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Open AccessReview

Success Rates of Monitoring for Healthcare Professionals with a Substance Use Disorder: A Meta-Analysis

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Centre for Neuroscience, Department of Psychiatry, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, 6500 HB Nijmegen, The Netherlands
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Nijmegen Institute for Scientist-Practitioners in Addiction (NISPA), 6525 HR Nijmegen, The Netherlands
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Novadic-Kentron Addiction Care Network, 5261 LX Vught, The Netherlands
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Behavioral Science Institute, Radboud University, 6500 HE Nijmegen, The Netherlands
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Royal Dutch Medical Association (RDMA), 3528 BL Utrecht, The Netherlands
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Tactus Addiction Treatment, 7400 AD Deventer, The Netherlands
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Scientific Center for Quality of Healthcare (IQ Healthcare), Radboud Institute for Health, Radboud University Medical Center, Sciences, 6500 HB Nijmegen, The Netherlands
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2021, 10(2), 264; https://doi.org/10.3390/jcm10020264
Received: 19 November 2020 / Revised: 31 December 2020 / Accepted: 31 December 2020 / Published: 13 January 2021
(This article belongs to the Special Issue Addictive Disorders and Clinical Psychiatry)
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. View Full-Text
Keywords: abstinence; healthcare professional; meta-analysis; monitoring; substance use disorder; work retention abstinence; healthcare professional; meta-analysis; monitoring; substance use disorder; work retention
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MDPI and ACS Style

Geuijen, P.M.; van den Broek, S.J.M.; Dijkstra, B.A.G.; Kuppens, J.M.; de Haan, H.A.; de Jong, C.A.J.; Schene, A.H.; Atsma, F.; Schellekens, A.F.A. Success Rates of Monitoring for Healthcare Professionals with a Substance Use Disorder: A Meta-Analysis. J. Clin. Med. 2021, 10, 264. https://doi.org/10.3390/jcm10020264

AMA Style

Geuijen PM, van den Broek SJM, Dijkstra BAG, Kuppens JM, de Haan HA, de Jong CAJ, Schene AH, Atsma F, Schellekens AFA. Success Rates of Monitoring for Healthcare Professionals with a Substance Use Disorder: A Meta-Analysis. Journal of Clinical Medicine. 2021; 10(2):264. https://doi.org/10.3390/jcm10020264

Chicago/Turabian Style

Geuijen, Pauline M.; van den Broek, Sophie J.M.; Dijkstra, Boukje A.G.; Kuppens, Joanneke M.; de Haan, Hein A.; de Jong, Cornelis A.J.; Schene, Aart H.; Atsma, Femke; Schellekens, Arnt F.A. 2021. "Success Rates of Monitoring for Healthcare Professionals with a Substance Use Disorder: A Meta-Analysis" J. Clin. Med. 10, no. 2: 264. https://doi.org/10.3390/jcm10020264

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