Developing a community-supported risk reduction intervention for syringe exchange registrants and their drug-free family or friends: a pilot study.
Developing a community-supported risk reduction intervention for syringe exchange registrants and their drug-free family or friends: a pilot study.
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为注射器交换注册者及其无毒品的家人或朋友制定社区支持的降低风险干预措施：一项试点研究。
DOI：
10.1080/10550887.2020.1854033
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发表时间：
2021
影响因子：
2.3
通讯作者：
Peirce,Jessica
中科院分区：
文献类型：
--
作者：
Kidorf,Michael;Latkin,Carl;Brooner,RobertK;Yan,Haijuan;Peirce,Jessica
从事注射阿片类药物使用的人通常有不吸毒的家人或朋友，可以动员他们支持减少风险和寻求治疗。目的本初步研究评估了对注射器交换计划（SEP）注册者和无药网络成员进行为期6周的社区支持风险降低小组干预的可行性和初步效果。方法该组提供风险降低和治疗准备教育，并每周安排参与者一起参加旨在与其他戒毒人士见面的社区活动。结果39名SEP注册者（和39名社区支持者）参加了研究，其中21对至少参加了一个组。对于这个较小的样本，参与者参加了67%的预定会议，并在42%的研究周内从事预定活动，其中48%的SEP参与者（n = 10）选择进入物质使用障碍治疗。接受治疗的SEP参与者报告注射药物使用率、阿片类药物使用率和可卡因使用率降低。虽然这种干预措施有望将注射器交换和药物使用障碍治疗参与联系起来，但结果表明需求低，可接受性适中，这表明有必要进行额外的研究，以了解参与的障碍，并激励更高水平的参与。
BackgroundPeople engaged in injection opioid use often have drug-free family or friends that could be mobilized to support risk reduction and treatment seeking.ObjectiveThis pilot study evaluated the feasibility and preliminary efficacy of a 6-week community-supported risk reduction group intervention for syringe exchange program (SEP) registrants and drug-free network members.MethodThe group provided risk reduction and treatment readiness education, with weekly assignments for participants to engage together in community activities designed to meet other drug-free people.ResultsThirty-nine SEP registrants (and 39 community supports) enrolled in the study, and 21 pairs attended at least one group. For this smaller sample, participants attended 67% of scheduled sessions and engaged in scheduled activities during 42% of the study weeks, with 48% of SEP participants (n = 10) choosing to enter substance use disorder treatment. SEP participants who entered treatment reported reduced rates of injection drug use, opioid use, and cocaine use.ConclusionsWhile this intervention shows promise for linking syringe exchange and substance use disorder treatment participation in select SEP registrants, outcomes demonstrating low demand and modest acceptability suggest that additional research is necessary to understand barriers to participation and motivate higher levels of engagement.