Hennessy Emily A, Johnston Alana, Nash Angela, Bergman Brandon G
Recovery Research Institute, Center for Addiction Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Cizik School of Nursing, University of Texas Health Science Center, Houston, Texas, USA.
Addict Res Theory. 2025 Jun 17. doi: 10.1080/16066359.2025.2517636.
Research examining mechanisms that underlie adolescent addiction recovery can help inform best practices for this at-risk group. Alternative Peer Groups (APGs) are recovery supports intending to facilitate positive peer connections and prosocial activities. Consistent with the G-CHIME framework (Ogilvie & Carson, 2022), theory suggests APGs enhance adolescent recovery through Connectedness with APG peers and leaders, leading to Growth, Hope, Identity, Meaning, and Empowerment. In this study, we conducted qualitative analyses using the G-CHIME framework to examine recovery processes among APG participants.
This was a secondary analysis of interviews with former APG participants (n=14; 71% male; =20.4) and with leaders of those APGs (n = 7). G-CHIME elements were used as preliminary codes and sub-codes were generated during transcript review, including the addition of Motivation. Transcripts were analyzed using the constant comparative method.
G-CHIME generally mapped onto recovery processes but in several novel ways. For example, connection to APG peers/staff was integral to recovery for most, but not all participants. Transitioning from being selfish to selfless emerged as a key process mapping onto G-CHIME domains of Identity, Meaning, and Empowerment, often depicted through 'helping others' or becoming considerate. Motivation, although not a formal G-CHIME component, appeared throughout, suggesting this construct underlies many of the G-CHIME components.
Using the G-CHIME framework may provide a more comprehensive understanding of youth recovery narratives. This enhanced understanding of pathways taken when participating in recovery support services may help program staff leverage such knowledge to increase engagement and positive outcomes.
研究青少年成瘾康复背后的机制有助于为这个高危群体提供最佳实践方法。替代性同伴群体（APG）是旨在促进积极同伴关系和亲社会活动的康复支持组织。与G-CHIME框架（奥格尔维&卡森，2022年）一致，理论表明APG通过与APG同伴和领导者的联系来促进青少年康复，从而带来成长、希望、身份认同、意义和赋权。在本研究中，我们使用G-CHIME框架进行定性分析，以考察APG参与者的康复过程。
这是一项对前APG参与者（n = 14；71%为男性；平均年龄 = 20.4岁）和这些APG领导者（n = 7）访谈的二次分析。G-CHIME要素被用作初步编码，并在转录本审查过程中生成子编码，包括增加了动机。使用持续比较法对转录本进行分析。
G-CHIME总体上与康复过程相契合，但有几种新颖的方式。例如，与APG同伴/工作人员的联系对大多数但并非所有参与者的康复至关重要。从自私到无私的转变成为一个关键过程，映射到身份认同、意义和赋权的G-CHIME领域，通常通过“帮助他人”或变得体贴来体现。动机虽然不是正式的G-CHIME组成部分，但贯穿始终，表明这一结构是许多G-CHIME组成部分的基础。
使用G-CHIME框架可能会更全面地理解青少年康复的叙述。对参与康复支持服务时所采取途径的这种深入理解，可能有助于项目工作人员利用这些知识来提高参与度和取得积极成果。
