Characterizing Participation and Perceived Engagement Benefits in an Integrated Digital Behavioral Health Recovery Community for Women: A Cross-Sectional Survey
Characterizing Participation and Perceived Engagement Benefits in an Integrated Digital Behavioral Health Recovery Community for Women: A Cross-Sectional Survey
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DOI：
10.2196/13352
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发表时间：
2019-08-26
影响因子：
5.2
通讯作者：
Ashford, Robert
中科院分区：
文献类型：
--
作者：
Curtis, Brenda;Bergman, Brandon;Ashford, Robert
背景资料：研究表明，数字恢复支持服务（D-RSS）可能有助于支持个人恢复，并增加面对面支持的可用性。以前的研究强调使用D-RSS支持个人从物质使用中恢复，但尚未研究使用D-RSS支持行为健康障碍的组合，包括物质使用，心理健康和创伤。同样，很少有关于D-RSSs的研究评估了针对性别的支持或综合社区，这可能有助于妇女和个人从行为健康障碍中恢复过来。目的：本研究的目标是评估SHE RECOVERS（SR）恢复社区，有以下3个目标：（1）对从事性关系工作的妇女进行定性;（包括人口统计学和恢复相关特征），（2）描述参与者参与SR的方式和频率，方法：本研究采用横断面调查的方法，考察了参与SR的参与者的特征。方差分析和卡方检验，以及单变量logistic回归，被用来探索每个aims.Results：参与者（N=729，平均年龄46.83岁，685/729，94%白人）报告正在恢复各种条件，虽然最常见的非排他性疾病是物质使用（86.40%，n=630）。参与者的平均恢复时间（LIR）为6.14年（SD 7.87），大多数在1至5年之间（n=300）。最常报告的康复途径是基于禁欲的12步互助（38.40%）。参与者报告积极的看法受益于SR的参与，这并没有改变LIR或恢复途径。参与者的同意率也很高，SR对他们的生活产生了积极的影响，尽管这也因恢复时间和恢复途径而异。恢复1至5年的参与者使用SR以更高的速度与其他恢复中的女性联系，而那些不到1年的参与者使用SR以更高的速度要求资源，而那些5年或更长时间的参与者使用SR以更高的速度提供支持。终身参与与特定的支持SR也与LIR和恢复pathway.Conclusions：性别特异性和集成的D-RSSs是可行的，从参与者的角度来看是有益的。D-RSS似乎还以有效的方式为一系列恢复类型和途径提供支持，并可能成为扩大恢复支持的重要工具，以帮助那些因地理、社会决定因素或其他障碍而缺乏机会和可用性的人。
Background: Research suggests that digital recovery support services (D-RSSs) may help support individual recovery and augment the availability of in-person supports. Previous studies highlight the use of D-RSSs in supporting individuals in recovery from substance use but have yet to examine the use of D-RSSs in supporting a combination of behavioral health disorders, including substance use, mental health, and trauma. Similarly, few studies on D-RSSs have evaluated gender-specific supports or integrated communities, which may be helpful to women and individuals recovering from behavioral health disorders.Objective: The goal of this study was to evaluate the SHE RECOVERS (SR) recovery community, with the following 3 aims: (1) to characterize the women who engage in SR (including demographics and recovery-related characteristics), (2) describe the ways and frequency in which participants engage with SR, and (3) examine the perception of benefit derived from engagement with SR.Methods: This study used a cross-sectional survey to examine the characteristics of SR participants. Analysis of variance and chi-square tests, as well as univariate logistic regressions, were used to explore each aim.Results: Participants (N=729, mean age 46.83 years; 685/729, 94% Caucasian) reported being in recovery from a variety of conditions, although the most frequent nonexclusive disorder was substance use (86.40%, n=630). Participants had an average length in recovery (LIR) of 6.14 years (SD 7.87), with most having between 1 and 5 years (n=300). The most frequently reported recovery pathway was abstinence-based 12-step mutual aid (38.40%). Participants reported positive perceptions of benefit from SR participation, which did not vary by LIR or recovery pathway. Participants also had high rates of agreement, with SR having a positive impact on their lives, although this too did vary by recovery length and recovery pathway. Participants with 1 to 5 years of recovery used SR to connect with other women in recovery at higher rates, whereas those with less than 1 year used SR to ask for resources at higher rates, and those with 5 or more years used SR to provide support at higher rates. Lifetime engagement with specific supports of SR was also associated with LIR and recovery pathway.Conclusions: Gender-specific and integrated D-RSSs are feasible and beneficial from the perspective of participants. D-RSSs also appear to provide support to a range of recovery typologies and pathways in an effective manner and may be a vital tool for expanding recovery supports for those lacking in access and availability because of geography, social determinants, or other barriers.