Tan Wan Jie, Larance Briony, Walter Emma E, Haynes Chloe J, Kelly Peter J
School of Psychology, University of Wollongong, Wollongong, Australia.
School of Psychology, Western Sydney University, Penrith, Australia.
Drug Alcohol Rev. 2025 Sep;44(6):1711-1755. doi: 10.1111/dar.14094. Epub 2025 Jun 23.
Given the growing need to understand mutual-support groups for alcohol and other drug (AOD) recovery across diverse cultural contexts, it is essential to comprehensively examine these groups in East, South and Southeast Asia, including strategies to enhance their cultural appropriateness and their effectiveness.
Searches were conducted in Cinahl, EMBASE, MEDLINE, PsycINFO, PubMed, Scopus and Web of Science until November 2021. Original studies in peer-reviewed journals of any language and design that examined mutual-support groups for AOD use in these regions were included.
Forty-six studies were identified from 1612 de-duplicated records, predominantly from Japan (34.8%) and Iran (32.6%), with none from Southeast Asia. Most were cross-sectional (47.8%) and examined 12-step groups (76.1%). Culture-oriented adaptation strategies (values, beliefs, traditions) were most reported, with religion/spirituality most employed and friends/family involvement often proposed as important. Across all employed strategies, the use of community spaces (e.g., community centres, places of worship) was most common. Preliminary evidence suggests that strategies, especially those addressing nuanced sociocultural factors, correlate with positive AOD recovery outcomes.
Findings reveal culture-, language- and community-oriented strategies that can be utilised to meet the cultural needs of target populations. Mutual-support group membership is associated with positive outcomes.
Strategies to enhance cultural appropriateness of mutual-support groups in East and South Asia were identified. Evidence on the effectiveness of mutual-support groups, particularly in Southeast Asia, remains limited. Future investigation can elucidate potential differences in effectiveness between types and extents of strategies used to enhance cultural appropriateness of mutual-support groups in these regions.
鉴于在不同文化背景下，了解酒精及其他药物（AOD）康复互助小组的需求日益增长，全面研究东亚、南亚和东南亚地区的这些小组至关重要，包括提高其文化适应性和有效性的策略。
截至2021年11月，在护理学与健康领域数据库（Cinahl）、荷兰医学文摘数据库（EMBASE）、医学期刊数据库（MEDLINE）、心理学文摘数据库（PsycINFO）、医学期刊数据库（PubMed）、Scopus数据库和科学网（Web of Science）中进行检索。纳入任何语言和设计的同行评审期刊中的原创研究，这些研究考察了这些地区用于AOD使用的互助小组。
从1612条去重记录中识别出46项研究，主要来自日本（34.8%）和伊朗（32.6%），东南亚地区无一例。大多数研究为横断面研究（47.8%），并考察了12步小组（76.1%）。最常报道的是以文化为导向改编策略（价值观、信仰、传统），其中宗教/灵性运用最为频繁，朋友/家人参与也常被认为很重要。在所有采用的策略中，使用社区空间（如社区中心、礼拜场所）最为常见。初步证据表明，这些策略，尤其是那些解决细微社会文化因素的策略，与积极的AOD康复结果相关。
研究结果揭示了可用于满足目标人群文化需求的文化、语言和社区导向策略。互助小组成员身份与积极结果相关。
确定了提高东亚和南亚互助小组文化适应性的策略。关于互助小组有效性的证据，尤其是在东南亚地区，仍然有限。未来的调查可以阐明用于提高这些地区互助小组文化适应性的策略类型和程度在有效性方面的潜在差异。
