Racial Differences in Retention in a Community-based Addiction Reduction Program Implemented by Peer Recovery Coaches for Women of Reproductive Age.

To identify program characteristics that influence the retention of women of reproductive age in the C ommunity-based A ddiction Re duction program (CARE), mixed-method analyses of CARE survey data and CARE Peer Recovery Coach (PRC) narrative entries of participant encounters were performed. About 2...

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Publicado en:Inquiry (00469580) pp. 1 - 13
Autores principales: Yakovlyeva, Anastasiya, Griffin, Wilma, Worden, Allison, Roth, Sarah, DeChant, Paige, Butler, Dawn, Tang, Qing, Litzelman, Debra K.
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. 12/25/2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 12/25/2023
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      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Racial Differences in Retention in a Community-based Addiction Reduction Program Implemented by Peer Recovery Coaches for Women of Reproductive Age.
      aug:
        au:
          Yakovlyeva, Anastasiya
          Griffin, Wilma
          Worden, Allison
          Roth, Sarah
          DeChant, Paige
          Butler, Dawn
          Tang, Qing
          Litzelman, Debra K.
        affil: Indiana University School of Medicine, Indianapolis, IN, USA
      sug:
        subj:
          Substance Use Disorders Prevention and Control
          Race Factors Evaluation
          Peer Group Evaluation
          Recovery Evaluation
          Women Psychosocial Factors
          Reproductive Health
          Childbearing Age Evaluation
          Harm Reduction Evaluation
          Program Evaluation Methods
          Community Health Services
          Patient Attitudes Evaluation
          Peer Counseling
          Human
          Female
          Adolescence
          Adult
          Middle Age
          Multimethod Studies
          Prospective Studies
          Implementation Science
          Motivation
          Thematic Analysis
          Analytic Research
          Descriptive Statistics
          Funding Source
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
      ab: To identify program characteristics that influence the retention of women of reproductive age in the C ommunity-based A ddiction Re duction program (CARE), mixed-method analyses of CARE survey data and CARE Peer Recovery Coach (PRC) narrative entries of participant encounters were performed. About 251 women were enrolled in this prospective community-based implementation science intervention. We compared survey responses by race for treatment status, treatment motivation scales, and retention in the program at intake, 2-, 6-, 9-, and 12-month follow ups using Chi-square/ T -tests. Qualitative analysis of PRC narrative entries was conducted following thematic analysis and crystallization immersion analytic methods. White compared with Black women in CARE were significantly more likely to be in treatment at intake (P <.001) and more motivated to engage in recovery treatment (P <.001). However, Black women were retained longer in CARE at 2- (P <.006), 6- (P <.011), and 9- (P <.004) months. PRC narrative entries were coded, and emergent themes mapped well to the 4 types of supports provided by PRC as outlined by the Substance Abuse and Mental Health Services Administration: emotional, instrumental, informational, and affiliational. Analysis of narrative entries by race revealed that Black women were given more detailed information, communications with PRC were more encouraging and proactive in identifying and meeting needs, and PRC took a more hands-on approach when assisting and linking to resources. The inclusion of PRC as integral members of SUD recovery programs may preferentially provide Black women with SUD the opportunity to build more trusting relationships with these peer coaches, thereby increasing their participation and retention.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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