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SMART Family and Friends Mutual-Help Groups: Findings From a Mixed-Methods Formative Implementation Evaluation.

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Summary
This summary is machine-generated.

SMART Family and Friends training equips individuals to support family members affected by substance use disorders. Implementation is feasible, but addressing service limitations and help-seeking barriers is crucial for success.

Keywords:
SMART recoverycaregiversfamilymutual‐helpsubstance use disorders

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Area of Science:

  • Addiction research
  • Implementation science
  • Family support services

Background:

  • Support for family members affected by substance use disorders (AFMs) is critical but challenging to implement.
  • This study evaluated the SMART Family and Friends training program using a mixed-methods approach.

Purpose of the Study:

  • To assess the perceived effectiveness of the SMART Family and Friends training.
  • To examine program implementation using the Consolidated Framework for Implementation Research (CFIR).

Main Methods:

  • 24 participants with experience supporting AFMs were trained to deliver groups.
  • Training was evaluated via the Work Practice Questionnaire.
  • Semi-structured interviews (n=19) explored training and delivery experiences, analyzed using CFIR.

Main Results:

  • Participants felt well-equipped (M=20.79) and found the training useful (M=28.40) and relevant (M=27.16).
  • Intervention characteristics (approach, applicability, structure) enhanced engagement.
  • Workplace factors (staffing), need for the program, and facilitator characteristics influenced implementation, alongside delivery challenges.

Conclusions:

  • SMART Family and Friends shows potential for scaled implementation by peers and providers.
  • Service limitations and help-seeking barriers may impede delivery.
  • Addressing training, infrastructure, and understanding AFM needs are essential for successful implementation.