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Designing a Nurse-Led Program for Self-Management of Substance Addiction Consequences: A Modified e-Delphi Study
Paulo Seabra1,2,3, Inês Nunes1,2, Rui Sequeira4
1Nursing School of Lisbon, Av. Prof. Egaz Moniz, 1600-190 Lisbon, Portugal.
International Journal of Environmental Research and Public Health
|February 11, 2023
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.
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.
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