Evaluating an intervention for family members of people who use drugs in Vietnam

Li, Li; Lin, Chunqing; Liang, Li‐Jung; Feng, Nan; Pham, Loc Quang; Hiển, Nguyễn Trần

doi:10.1016/j.socscimed.2020.113238

Cited by 5 publications

(6 citation statements)

References 36 publications

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“…Meanwhile, healthrelated family support was associated with family cohesion, suggesting that family intervention programs, especially those targeting families with low levels of family cohesion, should focus on establishing a harmonious family relationship to mobilize family support. Emphasis on conflict resolution training to develop communication and problem-solving skills for family members [50] and encouragement of family members' participation in interactive activities are both helpful to improve family cohesion [51]. Additionally, the gender-based differences imply that improving health-related family support could also be a health promotion strategy for women.…”

Section: Discussionmentioning

confidence: 99%

Family SES, family social capital, and general health in Chinese adults: exploring their relationships and the gender-based differences

Yun

Jiang

et al. 2020

BMC Public Health

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Background Numerous studies have clarified that family socioeconomic status (SES) is positively associated with health. However, the mechanism of family SES on health needs to be further investigated from a social epidemiological perspective. This study aims to analyze the relationships among family SES, family social capital, and adult general health and tests whether gender-based differences exist in the relationship between family social capital and general health. Methods A cross-sectional survey was used to collect data from 4187 representative households in six Chinese provinces. Family SES was conceptualized based on household income, family education, and family occupational status. Family social capital was measured by using family cohesion and health-related family support. General health was assessed by using five general health perception items of the Health Survey Short Form. Structural equation modeling (SEM) was applied to examine the relationships among family SES, family social capital, and general health, and a linear regression model was used to test gender-based differences. Results The SEM showed that the direct effects of family SES, family cohesion, and health-related family support on health were 0.08 (P < 0.001), 0.17 (P < 0.001), and 0.10 (P < 0.001), respectively. Family SES had indirect effect (β = 0.05, P < 0.01) on general health via health-related family support. The total effect of family social capital (β = 0.27, P < 0.001) on general health was greater than that of family SES (β = 0.13, P < 0.001). Besides, the regression showed that the effect of health-related family support on general health was greater for women (β = 0.13, P < 0.001) than men (β = 0.04, P > 0.05). Conclusions The results provide strong support for the positive association between family SES, family social capital, and adult health. Family intervention programs should focus on establishing a harmonious family relationship to mobilize family support, particularly for the families with low cohesion and low SES.

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Section: Discussionmentioning

confidence: 99%

Family SES, family social capital, and general health in Chinese adults: exploring their relationships and the gender-based differences

Yun

Jiang

et al. 2020

BMC Public Health

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“…Supportive family members were shown in this study to be engaged participants in MOUD/HIV care and assisting them may facilitate further engagement in the treatment process. Interventions including family members of PWID in Vietnam have been shown to improve relationships 23 , 24 . In combination with integrated ART/MOUD treatment, similar approaches may be effective in reducing the impact of substance use on family members of PWID with HIV in Vietnam, allowing them to provide support for patients’ recovery.…”

Section: Discussionmentioning

confidence: 99%

“…Interventions including family members of PWID in Vietnam have been shown to improve relationships. 23,24 In combination with integrated ART/MOUD treatment, similar approaches may be effective in reducing the impact of substance use on family members of PWID with HIV in Vietnam, allowing them to provide support for patients' recovery.…”

Section: Discussionmentioning

confidence: 99%

“…19,20 Family members of PWID report increased care burden, financial conflict, existential threats to the family, and decreased quality of life. [21][22][23][24] MOUD may positively affect family relationships, reduce stigma, and increase treatment success. 25,26 Because family members promote treatment success for PWID with HIV in Vietnam, therapeutic approaches may benefit patients by involving supportive family members.…”

Section: Introductionmentioning

confidence: 99%

“…However, extension of stigma to family members can cause harms and compromise support 19 , 20 . Family members of PWID report increased care burden, financial conflict, existential threats to the family, and decreased quality of life 21 – 24 . MOUD may positively affect family relationships, reduce stigma, and increase treatment success 25 , 26 …”

Section: Introductionmentioning

confidence: 99%

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Familial Support in Integrated Treatment with Antiretroviral Therapy and Medications for Opioid use Disorder in Vietnam: A Qualitative Study

et al. 2022

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Background: Patients report that familial support can facilitate initiation and maintenance of antiretroviral therapy (ART) and medications for opioid use disorder (MOUD). However, providing such support can create pressure and additional burdens for families of people with opioid use disorder (OUD) and HIV. We examined perspectives of people with HIV receiving treatment for OUD in Vietnam and their family members. Methods: Between 2015 and 2018, we conducted face-to-face qualitative interviews with 44 patients and 30 of their family members in Hanoi, Vietnam. Participants were people living with HIV and OUD enrolled in the BRAVO study comparing HIV clinic-based buprenorphine with referral to methadone treatment at 4 HIV clinics and their immediate family members (spouses or parents). Interviews were professionally transcribed, coded in Vietnamese, and analyzed using a semantic, inductive approach to qualitative thematic analysis. Results: Family members of people with OUD and HIV in Vietnam reported financially and emotionally supporting MOUD initiation and maintenance as well as actively participating in treatment. Family members described the burdens of supporting patients during opioid use, including financial costs and secondary stigma. Conclusions: Describing the role of family support in the lives of people living with OUD and HIV in the context of Vietnam enriches our understanding of their experiences and will support future treatment efforts targeting the family unit.

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Primary-level and community worker interventions for the prevention of mental disorders and the promotion of well-being in low- and middle-income countries

Purgato,

Prina,

Ceccarelli

et al. 2023

Cochrane Database of Systematic Reviews

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Background There is a significant research gap in the field of universal, selective, and indicated prevention interventions for mental health promotion and the prevention of mental disorders. Barriers to closing the research gap include scarcity of skilled human resources, large inequities in resource distribution and utilization, and stigma. Objectives To assess the effectiveness of delivery by primary workers of interventions for the promotion of mental health and universal prevention, and for the selective and indicated prevention of mental disorders or symptoms of mental illness in low‐ and middle‐income countries (LMICs). To examine the impact of intervention delivery by primary workers on resource use and costs. Search methods We searched CENTRAL, MEDLINE, Embase, CINAHL, Global Index Medicus, PsycInfo, WHO ICTRP, and ClinicalTrials.gov from inception to 29 November 2021. Selection criteria Randomized controlled trials (RCTs) of primary‐level and/or community health worker interventions for promoting mental health and/or preventing mental disorders versus any control conditions in adults and children in LMICs. Data collection and analysis Standardized mean differences (SMD) or mean differences (MD) were used for continuous outcomes, and risk ratios (RR) for dichotomous data, using a random‐effects model. We analyzed data at 0 to 1, 1 to 6, and 7 to 24 months post‐intervention. For SMDs, 0.20 to 0.49 represented small, 0.50 to 0.79 moderate, and ≥ 0.80 large clinical effects. We evaluated the risk of bias (RoB) using Cochrane RoB2. Main results Description of studies We identified 113 studies with 32,992 participants (97 RCTs, 19,570 participants in meta‐analyses) for inclusion. Nineteen RCTs were conducted in low‐income countries, 27 in low‐middle‐income countries, 2 in middle‐income countries, 58 in upper‐middle‐income countries and 7 in mixed settings. Eighty‐three RCTs included adults and 30 RCTs included children. Cadres of primary‐level workers employed primary care health workers (38 studies), community workers (71 studies), both (2 studies), and not reported (2 studies). Interventions were universal prevention/promotion in 22 studies, selective in 36, and indicated prevention in 55 RCTs. Risk of bias The most common concerns over risk of bias were performance bias, attrition bias, and reporting bias. Intervention effects 'Probably', 'may', or 'uncertain' indicates 'moderate‐', 'low‐', or 'very low‐'certainty evidence. *Certainty of the evidence (using GRADE) was assessed at 0 to 1 month post‐intervention as specified in the review protocol. In the abstract, we did not report results for outcomes for which evidence was missing or very uncertain. Adults Promotion/universal prevention, compared...

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Evaluating an intervention for family members of people who use drugs in Vietnam

Cited by 5 publications

References 36 publications

Family SES, family social capital, and general health in Chinese adults: exploring their relationships and the gender-based differences

Family SES, family social capital, and general health in Chinese adults: exploring their relationships and the gender-based differences

Familial Support in Integrated Treatment with Antiretroviral Therapy and Medications for Opioid use Disorder in Vietnam: A Qualitative Study

Primary-level and community worker interventions for the prevention of mental disorders and the promotion of well-being in low- and middle-income countries

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