Predictors and outcomes of online mutual-help group attendance in a national survey study.

Predictors and outcomes of online mutual-help group attendance in a national survey study.
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DOI:
10.1016/j.jsat.2022.108732
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发表时间:
2022-07
影响因子:
3.9
通讯作者:
Zemore, Sarah E.
Zemore, Sarah E.
中科院分区:
医学2区
文献类型:
--
作者:
Timko, Christine;Mericle, Amy;Kaskutas, Lee Ann;Martinez, Priscilla;Zemore, Sarah E.

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在COVID-19大流行期间,在线视频平台成为访问以物质使用为重点的互助小组会议的主要模式,在面对面会议再次可用后,这种模式可能会持续下去。本研究使用大流行前收集的国家数据(未确保代表性),检查了在线康复支持会议与会者的特征(人口统计学、物质使用和康复以及互助组使用),以及在线会议出席与物质使用结果的关联。数据来自对12步小组(例如,酗酒者匿名协会(Alcoholics Anonymous)、妇女戒酒协会(WFS)、生命环世俗恢复协会(LifeRing)和SMART恢复协会(SMART)。基线样本收集于2015年(大流行前),是647名患有终身酒精使用障碍的成年人,他们在基线和6个月(81%)和12个月(83%)的随访中接受了在线调查。在基线时,62%(n=402)的人一生中参加过在线互助小组会议,36%(n=236)的人在过去30天内参加过。双变量分析发现,女性比男性更有可能参加在线会议,年轻的参与者比老年人更有可能参加在线会议,并且最近使用酒精和药物的参与者较少自我效能感。此外,参加两种或两种以上不同类型互助小组(而不是一种)的受访者更有可能参加在线会议,并且他们的主要小组是12步或WFS,而不是LifeRing或SMART。纵向分析发现,在线会议出席率(是或否)和时间对酒精和完全禁欲的结果之间存在相互作用,与不参加在线会议的人相比,在线会议出席者在基线时禁欲的可能性较小,但在12个月时禁欲的可能性大致相同。然而,相互作用的影响减弱时,该模型调整的互助使用的特点。这些发现为互助小组、提供者和研究人员维持和扩大这一资源的努力提供了信息,表明在线会议的出席可能具有吸引力,并有助于早期康复的互助小组成员。
During the COVID-19 pandemic, online video platforms became the primary mode of accessing substance use-focused mutual-help group meetings, which may persist after in-person meetings are available again. This study examined the characteristics (demographic, substance use and recovery, and mutual-help group use) of attendees of online recovery support meetings, and associations of online meeting attendance with substance use outcomes, using national data (without ensured representativeness) collected before the pandemic. Data were from the Peer Alternatives in Addiction (PAL) Study of attendees of 12-step groups (e.g., Alcoholics Anonymous), Women for Sobriety (WFS), LifeRing Secular Recovery (LifeRing), and SMART Recovery (SMART). The baseline sample, collected in 2015 (pre-pandemic), was 647 adults with lifetime alcohol use disorder who were surveyed online at baseline and 6-month (81%) and 12-month follow-up (83%). At baseline, 62% (n=402) had attended an online mutual-help group meeting in their lifetime, and 36% (n=236) had done so in the past 30 days. Bivariate analyses found that online meeting attendance was more likely among women than men, younger than older participants, and participants with more recent alcohol and drug use, and less abstinence self-efficacy. In addition, online meeting attendance was more likely among respondents who attended two or more different types of mutual-help groups (rather than just one type), and whose primary group was 12-step or WFS rather than LifeRing or SMART. Longitudinal analyses found an interaction between online meeting attendance (yes or no) and time on the outcomes of alcohol and total abstinence such that, compared to those who did not attend online meetings, online meeting attendees were less likely to be abstinent at baseline but were about the same on abstinence at 12 months. However, the interaction effect was attenuated when the model adjusted for mutual-help use characteristics. The findings inform mutual-help groups, providers, and researchers’ efforts to sustain and expand this resource by suggesting that online meeting attendance may have appeal and be helpful to mutual-help group members who are earlier in their recovery.
DOI: 10.1080/07347324.2021.1917324
发表时间: 2021
影响因子: 0.9
作者:
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通讯作者: Krentzman AR
DOI: 10.1177/104649648601700204
发表时间: 1986-05-01
期刊: SMALL GROUP BEHAVIOR
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发表时间: 2013-07-01
影响因子: 7.4
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发表时间: 2000-12-01
影响因子: 4.1
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DOI: 10.1016/j.jsat.2017.03.011
发表时间: 2017-06
影响因子: 3.9
作者:
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