Lorenz Hjördis S, Stuebing Melissa Davis, Nambeye Chipego, Lungu Gabriel, Littlefield Lauren M
Oxford Centre for Anxiety Disorders and Trauma, University of Oxford, The Old Rectory, Paradise Square, OX1 1TW Oxford, United Kingdom.
CoLaborers International, 104 Spring Ave #959, Chestertown, MD 21620, USA.
Addict Behav Rep. 2022 Mar 25;15:100424. doi: 10.1016/j.abrep.2022.100424. eCollection 2022 Jun.
Substance use in Zambia is stigmatized and treatment access is limited. Over 30,000 people are homeless in Lusaka, where one-quarter of homeless youth report use. Zambia's Ministry of Health recently developed policies targeting alcohol, suggesting Chainama, the only mental health hospital, offer treatment. Together, they endorsed training in the curriculum studied in this paper. We hypothesized training Zambian professionals would improve their perceptions of substance users and treatment. We then explored if treatment using the curriculum, as delivered to clients by training participants, would encourage client motivation to change, participation in groups, and reduce substance use frequency.
Part 1: One-hundred professionals were trained in a curriculum-based, literacy-free intervention employing cognitive behavioral and rational emotive behavior therapy techniques to explore 12 Steps of addiction recovery through Zambian art forms. Pre/post questionnaires captured perspectives around substance users and treatment. Part 2: Trained organizations delivered the curriculum in their communities. Twenty-five organizations rated feasibility and benefit of the curriculum. Data for 200 clients recorded pre/post motivation to change, open-sharing/participation, and frequency of substance use.
While training significantly modified professionals' perspectives regarding the value of offering treatment, their views of substance users did not change. Clients endorsed increases in "motivation to change" and "participation/open-sharing." Frequency of alcohol, marijuana, inhalant, and cigarette use significantly decreased.
Training in the curriculum helped address a public health need, playing a role in increased motivational variables and decreased substance use. Research addressing this study's limitations is encouraged.
For a video summary of this paper, please visit https://youtu.be/uDZTVxtzF1Y.
赞比亚的药物使用被污名化，获得治疗的机会有限。卢萨卡有超过3万人无家可归，其中四分之一的无家可归青少年报告有药物使用情况。赞比亚卫生部最近制定了针对酒精的政策，建议唯一的精神卫生医院Chainama提供治疗。他们共同认可了本文所研究课程中的培训。我们假设培训赞比亚专业人员会改善他们对药物使用者和治疗的看法。然后，我们探讨了使用该课程进行治疗（由培训参与者向客户提供）是否会鼓励客户改变的动机、参与小组活动，并减少药物使用频率。
第一部分：100名专业人员接受了基于课程的、无需识字的干预培训，该干预采用认知行为和理性情绪行为疗法技术，通过赞比亚艺术形式探索成瘾康复的12个步骤。前后问卷调查收集了关于药物使用者和治疗的观点。第二部分：经过培训的组织在其社区提供该课程。25个组织对该课程的可行性和益处进行了评分。记录了200名客户在接受治疗前后改变的动机、公开分享/参与情况以及药物使用频率的数据。
虽然培训显著改变了专业人员对提供治疗价值的看法，但他们对药物使用者的看法并未改变。客户认可“改变的动机”和“参与/公开分享”有所增加。酒精、大麻、吸入剂和香烟的使用频率显著下降。
该课程的培训有助于满足公共卫生需求，在增加动机变量和减少药物使用方面发挥了作用。鼓励开展针对本研究局限性的研究。
如需本文的视频摘要，请访问https://youtu.be/uDZTVxtzF1Y。
