Nyamathi Adeline M, Zhang Sheldon, Salem Benissa E, Farabee David, Hall Betsy, Marlow Elizabeth, Faucette Mark, Bond Doug, Yadav Kartik
University of California at Los Angeles, School of Nursing, Room 2-250, Factor Building, Los Angeles, CA 90095-1702, USA.
San Diego State University, San Diego, CA, USA.
J Exp Criminol. 2016 Mar;12(1):49-74. doi: 10.1007/s11292-015-9236-9. Epub 2015 Jul 3.
This study conducted a randomized controlled trial with 600 recently released homeless men exiting California jails and prisons.
The purpose of this study was to primarily ascertain how different levels of intensity in peer coaching and nurse-partnered intervention programs may impact reentry outcomes; specifically: (a) an intensive peer coach and nurse case managed (PC-NCM) program; (b) an intermediate peer coaching (PC) program with brief nurse counseling; and (c) the usual care (UC) program involving limited peer coaching and brief nurse counseling. Secondary outcomes evaluated the operational cost of each program.
When compared to baseline, all three groups made progress on key health-related outcomes during the 12-month intervention period; further, 84.5 % of all participants eligible for hepatitis A/B vaccination completed their vaccine series. The results of the detailed operational cost analysis suggest the least costly approach (i.e., UC), which accounted for only 2.11 % of the total project expenditure, was as effective in achieving comparable outcomes for this parolee population as the PC-NCM and PC approaches, which accounted for 53.98 % and 43.91 %, respectively, of the project budget.
In this study, all three intervention strategies were found to be comparable in achieving a high rate of vaccine completion, which over time will likely produce tremendous savings to the public health system.
本研究对600名刚从加利福尼亚州监狱获释的无家可归男性进行了一项随机对照试验。
本研究的目的主要是确定同伴辅导和护士参与的干预项目中不同强度水平如何影响重新融入社会的结果；具体而言：(a) 一项由同伴教练和护士进行强化个案管理（PC-NCM）的项目；(b) 一项有简短护士咨询的中级同伴辅导（PC）项目；以及 (c) 涉及有限同伴辅导和简短护士咨询的常规护理（UC）项目。次要结果评估了每个项目的运营成本。
与基线相比，在12个月的干预期内，所有三组在关键健康相关结果方面都取得了进展；此外，所有符合甲型/乙型肝炎疫苗接种条件的参与者中有84.5%完成了疫苗接种系列。详细运营成本分析的结果表明，成本最低的方法（即UC）仅占项目总支出的2.11%，在为该假释人群实现可比结果方面与PC-NCM和PC方法一样有效，PC-NCM和PC方法分别占项目预算的53.98%和43.91%。
在本研究中，发现所有三种干预策略在实现高疫苗接种完成率方面具有可比性，随着时间的推移，这可能会为公共卫生系统节省大量资金。
