Achieving Drug and Alcohol Abstinence Among Recently Incarcerated Homeless Women: A Randomized Controlled Trial Comparing Dialectical Behavioral Therapy-Case Management With a Health Promotion Program.

Autor:	Nyamathi AM; Adeline M. Nyamathi, ANP, PhD, FAAN, is Founding Dean and Distinguished Professor, Sue & Bill Gross School of Nursing, University of California, Irvine. At the time this work was completed, she was Distinguished Professor, School of Nursing, University of California, Los Angeles. Sanghyuk S. Shin, PhD, is Assistant Professor, Sue & Bill Gross School of Nursing, University of California, Irvine. At the time the work was completed, he was Assistant Professor-In-Residence, School of Public Health, University of California, Los Angeles. Jolene Smeltzer, MSN, RN, is Student, Mervyn M. Dymally School of Nursing, Los Angeles, California. Benissa E. Salem, PhD, MSN, RN, is Assistant Adjunct Professor and Project Director, School of Nursing, University of California, Los Angeles. Kartik Yadav, MSCR, is Project Director, Sue & Bill Gross School of Nursing, University of California, Irvine. At the time this research was completed, he was Project Director, School of Nursing, University of California, Los Angeles. Maria L. Ekstrand, PhD, is Professor, School of Medicine, University of California, San Francisco. Susan F. Turner, PhD, is Professor, Department of Criminology, Law and Society, University of California, Irvine. Mark Faucette, BS, is Vice President, Amistad de Los Angeles, California., Shin SS, Smeltzer J, Salem BE, Yadav K, Ekstrand ML, Turner SF, Faucette M
Jazyk:	angličtina
Zdroj:	Nursing research [Nurs Res] 2017 Nov/Dec; Vol. 66 (6), pp. 432-441.
DOI:	10.1097/NNR.0000000000000249
Abstrakt:	Background: Homeless female ex-offenders (homeless female offenders) exiting jail and prison are at a critical juncture during reentry and transitioning into the community setting. Objective: The purpose of the study was to compare the effect of a dialectical behavioral therapy-case management (DBT-CM) program with a health promotion (HP) program on achieving drug and alcohol abstinence among female parolees/probationers residing in the community. Methods: We conducted a multicenter parallel randomized controlled trial with 130 female parolees/probationers (aged 19-64 years) residing in the community randomly assigned to either DBT-CM (n = 65) or HP (n = 65). The trial was conducted in four community-based partner sites in Los Angeles and Pomona, California, from February 2015 to November 2016. Treatment assignment was carried out using a computer-based urn randomization program. The primary outcome was drug and alcohol use abstinence at 6-month follow up. Results: Analysis was based on data from 116 participants with complete outcome data. Multivariable logistic regression revealed that the DBT-CM program remained an independent positive predictor of decrease in drug use among the DBT-CM participants at 6 months (p = .01) as compared with the HP program participants. Being non-White (p < .05) and having higher depressive symptom scores (p < .05) were associated with lower odds of drug use abstinence (i.e., increased the odds of drug use) at 6 months. Discussion: DBT-CM increased drug and alcohol abstinence at 6-month follow-up, compared to an HP program.
Databáze:	MEDLINE
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