Jaguga Florence, Aalsma Matthew C, Enane Leslie A, Turissini Matthew, Kwobah Edith Kamaru, Apondi Edith, Barasa Julius, Kosgei Gilliane, Olando Yvonne, Ott Mary A
Moi Teaching & Referral Hospital Department of Alcohol and Drug Abuse Rehabilitative Services, PO BOX 3-30100, Eldoret, Kenya.
Division of Child Health Services Research, Department of Pediatrics, Indiana University, Indianapolis, IN, USA.
Subst Abuse Treat Prev Policy. 2025 Feb 11;20(1):6. doi: 10.1186/s13011-025-00639-9.
Substance use disorders are prevalent among youth in sub-Saharan Africa (SSA), yet treatment resources are scarce. Peer provider delivered brief interventions (BIs) represent an affordable and potentially scalable strategy for addressing youth substance use disorders. The goal of this study is to assess the acceptability of a peer provider delivered substance use BI from the perspective of youth in Kenya.
We conducted qualitative semi-structured interviews with youth participants (n = 25) to explore acceptability of a substance use BI. Youth were participants in a two-arm mixed-methods pilot randomized controlled trial (RCT) investigating the feasibility of a peer provider delivered single-session substance use BI for youth aged 15-24 years with moderate-risk substance use. The semi-structured interviews were conducted three months after the BI was delivered and were guided by the Theoretical Framework of Acceptability (TFA). Qualitative data were analyzed through thematic analysis.
We interviewed 25 of 38 participants in the BI arm, 18 males and 7 females; 15 were ages 18-24 years, and 10 ages 15-17 years. Affective attitude: Most youth reported that they enjoyed the session content and enjoyed interacting with the peer provider. Burden: Most youth felt that it was easy to understand the session and participate in it. Perceived effectiveness: Most of the youth perceived the intervention to be effective in helping them reduce substance use and improve their well-being. Ethicality: All youth perceived that the counselling session fit in with their goals and values. Intervention coherence: Most youth understood the overall goal of the intervention. They reported that the goal of the intervention was to help youth stop substance use, and to bring about behavior change. Opportunity costs: Some youth reported that they had to forgo other activities to attend the session, such as work, school, sports, gaming, visiting family, or house chores. Self-efficacy: Most youth felt confident about being able to cut down or stop using substances following the intervention.
Our findings indicate that the peer provider delivered single-session substance use BI was acceptable to youth. The youth recommended that follow-up sessions be provided to ensure sustained behavior change. This study supports the utility of the TFA in exploring acceptability of a substance use intervention from the perspective of young people.
NCT05545904 Registration date 16/09/2022 Registry ClinicalTrials.gov https//clinicaltrials.gov/study/NCT05545904.
物质使用障碍在撒哈拉以南非洲（SSA）的青少年中很普遍，但治疗资源稀缺。同伴提供者提供的简短干预（BIs）是一种经济实惠且可能具有可扩展性的策略，用于解决青少年物质使用障碍问题。本研究的目的是从肯尼亚青少年的角度评估同伴提供者提供的物质使用简短干预的可接受性。
我们对青少年参与者（n = 25）进行了定性半结构化访谈，以探讨物质使用简短干预的可接受性。这些青少年参与了一项双臂混合方法试点随机对照试验（RCT），该试验调查了同伴提供者为15 - 24岁有中度物质使用风险的青少年提供单次物质使用简短干预的可行性。半结构化访谈在简短干预实施三个月后进行，并以可接受性理论框架（TFA）为指导。通过主题分析对定性数据进行分析。
我们对38名参与简短干预组的参与者中的25人进行了访谈，其中18名男性和7名女性；15人年龄在18 - 24岁之间，10人年龄在15 - 17岁之间。情感态度：大多数青少年报告说他们喜欢课程内容，并喜欢与同伴提供者互动。负担：大多数青少年觉得很容易理解课程并参与其中。感知效果：大多数青少年认为该干预在帮助他们减少物质使用和改善幸福感方面是有效的。道德性：所有青少年都认为咨询课程符合他们的目标和价值观。干预连贯性：大多数青少年理解干预的总体目标。他们报告说干预的目标是帮助青少年停止物质使用，并实现行为改变。机会成本：一些青少年报告说他们不得不放弃其他活动来参加课程，如工作、上学、运动、游戏、看望家人或做家务。自我效能感：大多数青少年对干预后能够减少或停止使用物质充满信心。
我们的研究结果表明，同伴提供者提供的单次物质使用简短干预对青少年是可接受的。青少年建议提供后续课程以确保行为持续改变。本研究支持了可接受性理论框架在从年轻人角度探索物质使用干预可接受性方面的实用性。
NCT05545904 注册日期2022年9月16日 注册机构ClinicalTrials.gov https//clinicaltrials.gov/study/NCT05545904
