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Designing a Nurse-Led Program for Self-Management of Substance Addiction Consequences: A Modified e-Delphi Study.

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Summary

This study established a consensus on a training program for self-management of substance addiction consequences. The program includes psychoeducational, psychotherapeutic, and social interventions to support individuals with problematic psychoactive substance use.

Keywords:
Delphi studynursingprogram evaluationself-managementsubstance-related disorders

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Area of Science:

  • Addiction Medicine
  • Nursing Education
  • Public Health

Background:

  • Problematic psychoactive substance use presents significant challenges requiring targeted therapeutic interventions.
  • Effective management of substance addiction consequences is crucial for patient recovery and well-being.
  • Existing treatment approaches may lack structured programs for self-management of addiction consequences.

Purpose of the Study:

  • To establish expert consensus on a comprehensive training program for self-management of substance addiction consequences.
  • To identify key clinical areas and intervention strategies for inclusion in the training program.
  • To address the gap in structured treatment approaches for individuals with problematic psychoactive substance use.

Main Methods:

  • A modified e-Delphi study methodology was employed.
  • Two rounds of expert consensus building were conducted between February and April 2022.
  • A sample of 28 experts participated in the first round, with 24 in the second, using pre-defined consensus criteria.

Main Results:

  • Strong consensus was achieved on the program's structure and core clinical areas: substance use, health knowledge, health-seeking behavior, self-knowledge, well-being, social role, personal dignity, and family processes.
  • Over 80% consensus was reached on interventions including psychoeducational, psychotherapeutic, socio-therapeutic, brief interventions, social skills training, problem-solving, relaxation techniques, and counseling.
  • The findings support the development of structured self-management training for substance addiction consequences.

Conclusions:

  • The established consensus provides a foundation for a structured training program to enhance self-management of substance addiction consequences.
  • The identified interventions offer a robust framework for therapeutic approaches in addiction care.
  • Implementation of this program can significantly enhance nursing interventions and patient outcomes in managing substance addiction.