Wan Jie Tan, Briony Larance, Emma E Walter, Chloe J Haynes, Peter J Kelly
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引用次数: 0
Abstract
Issues: Given the growing need to understand mutual-support groups for alcohol and other drug (AOD) recovery across diverse cultural contexts, it is essential to comprehensively examine these groups in East, South and Southeast Asia, including strategies to enhance their cultural appropriateness and their effectiveness.
Approach: Searches were conducted in Cinahl, EMBASE, MEDLINE, PsycINFO, PubMed, Scopus and Web of Science until November 2021. Original studies in peer-reviewed journals of any language and design that examined mutual-support groups for AOD use in these regions were included.
Key findings: Forty-six studies were identified from 1612 de-duplicated records, predominantly from Japan (34.8%) and Iran (32.6%), with none from Southeast Asia. Most were cross-sectional (47.8%) and examined 12-step groups (76.1%). Culture-oriented adaptation strategies (values, beliefs, traditions) were most reported, with religion/spirituality most employed and friends/family involvement often proposed as important. Across all employed strategies, the use of community spaces (e.g., community centres, places of worship) was most common. Preliminary evidence suggests that strategies, especially those addressing nuanced sociocultural factors, correlate with positive AOD recovery outcomes.
Implications: Findings reveal culture-, language- and community-oriented strategies that can be utilised to meet the cultural needs of target populations. Mutual-support group membership is associated with positive outcomes.
Conclusion: Strategies to enhance cultural appropriateness of mutual-support groups in East and South Asia were identified. Evidence on the effectiveness of mutual-support groups, particularly in Southeast Asia, remains limited. Future investigation can elucidate potential differences in effectiveness between types and extents of strategies used to enhance cultural appropriateness of mutual-support groups in these regions.
问题:鉴于越来越需要了解不同文化背景下的酗酒和其他药物(AOD)康复互助团体,有必要全面审查东亚、南亚和东南亚的这些团体,包括加强其文化适宜性和有效性的战略。方法:在2021年11月之前,在Cinahl、EMBASE、MEDLINE、PsycINFO、PubMed、Scopus和Web of Science中进行了检索。在同行评议的期刊上,任何语言和设计的原始研究都检查了这些地区AOD使用的相互支持群体。主要发现:从1612份去重复记录中确定了46项研究,主要来自日本(34.8%)和伊朗(32.6%),没有来自东南亚。大多数是横断面组(47.8%)和12步组(76.1%)。以文化为导向的适应策略(价值观、信仰、传统)被报道最多,宗教/灵性被使用最多,朋友/家人的参与通常被认为是重要的。在所有采用的战略中,利用社区空间(例如社区中心、礼拜场所)是最常见的。初步证据表明,策略,特别是那些解决细微差别的社会文化因素的策略,与积极的AOD恢复结果相关。启示:研究结果揭示了文化、语言和社区导向的策略可以用来满足目标人群的文化需求。相互支持的团体成员与积极的结果有关。结论:确定了提高东亚和南亚互助团体文化适宜性的策略。关于相互支持团体的有效性的证据,特别是在东南亚,仍然有限。未来的调查可以阐明这些地区用于提高相互支持群体文化适宜性的策略类型和程度之间的有效性差异。
期刊介绍:
Drug and Alcohol Review is an international meeting ground for the views, expertise and experience of all those involved in studying alcohol, tobacco and drug problems. Contributors to the Journal examine and report on alcohol and drug use from a wide range of clinical, biomedical, epidemiological, psychological and sociological perspectives. Drug and Alcohol Review particularly encourages the submission of papers which have a harm reduction perspective. However, all philosophies will find a place in the Journal: the principal criterion for publication of papers is their quality.