Guenzel Nicholas, Dai Hongying
University of Nebraska Medical Center, Lincoln, NE, USA.
University of Nebraska Medical Center, Omaha, NE, USA.
PeerJ. 2021 Feb 24;9:e10783. doi: 10.7717/peerj.10783. eCollection 2021.
Peer recovery coaches (PRCs) have become a critical tool in addiction treatment in many areas of the world. Despite this fact, no identified research has examined the process or impact of PRC training. Furthermore, no scales were identified to measure trainee confidence in various PRC techniques. The goal of this article is to analyze the process and immediate impact of PRC training of twelve American Indians (AIs) in a culturally-specific program. We focus most specifically on trainee confidence levels.
No written consent was obtained and completion of the assessment was considered consent. Trainees completed self-assessments before and after the training. The self-assessment examined nine areas ranging from understanding the role of PRCs to knowledge of effective PRC techniques. Paired -tests were used to assess for changes in individual trainee responses between the pre- and post-assessments.
Pre-training responses ranged from moderate to high. Questions with the lowest average confidence levels address PRC activities or specific techniques to facilitate recovery. All nine questions showed statistically significant mean improvements in the post-training self-assessments. Questions regarding specific PRC activities and techniques showed the greatest improvement. Questions relating to helping people more generally showed the smallest improvement. Average post-training responses fell within a very narrow range indicating relatively consistent confidence levels across skills. Analysis indicates participants were possibly over-confident in certain areas (i.e., maintaining boundaries). This small pilot represents an initial attempt to measure confidence levels of PRC trainees. The findings may inform future training by identifying certain areas where emphasis might be most helpful for trainees. In addition, it is hoped that this work will encourage more systematic analysis of the impact of PRC training on individuals.
同伴康复教练（PRC）已成为世界许多地区成瘾治疗中的关键工具。尽管如此，尚未有已确定的研究考察过PRC培训的过程或影响。此外，尚未找到用于衡量学员对各种PRC技术信心的量表。本文的目的是分析在一个针对特定文化的项目中对12名美国印第安人（AI）进行PRC培训的过程和直接影响。我们最特别关注的是学员的信心水平。
未获取书面同意，完成评估即视为同意。学员在培训前后完成自我评估。自我评估考察了从理解PRC的角色到有效PRC技术知识等九个领域。配对t检验用于评估个体学员在评估前和评估后的回答变化。
培训前的回答从中度到高度不等。平均信心水平最低的问题涉及PRC活动或促进康复的特定技术。在培训后的自我评估中，所有九个问题的平均得分都有统计学上的显著提高。关于特定PRC活动和技术的问题显示出最大的改善。与更普遍地帮助他人相关的问题显示出最小的改善。培训后的平均回答落在非常窄的范围内，表明各技能的信心水平相对一致。分析表明参与者在某些领域（即保持界限）可能过度自信。这个小型试点代表了测量PRC学员信心水平的初步尝试。这些发现可能通过确定某些对学员最有帮助的重点领域来为未来的培训提供信息。此外，希望这项工作将鼓励对PRC培训对个人的影响进行更系统的分析。
