The life-enhancing alcohol-management program: Results from a 6-month nonrandomized controlled pilot study assessing a community based participatory research program in housing first.
The life-enhancing alcohol-management program: Results from a 6-month nonrandomized controlled pilot study assessing a community based participatory research program in housing first.
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DOI：
10.1002/jcop.22291
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发表时间：
2020-04
影响因子：
2.3
通讯作者：
Collins, Susan E.
中科院分区：
文献类型：
--
作者：
Clifasefi, Seema L.;Collins, Susan E.
进行了一项2组、6个月、非随机对照的试点试验，以测试生命增强酒精管理计划（LEAP）作为住房第一（HF;例如，长期支助性住房）对酒精和生活质量结果的影响。LEAP需要居民驱动的领导机会，有意义的活动，以及旨在减少酒精相关伤害和提高生活质量（QoL）的恢复途径。进行数据分析，以测试之间和对象内的影响LEAP自我报告的酒精和生活质量的结果之间的HF居民。在6个月的随访中，组间分析显示酒精量或酒精相关损害的无意义结果（ps > .06）;然而，LEAP参与者比对照组参与者更多地参与有意义的活动（p <0.001），受试者内部分析表明，高水平的LEAP规划参与预示着酒精含量和酒精相关危害的显著减少（ps < .01）。LEAP与参与有意义的活动的增加有关，而更多地参与LEAP规划与减少酒精使用和酒精相关伤害有关。目前正在计划进行一项未来更大规模的随机对照试验，以确定这种方法的有效性，其在HF项目中的普遍性以及潜在的作用机制。
A 2-arm, 6-month, nonrandomized controlled pilot trial was conducted to test the initial effectiveness of the Life Enhancing Alcohol-management Program (LEAP) as an adjunct to Housing First (HF; e.g., permanent supportive housing) on alcohol and quality-of-life outcomes. The LEAP entails resident-driven leadership opportunities, meaningful activities, and pathways to recovery aimed at reducing alcohol-related harm and improving quality of life (QoL). Data analyses were conducted to test between- and within-subjects effects of the LEAP on self-reported alcohol and QoL outcomes among HF residents. At the 6-month follow up, between groups analysis revealed non-significant findings for alcohol quantity or alcohol-related harm (ps > .06); however, LEAP participants reported significantly more engagement in meaningful activities than control participants (p < .001), and within subjects analyses indicated that high levels of LEAP programming engagement predicted significant reductions in alcohol quantity and alcohol-related harm (ps < .01). The LEAP was associated with increased engagement in meaningful activities, and greater involvement in the LEAP programming was associated with reduced alcohol use and alcohol-related harm. Planning is underway for a future, larger-scale randomized controlled trial to establish the efficacy of this approach, its generalizability across HF programs, and potential mechanisms of action.
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影响因子：
4.5
作者：
O'Mara-Eves A;Brunton G;Oliver S;Kavanagh J;Jamal F;Thomas J
通讯作者：
Thomas J
影响因子：
2
作者：
Eakman, Aaron M.;Carlson, Mike E.;Clark, Florence A.
通讯作者：
Clark, Florence A.
影响因子：
4.2
作者：
Kirst, Maritt;Zerger, Suzanne;Stergiopoulos, Vicky
通讯作者：
Stergiopoulos, Vicky
影响因子：
3.5
作者：
Collins, Susan E.;Duncan, Mark H.;Ries, Richard K.
通讯作者：
Ries, Richard K.
DOI：
10.1136/bmj.b4036
发表时间：
2009-10-26
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Hwang SW;Wilkins R;Tjepkema M;O'Campo PJ;Dunn JR
通讯作者：
Dunn JR