关键词: mindfulness residential treatment satisfaction substance use disorder trauma women

来  源:   DOI:10.3389/fpsyg.2024.1359174   PDF(Pubmed)

Abstract:
Satisfaction with an intervention influences the uptake of behavior changes and the long-term efficacy of the intervention. Therefore, it is crucial to assess satisfaction by participant profile when creating and adapting behavior interventions for minoritized populations. Qualitative and quantitative data on participant trauma symptom severity and intervention satisfaction were collected through self-report surveys from 54 women. The sample was 59.3% Hispanic, with an average age of 33.21 (SD = 10.42), who were in residential treatment for substance use disorders (SUDs) and participated in a 12-session mindfulness-based intervention. Qualitative responses were coded using thematic analysis, and an integrative mixed-methods approach was used to compare qualitative theme frequency between high-trauma (N = 28) and low-trauma (N = 26) groups at session 2 and session 11. High- and low-trauma groups were determined by interquartile ranges (bottom 25% = low; top 75% = high). In session 2, the low-trauma group reported significantly higher satisfaction (M = 4.20, SD = 0.55) than the high-trauma group (M = 3.77, SD = 0.89); t(43) = 1.90, p = 0.03. In session 11, there was no significant difference between groups. The mixed-methods analysis revealed that \"trouble focusing\" appeared more frequently in the high-trauma group than in the low-trauma group during session 2, but the theme was not present in either group at session 11, suggesting that this might pose an initial barrier for individuals with high trauma but subsides as the intervention progresses. This speaks to the importance of retention strategies tailored for participants with SUDs and high trauma while they adjust to the intervention. Assessing initial challenges with satisfaction may help facilitators intervene to increase participant satisfaction.
摘要:
对干预措施的满意度会影响行为变化的摄取和干预措施的长期疗效。因此,在为少数群体创建和调整行为干预措施时,通过参与者概况评估满意度至关重要。通过对54名女性的自我报告调查,收集了有关参与者创伤症状严重程度和干预满意度的定性和定量数据。样本是59.3%的西班牙裔,平均年龄为33.21岁(SD=10.42),他们正在接受物质使用障碍(SUD)的住院治疗,并参加了为期12次的基于正念的干预。定性响应使用主题分析进行编码,在第2节和第11节,使用综合混合方法方法比较了高创伤(N=28)和低创伤(N=26)组之间的定性主题频率。高创伤组和低创伤组由四分位数范围确定(底部25%=低;顶部75%=高)。在第2阶段,低创伤组报告的满意度(M=4.20,SD=0.55)明显高于高创伤组(M=3.77,SD=0.89);t(43)=1.90,p=0.03。在第11节,组间没有显著差异。混合方法分析表明,在第2阶段,高创伤组比低创伤组更频繁地出现“麻烦聚焦”,但在第11阶段,这两个组中都没有出现主题,这表明这可能会对高创伤个体构成最初的障碍,但随着干预的进行而消退。这说明了为患有SUD和高创伤的参与者量身定制的保留策略的重要性,同时他们适应干预。评估初始挑战的满意度可能有助于促进者进行干预以提高参与者的满意度。
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