"SALOME gave my dignity back": the role of randomized heroin trials in transforming lives in the Downtown Eastside of Vancouver, Canada.

"SALOME gave my dignity back": the role of randomized heroin trials in transforming lives in the Downtown Eastside of Vancouver, Canada.
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DOI:
10.3402/qhw.v9.23698
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发表时间:
2014
影响因子:
1.8
通讯作者:
Jozaghi E
Jozaghi E
中科院分区:
医学4区
文献类型:
--
作者:
Jozaghi E

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虽然许多关于海洛因辅助治疗(HAT)的研究发表在领先的国际期刊上,但很少有人关注HAT的客户、他们的故事以及治疗过程中最具影响力的因素是什么。本研究调查了HAT在改变加拿大温哥华注射吸毒者(IDU)生活方面的作用。这项研究是定性的,重点是对HAT随机试验中的16名患者进行深入访谈。采访被逐字转录,并使用NVivo 10软件进行主题分析。研究结果揭示了许多方面的积极变化:随机试验减少了犯罪活动、性工作和非法药物使用。此外,这些试验改善了其客户的健康和社会功能,一些参与者获得了工作或志愿者职位。许多参与者已经能够与他们的家人重新建立联系,这在项目之前是不可能的。此外,该项目工作人员和患者之间的关系似乎改变了参与者的行为。在温哥华参加HAT特别有效地创造了一个独特的微环境,使参加HAT的注射吸毒者能够形成一种集体身份,倡导自己的权利。这项研究的结果表明,该项目需要在当前研究的基础上继续进行,从而形成一个永久性的计划。
Although numerous studies on heroin-assisted treatment (HAT) have been published in leading international journals, little attention has been given to HAT’s clients, their stories, and what constitutes the most influential factor in the treatment process. The present study investigates the role of HAT in transforming the lives of injection drug users (IDUs) in Vancouver, Canada. This study is qualitative focusing on 16 in-depth interviews with patients from the randomized trials of HAT. Interviews were transcribed verbatim and analyzed thematically using NVivo 10 software. The findings revealed a positive change in many respects: the randomized trials reduce criminal activity, sex work, and illicit drug use. In addition, the trials improved the health and social functioning of its clients, with some participants acquiring work or volunteer positions. Many of the participants have been able to reconnect with their family members, which was not possible before the program. Furthermore, the relationship between the staff and patients at the project appears to have transformed the behavior of participants. Attending HAT in Vancouver has been particularly effective in creating a unique microenvironment where IDUs who have attended HAT have been able to form a collective identity advocating for their rights. The result of this research points to the need for continuation of the project beyond the current study, leading toward a permanent program.
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