文章基本信息

标题：Process and Product in Cross-Cultural Treatment Research: Development of a Culturally Sensitive Women-Centered Substance Use Intervention in Georgia
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作者：Hendrée E. Jones ; Irma Kirtadze ; David Otiashvili 等
期刊名称：Journal of Addiction
印刷版ISSN：2090-7834
出版年度：2014
卷号：2014
页码：1-12
DOI：10.1155/2014/163603
出版社：Hindawi Publishing Corporation
摘要：Women who inject drugs (WID) are highly marginalized and stigmatized and experience ongoing discrimination in Georgia.Few opportunities exist for WID to receive publicly funded treatment for substance use disorders.The IMEDI (Investigating Methods for Enhancing Development in Individuals) project was developed in response to the need for women-specific and women-centered treatment services.This paper described our approach to understanding the Georgian culture—and WID within that culture—so that we could integrate two interventions for substance use found effective in other Western and non-Western cultures and to outline how we refined and adapted our integrated intervention to yield a comprehensive women-centered intervention for substance use.Reinforcement Based Treatment (RBT) and the Women’s CoOp (WC) were adapted and refined based on in-depth interviews with WID ( N = 55 ) and providers of health services ( N = 34 ) to such women and focus groups [2 with WID ( N = 15 ) and 2 with health service providers ( N = 12 )].The resulting comprehensive women-centered intervention, RBT WC, was then pretested and further refined in a sample of 20 WID.Results indicated positive pre-post changes in urine screening results and perceived needs for both RBT WC and a case management control condition.The approach to treatment adaptation and the revised elements of RBT WC are presented and discussed.