Barriers and Facilitators to Substance Use Disorder Treatment: An Overview of Systematic Reviews

[摘要] objective: This investigation explored the barriers and facilitators to substance use disorder (SUD) treatment in the integratedparadigm.methods: A search technique for barriers and facilitators of SUD treatment was applied to the PubMed and Web of Science databases toidentify relevant systematic reviews. The eligibility criteria included systematic review (SR) or SR plus meta-analysis (MA) articles publishedbefore the end of 2021, human research, and the English language. Each of the 12 relevant review articles met the inclusion criteria. AMSTARwas utilised to evaluate the methodological quality of the systematic reviews.results: Two authors analysed 12 SR/SR-MA articles to identify barriers or facilitators of SUD treatment. The cumulative summary resultsof these 12 evaluations revealed that barriers and facilitators may be classified into 3 levels: individual, social and structural. By analysingthese review papers, 37 structural barriers, 21 individual barriers and 19 social barriers were uncovered, along with 15 structural facilitators,9 social facilitators and 3 individual facilitators.conclusions: The majority of barriers indicated in the review articles included in this analysis are structural, as are the majority of facilitators. Consequently, the design of macro models for the treatment of substance use disorders may yield various outcomes and potentiallyaffect society and individual levels.

[学科分类] 神经科学

[关键词] Barrier;facilitator;substance use disorder;treatment;review