Motivational Network Intervention to Reduce Substance Use and Increase Supportive Connections for Emerging Adults in a Supportive Housing Program.

IF 1.2 4区医学 Q4 HEALTH POLICY & SERVICES

Journal of Health Care for the Poor and Underserved Pub Date : 2024-01-01

David P Kennedy, Karen Chan Osilla, Daniela Golinelli, Joan S Tucker

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引用次数: 0

Abstract

Background: For transition-aged youth experiencing homelessness (TAYEH) moving to transitional housing, a motivational network intervention (MNI) may help modify high-risk networks, thereby reducing substance use and strengthening prosocial connections.

Methods: Thirty-six TAYEH received a four-session MNI integrated into usual housing case management or usual case management. Intervention acceptability, feasibility, and motivational interviewing fidelity were evaluated.

Results: Nearly all participants would recommend the MNI to others, formed goals, and believed the program improved their lives. Case managers delivered the program with fidelity. However, sample size and number of sessions delivered fell short of targets due to COVID-19 disruptions and other factors and limited our ability to examine preliminary effects on substance use and network outcomes in a fully powered trial.

Conclusion: Case managers can successfully deliver the MNI, but its use may not be feasible unless adaptations are made to accommodate the instability this population faces when they enter housing.

本刊更多论文

激励性网络干预，减少物质使用，增加支持性住房计划中新兴成人的支持性联系。

背景：对于搬到过渡性住房的过渡年龄无家可归青年（TAYEH）来说，动机网络干预（MNI）可能有助于改变高风险网络，从而减少药物使用并加强亲社会关系：方法：36 名 TAYEH 接受了为期四节的 MNI 干预，并将其与常规住房个案管理或常规个案管理相结合。对干预的可接受性、可行性和动机访谈的忠实性进行了评估：结果：几乎所有参与者都愿意向他人推荐 MNI，他们都制定了目标，并认为该计划改善了他们的生活。个案经理忠实地执行了该计划。然而，由于 COVID-19 的干扰和其他因素，样本量和实施的疗程数均未达到目标，这限制了我们在一项完全有效的试验中考察对药物使用和网络结果的初步影响的能力：结论：个案经理可以成功实施 MNI，但除非对其进行调整，以适应这类人群在进入住房时所面临的不稳定性，否则 MNI 的使用可能并不可行。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Health Care for the Poor and Underserved Multiple-

CiteScore

2.00

自引率

7.10%

发文量

154

期刊介绍： The journal has as its goal the dissemination of information on the health of, and health care for, low income and other medically underserved communities to health care practitioners, policy makers, and community leaders who are in a position to effect meaningful change. Issues dealt with include access to, quality of, and cost of health care.