A Pilot Study of Training Peer Recovery Specialists in Behavioral Activation in the United States: Preliminary Outcomes and Predictors of Competence.
A Pilot Study of Training Peer Recovery Specialists in Behavioral Activation in the United States: Preliminary Outcomes and Predictors of Competence.
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DOI：
10.3390/ijerph20053902
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发表时间：
2023-02-22
影响因子：
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通讯作者：
Magidson, Jessica F
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文献类型：
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作者：
Anvari, Morgan S;Kleinman, Mary B;Dean, Dwayne;Rose, Alexandra L;Bradley, Valerie D;Hines, Abigail C;Abidogun, Tolulope M;Felton, Julia W;Magidson, Jessica F
背景资料：同伴康复专家队伍迅速扩大，以增加服务不足社区获得药物使用障碍服务的机会。PRS通常不会接受动机访谈之外的循证干预（EBI）培训，尽管有证据表明PRS提供某些EBI的可行性，例如简短的行为干预，行为激活。然而，预测PRS在提供EBI（如行为激活）方面的能力的特征仍然未知，并且如果PRS角色扩展，则对于PRS选择，培训和监督至关重要。本研究旨在探讨简短的PRS训练对行为激活的影响，并确定能力的预测因素。方法：在美国的20个PRS完成了两个小时的培训PRS传递的行为激活。参与者完成了基线和培训后评估，包括角色扮演和PRS特征评估，对EBI的态度，以及理论上相关的人格结构。角色扮演被编码为能力（行为激活特异性和更广泛的PRS技能，即，PRS能力）和变化进行了评估，从基线到培训后。线性回归模型测试因素预测培训后的能力，控制基线能力。结果：行为激活能力有显著的前后增加（t =-7.02，p <0.001）。PRS工作年限显著预测了培训后的行为激活技能（B = 0.16，p = 0.005）。没有变量预测培训后的PRS能力。结论：这项研究提供了初步的证据，行为激活可能是适当的传播，以PRS通过简短的培训，特别是对PRS与更多的工作经验。然而，需要更多的研究，以检查预测的能力之间的PRS。
Background: The peer recovery specialist (PRS) workforce has rapidly expanded to increase access to substance-use disorder services for underserved communities. PRSs are not typically trained in evidence-based interventions (EBIs) outside of motivational interviewing, although evidence demonstrates the feasibility of PRS delivery of certain EBIs, such as a brief behavioral intervention, behavioral activation. However, characteristics that predict PRS competency in delivering EBIs such as behavioral activation remain unknown, and are critical for PRS selection, training, and supervision if the PRS role is expanded. This study aimed to explore the outcomes of a brief PRS training period in behavioral activation and identify predictors of competence. Method: Twenty PRSs in the United States completed a two-hour training on PRS-delivered behavioral activation. Participants completed baseline and post-training assessments, including roleplay and assessments of PRS characteristics, attitudes towards EBIs, and theoretically relevant personality constructs. Roleplays were coded for competence (behavioral activation specific and PRS skills more broadly, i.e., PRS competence) and changes were assessed from baseline to post-training. Linear regression models tested factors predicting post-training competence, controlling for baseline competence. Results: There was a significant pre-post increase in behavioral activation competence (t = −7.02, p < 0.001). Years working as a PRS significantly predicted post-training behavioral activation skills (B = 0.16, p = 0.005). No variables predicted post-training PRS competence. Conclusions: This study provides preliminary evidence that behavioral activation may be appropriate for dissemination to PRSs through brief trainings, particularly for PRSs with more work experience. However, additional research is needed to examine predictors of competence among PRSs.