeconomic COVID stressors and depression symptoms; and coping styles, including problem-focused and emotion-focused coping, and depression symptoms amongst Mexican heritage parents. Coping styles were also examined as a moderator of the association between socioeconomic COVID stressors and depression symptoms
ContributorsSanchez, Natalee (Author) / Cruz, Rick (Thesis director) / Doane, Leah (Committee member) / Perez, Marisol (Committee member) / Barrett, The Honors College (Contributor) / Department of Psychology (Contributor) / Sanford School of Social and Family Dynamics (Contributor)
Created2022-12
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Examining variability in identity, resilience, and college adjustment among multiracial Hispanic/Latinx and White college students

Description
Over 35% of multiracial college students fail to earn a degree, which can have significant economic and health costs over their lifespan. This study aimed to better understand college and psychological adjustment among multiracial college students of Hispanic/Latinx and White non-Hispanic descent by examining students’ racial identities and use of…

Over 35% of multiracial college students fail to earn a degree, which can have significant economic and health costs over their lifespan. This study aimed to better understand college and psychological adjustment among multiracial college students of Hispanic/Latinx and White non-Hispanic descent by examining students’ racial identities and use of resilience resources. Latent profiles of identity were identified to better understand how different aspects of racial identity are clustered in this population. Multiracial college students (N=221) reported on racial identity as measured on multiple dimensions: Hispanic/Latinx identity, Hispanic/Latinx cultural orientation, White identity, identity integration, shifting expressions of identity, and identity malleability. Students also reported on their use of multiple resilience resources (personal mastery, social competence, perspective taking, coping flexibility, familism support values) and both college and psychological adjustment. Through regression and SEM analyses, results indicated that, of the resilience resources, only personal mastery was positively related to both college and psychological adjustment, while social competence was positively related to college adjustment. More shifting expressions of identity was related to poorer college and psychological adjustment, which was partially mediated via personal mastery. Stronger Hispanic/Latinx identity was related to higher perspective taking and coping flexibility, while stronger White identity was related to higher familism support values. Latent profiles of identity indicated a four-class solution, consisting of 1) “low identity”, 2) “integrated, low shifting”, 3) “integrated, shifting”, and 4) “high shifting, low integration”. Findings highlight the need for person-centered and ecological approaches to understanding identity development and resilience among multiracial college students, and can inform prevention and intervention efforts for multiracial college students of Hispanic/Latinx and White non-Hispanic descent. Results also demonstrate the importance of assessing multiracial identity via multiple dimensions including factors such as identity integration, shifting expressions of identity, and identity malleability.
ContributorsJewell, Shannon (Author) / Luecken, Linda J. (Thesis advisor) / Jackson, Kelly (Committee member) / Doane, Leah (Committee member) / Edwards, Michael (Committee member) / Arizona State University (Publisher)
Created2020
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Advancing the Implementation of Medication-Assisted Treatment in Residential Treatment

Description
Objective: To assess the attitudes and knowledge of behavioral health technicians (BHTs) towards opioid overdose management and to assess the effect of online training on opioid overdose response on BHTs’ attitudes and knowledge, and the confidence to identify and respond to opioid overdose situations. Design/Methods: Pre-intervention Opioid Overdose Knowledge Scale (OOKS) and Opioid Overdose Attitude…

Objective: To assess the attitudes and knowledge of behavioral health technicians (BHTs) towards opioid overdose management and to assess the effect of online training on opioid overdose response on BHTs’ attitudes and knowledge, and the confidence to identify and respond to opioid overdose situations. Design/Methods: Pre-intervention Opioid Overdose Knowledge Scale (OOKS) and Opioid Overdose Attitude Scale (OOAS) surveys were administered electronically to five BHTs in 2020. Data obtained were de-identified. Comparisons between responses to pre-and post-surveys questions were carried out using the standardized Wilcoxon signed-rank statistical test(z). This study was conducted in a residential treatment center (RTC) with the institutional review board's approval from Arizona State University. BHTs aged 18 years and above, working at this RTC were included in the study. Interventions: An online training was provided on opioid overdose response (OOR) and naloxone administration and on when to refer patients with opioid use disorder (OUD) for medication-assisted treatment. Results: Compared to the pre-intervention surveys, the BHTs showed significant improvements in attitudes on the overall score on the OOAS (mean= 26.4 ± 13.1; 95% CI = 10.1 - 42.7; z = 2.02; p = 0.043) and significant improvement in knowledge on the OOKS (mean= 10.6 ± 6.5; 95% CI = 2.5 – 18.7; z =2.02, p = 0.043). Conclusions and Relevance: Training BHTs working in an RTC on opioid overdose response is effective in increasing attitudes and knowledge related to opioid overdose management. opioid overdose reversal in RTCs.
ContributorsQuie, Georgette (Author) / Guthery, Ann (Thesis advisor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2021-04-12