Department of Nutrition and Food Sciences, Lebanese International University, Beirut, Lebanon.
Department of Health Promotion, Maastricht University, Maastricht, The Netherlands.
PLoS One. 2021 Feb 5;16(2):e0245346. doi: 10.1371/journal.pone.0245346. eCollection 2021.
Evidence-based models emphasizing on lifestyle behaviours for the treatment of drug use is still in its infancy. The development of multicomponent effective drug use intervention programs as part of health promotion is crucial to decrease risk of relapse. This study aims at exploring the lifestyle practices including dietary intake, physical activity and sleep of people who use drugs undergoing residential rehabilitation treatment in Lebanon with its perceived benefits and pitfalls. A purposive sample of 18 males and 9 females at different stages of recovery from drug use in rehabilitation centers participated in the qualitative discussions. The six phases thematic analysis revealed three themes: chaotic lifestyle, structuredlifestyle, benefits and pitfalls, and suggestions for making rehabilitation a better experience. Participants discussed their chaotic lifestyle during addiction with poor food intake, disrupted sleep and low physical activity moving to a more disciplined routine enforcing normality in lifestyle practices with social and professionlprofessional support. The early phases of treatment were marked with increased food intake and weight gain perceived as a health indicator and the sole divergent from drugs, moving towards more structured meals and efforts to lose weight in later stages. Lack of variety of Physical activity programs taking into consideration the motivational differences among the participants was also highlighted. Measures for improving rehabilitation services in terms of promoting healthy eating behaviours and environmental control were thoroughly addressed. These findings shed the light on the challenges faced in maintaining a healthy lifestyle in rehabilitation centers and the necessities of addressing them to improve the overall rehabilitation experience, prevent relapse and inform the development of future targeted intervention programs tackling all aspects of behavioural changes.
以生活方式行为为基础的循证模型强调治疗药物使用仍处于起步阶段。开发多成分有效的药物使用干预计划作为健康促进的一部分对于降低复发风险至关重要。本研究旨在探讨正在接受黎巴嫩居住康复治疗的药物使用者的生活方式实践，包括饮食摄入、身体活动和睡眠，以及他们对这些实践的益处和陷阱的看法。在康复中心处于不同药物使用康复阶段的 18 名男性和 9 名女性被纳入了这项研究。采用目的性抽样方法。六阶段主题分析揭示了三个主题：混乱的生活方式、结构化的生活方式、益处和陷阱以及改善康复体验的建议。参与者讨论了他们在成瘾期间混乱的生活方式，包括不良的饮食摄入、睡眠中断和低身体活动，然后逐渐转变为更有纪律的日常生活，在社交和职业支持下强制规范生活方式实践。治疗的早期阶段表现为食物摄入量增加和体重增加，这被视为健康指标，是唯一与药物不同的方面，随后在后期阶段，人们会更加注重结构化的饮食和减肥努力。还强调了缺乏考虑参与者之间动机差异的多样化身体活动方案。从促进健康饮食行为和环境控制的角度出发，提出了改善康复服务的措施。这些发现揭示了在康复中心维持健康生活方式所面临的挑战，以及解决这些问题的必要性，以改善整体康复体验、预防复发，并为未来解决行为改变各个方面的有针对性的干预计划提供信息。
