Effectiveness of a peer-support community in addiction recovery: participation as intervention.
Effectiveness of a peer-support community in addiction recovery: participation as intervention.
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DOI：
10.1002/oti.257
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发表时间：
2008-01-01
影响因子：
1.5
通讯作者：
Clarie, Anna June
中科院分区：
文献类型：
--
作者：
Boisvert, Rosemary A;Martin, Linda M;Clarie, Anna June
该研究的主要目的是确定同伴支持社区项目是否会降低从药物成瘾和无家可归中恢复的客户的复发率，并导致增加感知的社区联系，支持行为，自决和生活质量。采用半结构化访谈、参与者观察、前测/后测等混合方法评估生活质量评分的变化，采用医疗结果研究-社会支持调查和意志问卷。前一年永久性支助性住房方案的数据用于比较复发率。参与该计划的客户复发风险显著降低。在医疗结果研究-社会支持调查的三个子量表上发现显著差异。在生活质量评分上，没有达到统计学意义的改善。定性证据支持感知社区关系和支持行为的改善。有证据表明，以自我决定为重点的同伴支持的社区方案可对戒毒和无家可归者的康复产生重大的积极影响。局限性包括样本量小和缺乏随机对照组。
The main purpose of the study was to determine whether a peer-support community programme would reduce relapse rates among clients recovering from substance addictions and homelessness and result in increased perceived community affiliation, supportive behaviours, self-determination and quality of life. Mixed methods were utilized including semi-structured interviews, participant observation and a pretest/post-test to evaluate changes on the quality of life rating, the Medical Outcomes Study-Social Support Survey, and the Volitional Questionnaire. Data from the prior year's permanent supportive housing programme were used for comparison of relapse rates. Significant reduction of risk of relapse was found in clients who participated in the programme. Significant differences were found on three subscales of the Medical Outcomes Study-Social Support Survey. Improvement that did not reach statistical significance was seen on the quality of life rating. Qualitative evidence supported improvements in perceived community affiliation and supportive behaviours.Evidence suggests that a peer-supported community programme focused on self-determination can have a significant positive impact on recovery from substance addictions and homelessness. Limitations include a small sample size and lack of a randomized control group.