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September 2, 2026Substance Use &amp Addiction Journal

A Systematic Review of Interventions to Reduce Clinician Stigma Toward Individuals With Opioid Use Disorder

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Authors

KPKara J. PavoneCPCierra PennyKMKaren Jennings Mathis

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Overview

Systematic review reveals experiential and contact-based interventions reduce opioid use disorder stigma among clinicians and trainees, highlighting the value of immersive training approaches.

Key Points

  • To identify clinician groups targeted by anti-stigma initiatives, catalog stigma measurement instruments, and assess the comparative effectiveness of interventions designed to decrease stigma toward individuals with opioid use disorder.
  • Conducted a systematic review following PRISMA guidelines across PubMed, Embase, and CINAHL for studies published from 2020 through 2025.
  • Included studies evaluating anti-stigma interventions among US clinicians and healthcare trainees, assessing study quality using the Johns Hopkins Nursing Evidence-Based Practice guidelines across 19 included studies (sample sizes ranging from N=5 to N=1842).
  • Across 19 identified studies (13 targeting students/trainees and 6 targeting practicing clinicians), interventions fell into didactic, contact-based, and experiential modalities.
  • Didactic education yielded only modest attitude improvements in students and showed lower efficacy among practicing clinicians, while contact-based exposure to individuals with lived experience had mixed effects in practicing clinicians.
  • Experiential interventions—including simulation, virtual reality, and supervised clinical encounters—consistently reduced stigma across both student and clinician cohorts.

Cite This Study

Pavone et al. (2026) studied this question.

synapsesocial.com/papers/6a97e2b1c562ede874ec6fcbhttps://doi.org/10.1177/29767342261476442
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1A scoping review of implementation strategies to reduce stigma toward people who use substances in healthcare settings.2026
  2. 2Stigmatization for opioid use from service providers—a community-based qualitative study2026
  3. 3Acceptability and Feasibility of a Social Contact Based Intervention for Reduction of Public Stigma Against Persons With Opioid Use Disorder2025 · 1 citations
  4. 4Interventions to Reduce Mental Health Stigma Among Health Care Professionals in Primary Health Care: A Systematic Review and Meta-Analysis2025 · 12 citations
  5. 5Identifying Populations with High Opioid Use Disorder Stigma: Results from a Multi-State Survey2025