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同伴康复教练(PRC)清单的制定和初步发现:一种评估同伴康复教练服务交付性质的新工具。

Development and initial findings from the Peer Recovery Coach (PRC) checklist: a new tool to assess the nature of peer recovery coaching service delivery.

机构信息

Department of Psychology, Clemson University, Clemson, SC, USA.

Alcohol Research Group at the Public Health Institute, Emeryville, CA, USA.

出版信息

Am J Drug Alcohol Abuse. 2023 Mar 4;49(2):159-169. doi: 10.1080/00952990.2022.2164504. Epub 2023 Feb 6.

DOI:10.1080/00952990.2022.2164504
PMID:36745742
Abstract

Peer recovery coaching is recovery support service for Substance Use Disorder (SUD) that emphasizes shared lived experience and social support. Though a promising intervention for SUD, differences in the roles, responsibilities, and operationalization of peer recovery coaching across studies make objective implementation and evaluation of this service a challenge. This study sought to develop a tool to better guide and operationalize peer recovery coaching service delivery. This study describes the initial development, acceptability, feasibility, and validity of this tool: The PRC Checklist. The PRC Checklist was conceptualized and operationalized by drawing from social support theory and recovery capital research. The PRC Checklist was utilized by PRCs in a pilot randomized controlled trial to demonstrate feasibility and acceptability. To further validate the PRC Checklist, recovery coaches ( = 16; 56% female) were recruited to complete a survey about their responsibilities and their perspectives on the content and potential utility of the PRC Checklist. The PRC checklist used in the pilot study delineates personalized from generalized support and tracks 25 specific activities across three domains of support (i.e. socioemotional, informational, and instrumental). PRCs in the pilot study were able to use the PRC Checklist in all in-person initial baseline encounters and 96.4% of follow-up encounters. Qualitative information collected during project meetings was generally positive but also identified potential limitations to its use. All PRCs surveyed reported that they agreed that the PRC Checklist was helpful, encompassed the services they provided, represented a good idea, provided meaningful information, and would be easy to use. All five of the most common activities PRCs engaged in were reflected in the PRC Checklist. Capturing both personal and generalized support provided by PRCs, this work suggests that the PRC Checklist captures key activities engaged in and is a helpful tool for use in healthcare settings.

摘要

同伴康复教练是一种物质使用障碍(SUD)的康复支持服务,强调共同的生活经验和社会支持。尽管这是一种有前途的 SUD 干预措施,但不同研究中同伴康复教练的角色、责任和实施方式存在差异,使得客观实施和评估这项服务具有挑战性。本研究旨在开发一种工具,以更好地指导和实施同伴康复教练服务。本研究描述了该工具(PRC 清单)的初步开发、可接受性、可行性和有效性。PRC 清单的概念化和实施是从社会支持理论和恢复资本研究中得出的。PRC 清单在一项试点随机对照试验中由 PRC 使用,以证明其可行性和可接受性。为了进一步验证 PRC 清单,招募了 16 名康复教练(56%为女性)完成了一项关于他们的职责以及他们对 PRC 清单的内容和潜在效用的看法的调查。试点研究中使用的 PRC 清单区分了个性化支持和一般化支持,并跟踪了三个支持领域(即社会情感、信息和工具)中的 25 项具体活动。试点研究中的 PRC 能够在所有面对面的初始基线访谈和 96.4%的随访访谈中使用 PRC 清单。项目会议期间收集的定性信息总体上是积极的,但也确定了其使用的潜在限制。所有接受调查的 PRC 都表示,他们认为 PRC 清单很有帮助,涵盖了他们提供的服务,代表了一个好主意,提供了有意义的信息,并且易于使用。PRC 最常参与的五项活动都反映在 PRC 清单中。PRC 清单既捕捉了 PRC 提供的个性化支持,也捕捉了一般化支持,这表明它捕捉了关键活动,是在医疗保健环境中使用的有用工具。

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