Nursing Attitudes Towards SUD

NCT05218681 | Completed

• 1 other identifier: 849369
• Study Type: interventional
• Target: 170
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose is to measure substance use disorder (SUD)-related stigma among hospital-based nurses using validated survey instruments, and attempt to reduce stigma through a combination of individual and unit-based educational and participatory interventions.

Conditions

Substance Use Disorders; Stigma, Social

Outcome Measures

Primary Outcomes (1)

• Change in stigma towards patients with Substance use disorder on the individual nursing level

  Change in stigma towards patients with substance use disorder based on pre-post survey among individual nurses. Nurses will be given the same survey pre and post-intervention. The survey includes a Modified stigma score where likert scales are dichotomized as follows: * Very Approriate, Appropriate vs Other * Strongly agree and agree vs other

  6-months

Secondary Outcomes (1)

• Change in stigma on the unit-level

  6-months

Study Arms (2)

Control: Unit-based "Person First" Anti-stigma Awareness Rounds

OTHER

The "Person First" Initiative was developed independent of this study by bedside nurses (including McFadden) in collaboration with HUP Nursing Executive Leadership. The objective of this initiative is to provide (1) unit-based "huddles" on person-first language as a mechanism to reduce the stigma around substance use; (2) socialize best practices and resources for patients with substance use disorder; and (3) provide overdose reversal training and kits, including Narcan nasal spray, to nurses. The planning and implementation of these activities fall under the purview of Nursing Shared Governance (NOT the research team), and oversight for these activities will be provided by HUP Nursing Executive Leadership.

Other: Unit-based "Person First" Anti-stigma Awareness Rounds

Unit-based "Person First" stigma rounds + Text-based Messaging

OTHER

Participating nurses will be randomized to receive weekly short text messages that employ evidence-based strategies to reduce stigma towards individuals with substance use disorder over the course of 6-months.

Other: Unit-based "Person First" Anti-stigma Awareness Rounds; Other: Individual Text-based Messaging

Interventions

Unit-based "Person First" Anti-stigma Awareness Rounds OTHER

Educational rounds on stigma

Control: Unit-based "Person First" Anti-stigma Awareness Rounds; Unit-based "Person First" stigma rounds + Text-based Messaging

Individual Text-based Messaging OTHER

Weekly evidence based messages to reduce SUD stigma

Unit-based "Person First" stigma rounds + Text-based Messaging

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Registered nurses working in any capacity (bedside, administration) at the Hospital of the University of Pennsylvania.

You may not qualify if:

• If a nursing leadership on a unit declines survey participation for their unit, nurses who work on that unit will not be recruited/included.

Sponsors & Collaborators

• University of Pennsylvania: lead

Study Sites (1)

University of Pennsylvania

Philadelphia, Pennsylvania, 19104, United States

Location

MeSH Terms

Conditions

Substance-Related Disorders; Social Stigma

Condition Hierarchy (Ancestors)

Chemically-Induced Disorders; Mental Disorders; Social Behavior; Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor of Emergency Medicine and Epidemiology

Study Record Dates

• First Submitted: November 15, 2021
• First Posted: February 1, 2022
• Study Start: November 17, 2021
• Primary Completion: August 8, 2022
• Study Completion: August 8, 2022
• Last Updated: September 9, 2022

Record last verified: 2022-09

Locations

US (1)