Amin A Mirzaie, Nancy C Hanson, Dan Neal, Scott A Berceli, Martin R Back, Salvatore T Scali, Thomas S Huber, Gilbert R Upchurch, Samir K Shah
Limited health literacy is common among vascular surgery patients
Surgery
substance use su substance use disorders suds associated adverse health socioeconomic consequences due shortage specialist healthcare providers people suds low middleincome countries lmics limited access adequate treatment tasksharing nonspecialist health workers nshws potential improve treatment accessibility individuals review synthesizes evidence effectiveness tasksharing interventions su suds outcomes lmics psycinfo medline embase global health central databases searched identify eligible studies quality assessment conducted using cochrane risk bias rob2 risk bias nonrandomized studies interventions robinsi tool narrative synthesis undertaken analyze data nineteen rcts two quasiexperimental studies met eligibility criteria majority low risk bias rating nshwdelivered interventions significantly impact su suds outcomes particularly reducing alcohol substance use cessation smoking use opioids multiple sessions delivered via facetoface interactions utilized method intervention delivery variations terms components intervention across studies however common intervention strategies used personalized feedback b psychoeducation c motivational enhancement problemsolving e coping skills review highlights growing interests leveraging nshws provide interventions people su suds lmics access treatment limited however additional research necessary explore effectiveness interventions identify specific active components linked enhancing treatment outcomes broader scale