Student peer mentoring: Feasibility and acceptability of mHealth-based tool for alcohol and substance abuse prevention by peer mentors at a university in Kenya

Musyoka, Catherine Mawia; Mbwayo, Anne; Donovan, Dennis M.; Mathai, Muthoni

doi:10.1371/journal.pdig.0000177

Cited by 5 publications

(2 citation statements)

References 29 publications

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“…Evidence-based mhealth interventions can confirm the efficacy of health promotion programs. Several studies have shown the usefulness of mhealth interventions in preventing high-risk behaviors such as smoking, substance abuse, and alcohol consumption (33)(34)(35)(36). Moreover, Moore et al reported that the smoking abstinence rate in these interventions was generally 1.5 times higher than the control group (37).…”

Section: Discussionmentioning

confidence: 99%

Avoid Smoking: mHealth Evidence and Theory-Based Intervention to Promote Smoking Prevention Behaviors

Mirzaei Alavijeh,

Qadir,

Jalilian

2023

J Health Rep Technol

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Background: Mobile technologies and devices effectively maintain health and well-being is a promising opportunity for health policymakers and relevant stakeholders. Objectives: The current study aimed to evaluate a mhealth program to promote smoking prevention behaviors among university students in northern Iraq. The integrative model of factors influencing smoking behavior (IMFISB) was used as a theoretical framework. Methods: This quasi-experimental research study was conducted on 150 Kurdish students of Raparin University in northern Iraq. University students were randomly divided into intervention (n = 75) or control (n = 75) groups. The mhealth theory-based intervention program was evaluated using the mobile application (Avoid Smoking) in eight sessions. The data was collected using a questionnaire before and two months after the program’s implementation and analyzed in SPSS software version 16. Results: The effect size was estimated as "small" for belief, value, and family pressure. The effect size was estimated as “medium" for knowledge, attitude, peer pressure, self-image, and intention. The average response for smoking prevention behaviors was 15.17, which significantly increased to 16.88 after program implementation among the intervention group (P < 0.001), and the effect size was estimated to be "medium" for smoking prevention behaviors. Conclusions: Based on the results, smoking prevention interventions can be effective among students using mobile health evidence-based interventions.

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Section: Discussionmentioning

confidence: 99%

Avoid Smoking: mHealth Evidence and Theory-Based Intervention to Promote Smoking Prevention Behaviors

Mirzaei Alavijeh,

Qadir,

Jalilian

2023

J Health Rep Technol

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“…• Adequate training with opportunities to practice skills (Murray et al, 2018) • Learning new skills during care provision or training that can be applied to other aspects of their life outside of intervention provision (Giusto et al, 2021;Musyoka et al, 2023) For patients:…”

Section: Qualitative Findings Indicating a Positive Outcome Cmentioning

confidence: 99%

Community-based models of care for adolescent and adult depression, suicidal behavior, anxiety, trauma, and substance use in Africa: a scoping review

Raeber,

Haldemann,

Ray

et al. 2024

Front. Psychol.

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BackgroundCommunity-based care (CBC), where care is delivered outside of the traditional health facility setting, has been proposed to narrow the mental health (MH) and substance use (SU) treatment gap in Africa.ObjectiveThis scoping review aims to comprehensively summarize CBC models addressing adolescent and adult MH (depression, anxiety, trauma, suicidal behavior) and (non-tobacco) SU problems in Africa.MethodsWe searched PsycINFO, Embase, Scopus, CINAHL, and Medline Ovid. Studies and protocols were included if they reported on CBC intervention’s effects on MH or SU symptoms/ diagnoses, acceptability, feasibility, or patient engagement in care, regardless of whether the intervention itself was designed specifically for MH or SU.ResultsAmong 11,477 screened publications, 217 were eligible. Of the unique intervention studies (n = 206), CBC models were classified into the following approaches (non-mutually exclusive): psychotherapeutic (n = 144), social (n = 81), lifestyle/physical health (n = 55), economic (n = 26), and psychopharmacological (n = 2). While quantitative results suggest possible efficacy of CBC models, description of CBC location was often poor. Fewer interventions addressed suicidal behavior (n = 12), the needs of adolescents (n = 49), or used traditional healers or religious figures as providers (n = 3).ConclusionMany CBC models have been tested on MH and SU in Africa and should be critically appraised and meta-analyzed in subsequent reviews, where possible.

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Feasibility and acceptability of a peer provider delivered substance use screening and brief intervention program for youth in Kenya

Jaguga,

Kwobah,

Giusto

et al. 2023

BMC Public Health

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Background Youth in sub-Saharan Africa are at high risk of substance use yet lack access to substance use interventions. The goal of this project was to evaluate the feasibility and acceptability of a peer-delivered, single-session substance use screening and brief intervention program for youth in Kenya. Methods This was a convergent parallel mixed methods study utilizing both quantitative and qualitative approaches. Two trained peer providers administered the screening and brief intervention program to 100 youth aged 15–24 years. To evaluate the implementation of the intervention, we collected quantitative and qualitative data. Feasibility and acceptability were quantitatively assessed using the Dissemination and Implementation Measures. Fidelity was assessed by rating all 100 audio-recorded sessions using a checklist. To obtain qualitative feedback on the intervention, we conducted five focus group discussions with 25 youths and six semi-structured interviews with two peer providers and four clinic leaders. The semi-structured interviews were guided by the Consolidated Framework for Implementation Research. Quantitative data was analyzed via descriptive statistics using STATA. Qualitative data was analyzed using thematic analysis with NVIVO. Results The lifetime prevalence of any substance use was 50%. The mean level of acceptability of the intervention from the perspective of the youth was 3.53 (SD 0.15), meaning that the youth found the intervention to be acceptable “a lot” of the time. Mean levels of implementation outcomes (acceptability, adoption, Acceptability, Appropriateness, Feasibility, Reach/access, Organizational climate, General leadership skills, and Sustainability) as rated by peer providers and clinic staff ranged between 2.61 (“a moderate amount”) and 4.0 (“a lot”). In qualitative data, youth reported that the intervention was helpful and useful in enabling them to stop or reduce substance use. The peer providers felt that the intervention was easy to implement, while the clinic leaders felt that available resources were adequate, and that the intervention aligned well with the goals of the clinic. Conclusion Our findings suggest that the peer-delivered screening and brief intervention program was perceived as acceptable to the youth and feasible to implement. Trial registration NCT04998045 Registration date: 10/08/2021.

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Student peer mentoring: Feasibility and acceptability of mHealth-based tool for alcohol and substance abuse prevention by peer mentors at a university in Kenya

Cited by 5 publications

References 29 publications

Avoid Smoking: mHealth Evidence and Theory-Based Intervention to Promote Smoking Prevention Behaviors

Avoid Smoking: mHealth Evidence and Theory-Based Intervention to Promote Smoking Prevention Behaviors

Community-based models of care for adolescent and adult depression, suicidal behavior, anxiety, trauma, and substance use in Africa: a scoping review

Feasibility and acceptability of a peer provider delivered substance use screening and brief intervention program for youth in Kenya

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