SET-Enhanced Aftercare for Mothers in Substance Abuse Recovery and Their Childre

SET 增强药物滥用康复中的母亲及其孩子的善后护理

基本信息

批准号：
8352601
负责人：
Victoria Behar-Zusman
金额：
$ 21.18万
依托单位：
UNIVERSITY OF MIAMI CORAL GABLES
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-05-15 至 2017-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8352601
关键词：
Address Aftercare Anxiety Buffers Child Child health care Chronic Clinical Communities Data Data Collection Development Disease Ecosystem Effectiveness Environmental Risk Factor Ethnic Origin Family HIV Health Health behavior Health system Hispanics Home environment Household Intervention Joints Knowledge Lead Life Mediating Mental Health Minority Mothers Motivation Not Hispanic or Latino Nurse Practitioners Outcome Parenting behavior Patient Self-Report Pharmaceutical Preparations Play Population Primary Health Care Problem behavior Process Provider Randomized Recording of previous events Recovery Relapse Reporting Research Resources Risk Self Care Services Sleep Social Environment Socioeconomic Status Stigmata Substance Abuse Detection Substance abuse problem Supervision Testing Treatment Cost Urine Woman Women&apos s Health base community setting depressive symptoms experience health disparity high risk improved maternal stress physical conditioning prevent psychological distress randomized trial satisfaction sobriety social stigma substance abuse treatment translational study treatment as usual trial comparing

项目摘要

The proposed study will conduct a translational randomized trial comparing Structural Ecosystems Therapy (SET) as an enhancement of substance abuse aftercare treatment, to aftercare treatment as usual (TAU) among 172 Black, Hispanic and White non-Hispanic mothers discharged from residential substance abuse treatment. The study will be conducted with a community partner that delivers integrated substance abuse treatment and primary care. Agency staff will conduct data collection and agency nurse practitioners will deliver SET. Data will be collected at baseline and 4, 8, and 12 month post-randomization. The Specific Aims of the proposed study are to: 1) test the effectiveness of SET for improving physical and mental health and reducing relapse of mothers in substance abuse recovery; 2) test the effectiveness of SET for improving health and mental health outcomes of children of mothers in recovery; 3) test mechanisms of action of SET (self care, environmental risk, family functioning and stigma); 4) assess SET implementation and sustainability factors and the relationship between fidelity and outcomes; and 5) examine the interactions of ethnicity and ethnicity-related factors on outcomes. SET is a manualized, strength-based, directive and process-oriented family-ecosystemic intervention developed to address the needs of minority women. SET targets the woman's social environment by building on existing adaptive interactions and reducing maladaptive interactions within the family and between the woman, family and supportive resources. A recently completed randomized trial with minority women in drug recovery who were also HIV+ found that for women who were raising children, SET resulted in reduced relapse and psychological distress in the mothers, and reduced symptoms of depression, anxiety and behavioral problems in the children. The proposed study will aim to demonstrate SET'S effectiveness, acceptability and feasibility for implementation in a community setting. The partnership between El Centro and Banyan Health Systems, a substance abuse and primary care provider with considerable research experience, provides a unique opportunity to rigorously test substance abuse aftercare treatment enhanced by SET in a real-world setting.

拟议的研究将进行一项翻译随机试验，将结构生态系统疗法（SET）比较作为滥用药物后治疗的增强，以照常治疗（TAU）在172名黑色，西班牙裔和白人非西班牙裔母亲中，从住宅药物滥用治疗中出院。该研究将与社区合作伙伴一起进行，该伙伴提供综合的药物滥用治疗和初级保健。代理人员将进行数据收集，并且代理商护士从业人员将提供设置。数据将在基线和随机化后4、8和12个月收集。拟议研究的具体目的是：1）测试设置改善身心健康的有效性，并减少母亲在滥用药物恢复中的复发； 2）测试设置在改善母亲康复儿童的健康和心理健康成果方面的有效性； 3）设置作用的测试机制（自我护理，环境风险，家庭功能和污名）； 4）评估设定的实施和可持续性因素以及忠诚与结果之间的关系； 5）检查种族和种族相关因素在结果上的相互作用。 SET是一种手动，基于力量，指令和面向过程的家庭生态干预措施，以满足少数妇女的需求。 SET通过建立现有的自适应互动并减少家庭内部以及妇女，家庭和支持性资源之间的不良适应性互动来定位女性的社会环境。最近完成的一项与少数族裔妇女一起在药物恢复中的随机试验，她们还发现，对于抚养孩子的妇女，母亲的复发和心理困扰减少，儿童抑郁，焦虑和行为问题的症状减少。拟议的研究将旨在证明SET在社区环境中实施实施的有效性，可接受性和可行性。 El Centro和Banyan Health Systems是一种具有丰富研究经验的药物滥用和初级保健提供者之间的合作伙伴关系，为严格测试药物滥用后的护理治疗提供了独特的机会，可以通过在现实环境中设置来增强。