Allyson Kelley & Associates PLLC, 69705 Lake Drive Sisters, OR, 97759, USA.
Colorado School of Public Health, Anschutz Medical Campus, Denver Colorado, 13001 E. 17th Place Mail Stop B119, Aurora, CO, 80045, USA.
Drug Alcohol Depend. 2021 Apr 1;221:108559. doi: 10.1016/j.drugalcdep.2021.108559. Epub 2021 Jan 29.
We aimed to identify correlates of short-term recovery among American Indians who participated in the Transitional Recovery and Culture (TRAC) Program, a Peer Recovery Support (PRS) program. Research aims (As) were A1. How do recovery capital resources and indicators of recovery differ between TRAC participants who completed a six-month follow-up and those who did not? A2. How much did recovery capital resource measures change between intake and six-month follow-up? A3. Which recovery capital resources are associated with balanced recovery?
We used the medicine wheel evaluation framework. Each concept within the framework - spiritual, emotional, mental, and physical health - was incorporated into a composite recovery outcome variable. TRAC enrolled 422 American Indians from 2014 to 2019 living in Montana and Wyoming. Six-month change was examined among 214 program participants that completed the six-month program.
We observed significant change for the following recovery capital resources: stable housing, being occupied, attending recovery groups, interacting with family and friends, past substance use activity, and self-reported health status. Logistic regression results for balanced short-term recovery showed that improving or maintaining occupation (AOR = 6.73, p = 0.0026), interacting with family or friends (AOR = 4.66, p = 0.0050), and still receiving services at follow-up (AOR = 2.25, p = 0.0487) were associated with significant increased odds of higher balanced short-term recovery scores.
PRS helps American Indian people achieve short-term recovery. Future efforts should focus on how to retain peers in PRS programs, and the recovery capital needed to sustain long-term recovery.
我们旨在确定参与转型康复和文化（TRAC）计划的美国印第安人在短期康复方面的相关因素，该计划是一个同伴康复支持（PRS）计划。研究目的（As）如下：A1. 在完成六个月随访和未完成六个月随访的 TRAC 参与者之间，康复资本资源和康复指标有何不同？A2. 康复资本资源测量在摄入和六个月随访之间变化了多少？A3. 哪些康复资本资源与平衡康复相关？
我们使用了药轮评估框架。该框架中的每个概念-精神、情感、心理和身体健康-都被纳入了综合康复结果变量。TRAC 于 2014 年至 2019 年在蒙大拿州和怀俄明州招募了 422 名美国印第安人。在完成六个月计划的 214 名计划参与者中检查了六个月的变化。
我们观察到以下康复资本资源有显著变化：稳定住房、有工作、参加康复小组、与家人和朋友互动、过去的物质使用活动以及自我报告的健康状况。平衡短期康复的逻辑回归结果表明，改善或维持职业（AOR=6.73，p=0.0026）、与家人或朋友互动（AOR=4.66，p=0.0050）以及在随访时仍在接受服务（AOR=2.25，p=0.0487）与更高的平衡短期康复评分的显著增加几率相关。
PRS 帮助美国印第安人实现短期康复。未来的努力应侧重于如何留住 PRS 计划中的同伴，以及维持长期康复所需的康复资本。
