The effectiveness of peer education interventions on HIV- and HBV-preventive behaviours in women with substance-related disorders: a cluster randomised control trial

Ahmadi, Soheila; Jamshidimanesh, Mansoureh; Zafarghandi, Mohammad Bagher Saberi; Ranjbar, Hadi

doi:10.5114/hivar.2019.88475

Cited by 7 publications

(2 citation statements)

References 39 publications

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“…About half (8 of 17) of the health promotion and education interventions were found to have positive results [ 25 , 26 , 38 , 39 , 54 , 56 , 57 , 65 , 66 , 84 ]. Some of these studies also had mixed results.…”

Section: Resultsmentioning

confidence: 99%

Patient-level interventions to reduce alcohol-related harms in low- and middle-income countries: A systematic review and meta-summary

et al. 2022

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Background Disease and disability from alcohol use disproportionately impact people in low- and middle-income countries (LMICs). While varied interventions have been shown to reduce alcohol use in high-income countries, their efficacy in LMICs has not been assessed. This systematic review describes current published literature on patient-level alcohol interventions in LMICs and specifically describes clinical trials evaluating interventions to reduce alcohol use in LMICs. Methods and findings In accordance with PRISMA, we performed a systematic review using an electronic search strategy from January 1, 1995 to December 1, 2020. Title, abstract, as well as full-text screening and extraction were performed in duplicate. A meta-summary was performed on randomized controlled trials (RCTs) that evaluated alcohol-related outcomes. We searched the following electronic databases: PubMed, EMBASE, Scopus, Web of Science, Cochrane, WHO Global Health Library, and PsycINFO. Articles that evaluated patient-level interventions targeting alcohol use and alcohol-related harm in LMICs were eligible for inclusion. No studies were excluded based on language. After screening 5,036 articles, 117 articles fit our inclusion criteria, 75 of which were RCTs. Of these RCTs, 93% were performed in 13 middle-income countries, while 7% were from 2 low-income countries. These RCTs evaluated brief interventions (24, defined as any intervention ranging from advice to counseling, lasting less than 1 hour per session up to 4 sessions), psychotherapy or counseling (15, defined as an interaction with a counselor longer than a brief intervention or that included a psychotherapeutic component), health promotion and education (20, defined as an intervention encouraged individuals’ agency of taking care of their health), or biologic treatments (19, defined as interventions where the biological function of alcohol use disorder (AUD) as the main nexus of intervention) with 3 mixing categories of intervention types. Due to high heterogeneity of intervention types, outcome measures, and follow-up times, we did not conduct meta-analysis to compare and contrast studies, but created a meta-summary of all 75 RCT studies. The most commonly evaluated intervention with the most consistent positive effect was a brief intervention; similarly, motivational interviewing (MI) techniques were most commonly utilized among the diverse array of interventions evaluated. Conclusions Our review demonstrated numerous patient-level interventions that have the potential to be effective in LMICs, but further research to standardize interventions, populations, and outcome measures is necessary to accurately assess their effectiveness. Brief interventions and MI techniques were the most commonly evaluated and had the most consistent positive effect on alcohol-related outcomes. Trial registration Protocol Registry: PROSPERO CRD42017055549

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Section: Resultsmentioning

confidence: 99%

Patient-level interventions to reduce alcohol-related harms in low- and middle-income countries: A systematic review and meta-summary

et al. 2022

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“…However, based on a recent meta-analysis [ 26 ], empirical evidence in LMICs is much more limited. Only 4 studies have been reported so far on the goal of abstinence, including an RCT in Iran [ 27 ], a cohort study in Vietnam [ 28 ], a pilot mixed method study in Malaysia [ 29 ], and a feasibility study in Indonesia, which tested a family-based educational approach for adolescents with SUD delivered by peers [ 30 ].…”

Section: Introductionmentioning

confidence: 99%

Relapse Prevention Group Therapy in Indonesia Involving Peers via Videoconferencing for Substance Use Disorder: Development and Feasibility Study

Siste,

Ophinni,

Hanafi

et al. 2024

JMIR Form Res

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Background Substance use disorder (SUD) is a major health issue in Indonesia, where several barriers to treatment exist, including inaccessibility to treatment services, stigma, and criminalization of drug issues. Peer involvement and the use of telemedicine to deliver psychotherapy are promising approaches to overcome these barriers. Objective This study aims (1) to describe the development of a new group psychotherapy coprovided by a health care worker and a peer and (2) to evaluate the acceptability, practicality, and preliminary outcomes of the program delivered via videoconferencing in Indonesia. Methods Building upon an established relapse prevention therapy in Japan, we developed a 3-month weekly group therapy module in the Indonesian language. Adjustments were made via focus group discussions with local stakeholders in terms of substance types, understandability, inclusive language, and cultural relevance. A pilot study was conducted to test the new module provided by a peer and a psychiatrist via videoconferencing, termed tele-Indonesia Drug Addiction Relapse Prevention Program (tele-Indo-DARPP), with a pre- and postcontrolled design. We analyzed data from semistructured feedback interviews and outcome measurements, including the number of days using substances and quality of life, and compared the intervention (tele-Indo-DARPP added to treatment as usual [TAU]) and control (TAU only) arms. Results In total, 8 people diagnosed with SUD participated in the pilot study with a mean age of 37 (SD 12.8) years. All were men, and 7 (88%) used sedatives as the primary substance. Collectively, they attended 44 of the 48 tele-Indo-DARPP sessions. A total of 3 out of 4 (75%) preferred telemedicine rather than in-person therapy. Positive acceptability and practicality were shown from qualitative feedback, in which the participants who joined the tele-Indo-DARPP reported that they liked the convenience of joining from home and that they were able to open up about personal matters, received helpful advice from peers, and received support from other participants. Providers reported that they feel the module was provider-friendly, and the session was convenient to join without diminishing rapport-building. Meanwhile, troubles with the internet connection and difficulty in comprehending some terminology in the workbook were reported. The intervention arm showed better improvements in psychological health and anxiety symptoms. Conclusions Group psychotherapy via videoconferencing coprovided by health care workers and peers was acceptable and practical for participants with SUD and service providers in this study. A large-scale study is warranted to examine the effectiveness of the newly developed module in Indonesia.

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Peer-delivered services for substance use in low- and middle-income countries: A systematic review

Satinsky

Kleinman

Tralka

et al. 2021

International Journal of Drug Policy

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The effectiveness of peer education interventions on HIV- and HBV-preventive behaviours in women with substance-related disorders: a cluster randomised control trial

Cited by 7 publications

References 39 publications

Patient-level interventions to reduce alcohol-related harms in low- and middle-income countries: A systematic review and meta-summary

Patient-level interventions to reduce alcohol-related harms in low- and middle-income countries: A systematic review and meta-summary

Relapse Prevention Group Therapy in Indonesia Involving Peers via Videoconferencing for Substance Use Disorder: Development and Feasibility Study

Peer-delivered services for substance use in low- and middle-income countries: A systematic review

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