Success rates of monitoring for healthcare professionals with a substance use disorder: A meta-analysis
Publication year
2021Author(s)
Number of pages
31 p.
Source
Journal of Clinical Medicine, 10, 2, (2021), article 264ISSN
Publication type
Article / Letter to editor

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Organization
Psychiatry
SW OZ BSI OGG
SW OZ BSI KLP
IQ Healthcare
Journal title
Journal of Clinical Medicine
Volume
vol. 10
Issue
iss. 2
Languages used
English (eng)
Subject
All institutes and research themes of the Radboud University Medical Center; Developmental Psychopathology; Experimental Psychopathology and Treatment; Radboudumc 13: Stress-related disorders DCMN: Donders Center for Medical Neuroscience; Radboudumc 18: Healthcare improvement science RIHS: Radboud Institute for Health SciencesAbstract
In the past decades, monitoring programs have been developed for healthcare professionals with substance use disorders. We aimed to explore estimates of abstinence and work retention rates after participation in such monitoring programs. A literature search was performed using PubMed, Embase, PsycINFO, and CINAHL. Twenty-nine observational studies reporting on success rates (abstinence and work retention) of monitoring for healthcare professionals with a substance use disorder were included in the meta-analysis. Quality-effects models calculated pooled success rates and corresponding 95%-Confidence Intervals (CI), with subgroup analyses on monitoring elements and patient characteristics. Pooled success rates were 72% for abstinence (95%-CI = 63-80%) and 77% for work retention (95%-CI = 61-90%). Heterogeneity across studies was partly explained by the starting moment of monitoring, showing higher abstinence rates for studies that started monitoring after treatment completion (79%; 95%-CI = 72-85%) compared to studies that started monitoring with treatment initiation (61%; 95%-CI = 50-72%). About three-quarters of healthcare professionals with substance use disorders participating in monitoring programs are abstinent during follow-up and working at the end of the follow-up period. Due to selection and publication bias, no firm conclusions can be drawn about the effectiveness of monitoring for healthcare professionals with SUD.
This item appears in the following Collection(s)
- Academic publications [202923]
- Electronic publications [101091]
- Faculty of Medical Sciences [80072]
- Faculty of Social Sciences [27123]
- Open Access publications [69755]
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