Magura Stephen, Villano Cherie L, Rosenblum Andrew, Vogel Howard S, Betzler Thomas
National Development and Research Institutes, Inc.
J Dual Diagn. 2008 Jan 1;4(2):170-185. doi: 10.1080/15504260802067032. Epub 2008 Oct 11.
Double Trouble in Recovery (DTR) is a "dual focus," 12 step-based mutual aid program tailored to assist recovery from co-occurring substance use and psychiatric disorders. OBJECTIVE: To determine consumers' perceptions of DTR's usefulness for their recoveries and the relationships between perceived DTR usefulness and self-help processes, self-efficacy to cope with problems in recovery, and changes in behaviors conducive to dual recovery. METHODS: Consumers attending DTR groups, located within a psychiatric day-treatment program, completed anonymous surveys 8 months (N=19) and 20 months (N=61) after DTR was implemented. RESULTS: DTR participants rated DTR favorably and length of DTR attendance was significantly associated with increased self-efficacy for recovery and positive changes in recovery-oriented behaviors. Perceived DTR usefulness was significantly associated with greater engagement in three specific self-help processes and increased self-efficacy for recovery; notably, these associations were independent of consumers' overall satisfaction with the treatment program. CONCLUSION: This study is the first to document consumers' perceived usefulness of DTR in relation to indicators of recovery. Overall, the study provides additional evidence for the benefits of implementing consumer-led dual focus groups in treatment programs.
康复双重困境（DTR）是一个“双重聚焦”、基于12步的互助项目，旨在帮助同时患有物质使用障碍和精神疾病的患者康复。目的：确定消费者对DTR对其康复有用性的看法，以及DTR有用性认知与自助过程、应对康复问题的自我效能感以及有利于双重康复的行为变化之间的关系。方法：在一个精神科日间治疗项目中的DTR小组参与者，在DTR实施8个月（N = 19）和20个月（N = 61）后完成匿名调查。结果：DTR参与者对DTR评价良好，DTR参与时长与康复自我效能感的提高以及以康复为导向的行为的积极变化显著相关。DTR有用性认知与更积极参与三个特定的自助过程以及康复自我效能感的提高显著相关；值得注意的是，这些关联独立于消费者对治疗项目的总体满意度。结论：本研究首次记录了消费者对DTR在康复指标方面有用性的认知。总体而言，该研究为在治疗项目中实施以消费者为主导的双重聚焦小组的益处提供了更多证据。
