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“从我做起!”项目在轻度智力残疾或边缘智力功能及物质使用障碍患者及其知己中的应用体验:一项定性研究

Experiences with Take it Personal!+ from People with Mild Intellectual Disability or Borderline Intellectual Functioning and Substance Use Disorder and Their Confidants: A Qualitative Study.

作者信息

Gosens Lotte C F, Didden Robert, de Jonge Jannet M, Schellekens Arnt F A, VanDerNagel Joanneke E L, Otten Roy, Poelen Evelien A P

机构信息

Research & Development, Pluryn.

Behavioural Science Institute, Radboud University.

出版信息

J Ment Health Res Intellect Disabil. 2025 Jan 31;18(2):221-238. doi: 10.1080/19315864.2025.2459418. eCollection 2025.

Abstract

INTRODUCTION

Take it Personal!+ is a treatment program for individuals with Mild Intellectual Disability or Borderline Intellectual Functioning (MID-BIF) and Substance Use Disorder (SUD). It is supported by a mobile health application (mHealth), and researchers found it can reduce Substance Use (SU). Aims: This study aimed to explore the usability of the treatment program in as experienced by clients and their confidants.

METHODS

We conducted post-treatment, semi-structured interviews with clients ( = 8) and their confidants ( = 8). We coded transcripts according to thematic analysis and using inductive and deductive methods. Subsequently, we analyzed connections between the codes and grouped them into themes using axial coding.

RESULTS

Overall clients and confidants experienced the treatment program as usable, and most mentioned the program helped to reduce SU. The clients and confidants reported the presence of a confidant was helpful. Some clients and confidants reported the mHealth application was helpful. Components that were perceived as effective were self-control skills, daily registration exercise and discussing quantity of SU non-judgingly. Perceived impeding factors were video calling and a non-supportive network.

CONCLUSION

This study shows that Take it Personal!+ is an useable treatment program for individuals with MID-BIF and SUD, that helps to decrease their self-reported SU. Nevertheless, there is room for improvement for further adapting the treatment, which will be discussed.

摘要

引言

“从我做起!升级版”是一项针对轻度智力残疾或边缘智力功能(MID - BIF)以及物质使用障碍(SUD)患者的治疗项目。该项目由一款移动健康应用程序(mHealth)提供支持,研究人员发现它可以减少物质使用(SU)。目的:本研究旨在探索该治疗项目在患者及其密友体验中的可用性。

方法

我们对8名患者及其8名密友进行了治疗后的半结构化访谈。我们根据主题分析,采用归纳和演绎方法对访谈记录进行编码。随后,我们分析代码之间的联系,并使用轴心编码将它们分组为主题。

结果

总体而言,患者和密友都认为该治疗项目可用,大多数人提到该项目有助于减少物质使用。患者和密友报告说有密友陪伴很有帮助。一些患者和密友报告说移动健康应用程序很有帮助。被认为有效的组成部分包括自我控制技能、每日记录练习以及不加评判地讨论物质使用量。被认为有阻碍的因素是视频通话和缺乏支持的社交网络。

结论

本研究表明,“从我做起!升级版”是一项适用于MID - BIF和SUD患者的可用治疗项目,有助于减少他们自我报告的物质使用情况。然而,该治疗方法仍有进一步改进的空间,将对此进行讨论。

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Substance use disorders in people with intellectual disability.智力残疾者的物质使用障碍。
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