Data - Substance Use Treatment Using Cultural Arts and 12 Steps in Zambia

Data underlying the paper "Substance Use Treatment Using Cultural Arts and 12 Steps: Curriculum Training and Community-led Implementation in Zambia"

Details about the experimental protocol and data acquisition can be obtained from the article related.

Article abstract:

Introduction
Substance use in Zambia is stigmatized and treatment access is limited. Over 30,000 people are homeless in Lusaka, where one-quarter of homeless youth report use. Zambia's Ministry of Health recently developed policies targeting alcohol, suggesting Chainama, the only mental health hospital, offer treatment. Together, they endorsed training in the curriculum studied in this paper.
We hypothesized training Zambian professionals would improve their perceptions of substance users and treatment. We then explored if treatment using the curriculum, as delivered to clients by training participants, would encourage client motivation to change, participation in groups, and reduce substance use frequency.
Methods
Part 1: One-hundred professionals were trained in a curriculum-based, literacy-free intervention employing cognitive behavioral and rational emotive behavior therapy techniques to explore 12 Steps of addiction recovery through Zambian art forms. Pre/post questionnaires captured perspectives around substance users and treatment.
Part 2: Trained organizations delivered the curriculum in their communities. Twenty-five organizations rated feasibility and benefit of the curriculum. Data for 200 clients recorded pre/post motivation to change, open-sharing/participation, and frequency of substance use.
Results
While training significantly modified professionals’ perspectives regarding the value of offering treatment, their views of substance users did not change. Clients endorsed increases in "motivation to change" and "participation/open-sharing." Frequency of alcohol, marijuana, inhalant, and cigarette use significantly decreased.
Conclusion
Training in the curriculum helped address a public health need, playing a role in increased motivational variables and decreased substance use. Research addressing this study’s limitations is encouraged.

本论文《使用文化艺术与12步疗法（12 Steps）的物质使用治疗：赞比亚的课程培训与社区主导实施》所依托的数据集

实验方案与数据采集的详细信息可从相关研究论文获取。

论文摘要：

引言
赞比亚的物质使用（Substance Use）行为饱受污名化，且治疗途径有限。卢萨卡市有超过3万名无家可归者，其中四分之一的无家可归青年存在物质使用行为。赞比亚卫生部近期出台了针对酒精问题的政策，指定该国唯一的精神卫生医院——查纳马医院（Chainama）提供相关治疗服务。双方联合认可了本文所研究的课程培训方案。
我们假设，对赞比亚专业人员开展此项培训，可改善其对物质使用者的认知与治疗态度。随后我们进一步探究：经培训人员向服务对象实施该课程治疗后，是否能提升服务对象的改变动机、团体参与度，并降低其物质使用频率。

研究方法
第一部分：面向100名专业人员开展培训，采用无识字要求的课程式干预方案，结合认知行为疗法（Cognitive Behavioral Therapy）与理性情绪行为疗法（Rational Emotive Behavior Therapy）技术，通过赞比亚本土艺术形式探讨成瘾康复的12步疗法（12 Steps）。采用前后测问卷收集专业人员对物质使用者与治疗服务的认知数据。
第二部分：经培训的机构在其所在社区推行该课程。共有25家机构对该课程的可行性与实施效益进行了评估。共收集200名服务对象的前后测数据，涵盖改变动机、公开分享/团体参与度以及物质使用频率。

研究结果
尽管培训显著改善了专业人员对提供治疗服务的价值认知，但他们对物质使用者的态度未发生显著变化。服务对象报告其"改变动机"与"参与/公开分享"水平均有所提升。酒精、大麻、吸入剂及香烟的使用频率均显著下降。

研究结论
本课程培训有助于解决公共卫生需求，对提升服务对象的改变动机相关变量、降低物质使用频率起到了积极作用。本研究鼓励后续研究针对本研究的局限性展开深入探索。