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退伍军人 X 朋辈主导的心理健康康复项目的有效性:一项准实验研究。

Effectiveness of the Veteran X peer-led mental health recovery program: A quasi-experimental study.

机构信息

Mental Health and Behavioral Sciences.

VA Southeast Network (VISN7).

出版信息

Psychiatr Rehabil J. 2021 Dec;44(4):365-372. doi: 10.1037/prj0000482. Epub 2021 May 20.

Abstract

OBJECTIVE

The inclusion of peer-delivered services in organizations providing behavioral health care has significantly increased in recent years, and substantial resources are being directed toward implementing recovery-oriented mental health services using peer-provided programs. Previous research found that participants in such programs have improved recovery outcomes. While there are demonstrated positive associations between recovery outcomes and peer-provided services, there is limited research on the effectiveness of specific peer-provided interventions. Veteran X is a peer-led program developed in the Department of Veterans Affairs in which participants serve as a recovery team for a fictitious Veteran who faces numerous social and mental health issues. This study compared the effectiveness of the Veteran X program with treatment as usual on measures of recovery wellbeing, symptoms and functioning, and risk and protective factors for substance use disorders.

METHODS

Participants were recruited ( = 80) over a period of ten months, and had self-selected into treatment as usual (TAU, = 37), or treatment as usual plus Veteran X ( = 43).

RESULTS

No baseline differences were found on the pretest measures. Both groups improved on all measures after 60 days of participation, however Veteran X participants improved significantly more than TAU participants on the measures of recovery wellbeing and symptoms and functioning.

CONCLUSIONS AND IMPLICATIONS FOR PRACTICE

The results of this study appear to support the positive contribution of the Veteran X program in improving recovery wellbeing and symptoms and functioning among participating veterans. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

摘要

目的

近年来,在提供行为健康护理的组织中,同伴提供的服务的纳入显著增加,并且大量资源正被用于实施以同伴提供的项目为基础的面向康复的心理健康服务。先前的研究发现,此类项目的参与者的康复结果有所改善。虽然康复结果和同伴提供的服务之间存在显著的正相关,但针对特定同伴提供的干预措施的有效性的研究有限。Veteran X 是退伍军人事务部开发的一个同伴主导的项目,参与者作为一个面临众多社会和心理健康问题的虚构退伍军人的康复团队。本研究比较了 Veteran X 项目与常规治疗在康复幸福感、症状和功能以及物质使用障碍的风险和保护因素方面的效果。

方法

在十个月的时间里,参与者被招募(n=80),他们自行选择常规治疗(TAU,n=37)或常规治疗加 Veteran X(n=43)。

结果

在预测试中没有发现基线差异。两组在参与 60 天后在所有测量指标上都有所改善,但 Veteran X 组在康复幸福感、症状和功能方面的改善明显优于 TAU 组。

结论和对实践的意义

本研究的结果似乎支持了 Veteran X 项目在提高参与退伍军人的康复幸福感、症状和功能方面的积极贡献。(PsycInfo 数据库记录(c)2021 APA,保留所有权利)。

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