Cost-Effectiveness of Peer-Delivered Interventions for Cocaine and Alcohol Abuse among Women: A Randomized Controlled Trial

Ruger, Jennifer Prah; Abdallah, Arbi Ben; Luekens, Craig; Cottler, Linda B.

doi:10.1371/journal.pone.0033594

Cited by 11 publications

(1 citation statement)

References 42 publications

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“…This provides preliminary support for a peer-led model and/or testing of specific strategies to encourage the peer-to-peer transfer of knowledge. Peer-to-peer support/counseling has emerged as an effective delivery strategy for youth with mental health problems in a variety of high-and lowincome contexts [44][45][46][47][48]. If the process of sharing skills and information is perceived as offering mutual support from an "age mate" rather than lecturing or instructing from an elder, diffusion or sharing of skills may be more effective.…”

Section: Discussionmentioning

confidence: 99%

Exploring Naturalistic Diffusion of an Evidence-Based Mental Health Intervention across Peer Networks of Youth in Sierra Leone

Desrosiers

Bond

Hoffman

et al. 2023

IJERPH

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Background: Understanding the mechanisms by which evidence-based interventions (EBIs) for mental health are naturally diffused among youth in low-and middle-income countries—particularly those with histories of violence and civil unrest—can illuminate which intervention elements are most transferrable and inform scale-up decisions that support youth adjustment. This study explored the diffusion of an evidence-based mental health intervention—the Youth Readiness Intervention (YRI)—among peer networks of Sierra Leonean youth (aged 18–30) who participated in a trial of the intervention as integrated into youth entrepreneurship programs. Methods: Trained research assistants recruited index participants who had completed the YRI integrated within entrepreneurship training (N = 165) and control index participants (N = 165). Index participants nominated three of their closest peers. Nominated peers were recruited and enrolled in the current study (N = 289). A sub-sample of index participants and peers participated in dyadic interviews (N = 11) and focus group discussions (N = 16). Multivariate regression analysis compared YRI knowledge levels among YRI participants’ peers relative to control participants’ peers. Results: Qualitative findings supported the diffusion of several YRI skills and components across peer networks (i.e., progressive muscle relaxation and diaphragmatic breathing). Quantitative findings indicated that YRI knowledge was significantly higher for YRI participants’ peers (β = 0.02, p < 0.00) compared to control participants’ peers. Conclusion: Findings suggest that diffusion of evidence-based intervention components can occur naturally among peers in post-conflict LMIC settings. Developing tools to promote the diffusion of the most transferrable EBI components across peer networks could help maximize the benefits of mental health interventions for youth adjustment and resilience in post-conflict settings.

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Section: Discussionmentioning

confidence: 99%

Exploring Naturalistic Diffusion of an Evidence-Based Mental Health Intervention across Peer Networks of Youth in Sierra Leone

Desrosiers

Bond

Hoffman

et al. 2023

IJERPH

View full text Add to dashboard Cite

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Psychosocial interventions to reduce alcohol consumption in concurrent problem alcohol and illicit drug users

Klimas

Tobin

Field

et al. 2014

Cochrane Database of Systematic Reviews

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Psychosocial interventions for psychostimulant misuse

Minozzi

Saulle

Crescenzo

et al. 2016

Cochrane Database of Systematic Reviews

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The addition of any psychosocial treatment to treatment as usual (usually characterised by group counselling or case management) probably reduces the dropout rate and increases the longest period of abstinence. It may increase the number of people achieving continuous abstinence at the end of treatment, although this might not be maintained at longest follow-up. The most studied and the most promising psychosocial approach to be added to treatment as usual is probably contingency management. However, the other approaches were only analysed in a few small studies, so we cannot rule out the possibility that the results were not significant because of imprecision. When compared to TAU, any psychosocial treatment may improve adherence, but it may not improve abstinence at the end of treatment or the longest period of abstinence.The majority of the studies took place in the United States, and this could limit the generalisability of the findings, because the effects of psychosocial treatments could be strongly influenced by the social context and ethnicity. The results of our review do not answer the most relevant clinical question, demonstrating which is the most effective type of psychosocial approach.Further studies should directly compare contingency management with the other psychosocial approaches.

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Cost-Effectiveness of Peer-Delivered Interventions for Cocaine and Alcohol Abuse among Women: A Randomized Controlled Trial

Cited by 11 publications

References 42 publications

Exploring Naturalistic Diffusion of an Evidence-Based Mental Health Intervention across Peer Networks of Youth in Sierra Leone

Exploring Naturalistic Diffusion of an Evidence-Based Mental Health Intervention across Peer Networks of Youth in Sierra Leone

Psychosocial interventions to reduce alcohol consumption in concurrent problem alcohol and illicit drug users

Psychosocial interventions for psychostimulant misuse

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