Factors Influencing Lay and Professional Health Workers’ Self-efficacy in Identification and Intervention for Alcohol, Tobacco, and Other Substance Use Disorders in Kenya
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The global burden of substance use disorders (SUDs), including alcohol and tobacco, disproportionately affect low- and middle-income countries (LMICs), considering their rising disease burden and low service capacity. Nested within a Kenyan training program, this study explores factors associated with healthcare providers’ self-efficacy to treat SUD. Surveys of 206 healthcare workers were used to perform regression and sensitivity analysis assessing various factors association with self-efficacy. Self-efficacy for SUD was lower in those practicing in public facilities and perceiving a need for alcohol use disorder (AUD) training; while higher self-efficacy correlated with a higher proportion of patients with AUD in one’s setting, access to mental health worker support, cannabis use at a moderate risk level, and belief that AUD is manageable in outpatient settings. Increasing awareness about SUD prevalence, identification, and treatment skills could improve the self-efficacy of LMICs’ health care providers and therefore the willingness to implement more services for patients with SUDs.
KeywordsAlcohol Tobacco Substance use disorders Self-efficacy Low–middle-income countries
We would like to thank Verena Rossa-Roccor, MD, and Mary Arakelyan for their editorial assistance.
Compliance with Ethical Standards
This study was supported by the Global Mental Health Grant # 0092-04 from Grand Challenges Canada, the Canada Research Chairs program, the Annenberg Physician Training Program in Addiction Medicine (APTPAM), the IMPART clinician fellowship, the Canadian Addiction Medicine Research Fellowship, and the Michael Smith Foundation for Health Research post-doctoral award program.
Conflict of Interest
The authors declare that they have no conflict of interest.
All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2000 (5). Informed consent was obtained from all patients for being included in the study.
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