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首页> 外文期刊>Drugs: education, prevention, and policy >Supporting addictions affected families effectively (SAFE): a mixed methods exploratory study of the 5-step method delivered in Goa, India, by lay counsellors
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Supporting addictions affected families effectively (SAFE): a mixed methods exploratory study of the 5-step method delivered in Goa, India, by lay counsellors

机译：有效地支持患者受影响的家庭（安全）：一种混合方法，探讨了在Lay辅导员果阿果阿交付的5步方法的探索性研究

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Aims: To explore the effect of the relatives' drinking on their family members, and the preliminary impact of the 5-step method intervention on the adverse effect of the relatives' drinking on their family members. Methods: In-depth interviews were conducted with eligible Affected Family Members (AFMs) (n = 30) to understand the effect of the relatives' drinking on their family members. Subsequently, a different group of consecutive eligible AFMs (n = 21) received the five-step method from lay counsellors, with outcomes measured at baseline and 3 months after delivery of the first session, to examine the impact of the intervention on AFMs. Findings: In the in-depth interviews, the perceived impact of the relatives' drinking on the AFM included substantial physical/emotional abuse, financial difficulties, shame, poor health, impaired interpersonal relationships and change in the AFM's role in the family. In the case series, for AFMs who received at least one session of the intervention, there was significantly increased engaged coping, increased stress and increased professional social support; and in those who completed the intervention, there was significantly increased engaged coping, increased strain, and increased informal social support. Conclusions: Compared to developed countries, stresses experienced by AFMs in our study are somewhat qualitatively different. The impact of an un-adapted five-step method intervention is less helpful than found elsewhere; hence an adapted version of the five-step method which is responsive to the realities of the cultural context may be better suited to Indian settings.
机译：目的：探讨亲属对家庭成员饮酒的影响，以及5步法干预对亲属对家庭成员饮酒的不利影响的初步影响。方法：深入采访，符合条件受影响的家庭成员（AFMS）（N = 30）进行了解，以了解亲属对家庭成员饮酒的影响。随后，不同组的连续符合条件的AFM（n = 21）从Lay辅导员接收了五步法，在基线测量的结果，并在第一节交付后3个月，以检查干预对AFMS的影响。调查结果：在深入的访谈中，亲属对AFM饮酒的感知影响包括大量的身体/情绪虐待，财政困难，羞耻，健康状况不佳，人际关系受损和AFM在家庭中的作用变化。在案例系列中，对于收到至少一个干预会议的AFMS，有明显增加的接受应对，压力增加和专业的社会支持增加;在那些完成干预的人中，有明显增加的接受应对，增加的应变和增加的非正式社会支持。结论：与发达国家相比，我们研究中AFMS经验丰富的压力有些定性不同。未适应的五步方法干预的影响比其他地方在别处的助手不那么有帮助;因此，响应文化环境的现实的五步方法的适应版本可能更适合印度环境。

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