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.

数据集为论文《利用文化艺术与12步成瘾康复疗法开展物质使用治疗：赞比亚的课程培训与社区主导实施》(Substance Use Treatment Using Cultural Arts and 12 Steps: Curriculum Training and Community-led Implementation in Zambia)的支撑数据。
实验方案与数据采集的详细信息可从相关论文获取。

论文摘要：
引言
赞比亚的物质使用行为饱受污名化，治疗获取渠道极为有限。卢萨卡市现有超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针对酒精管控的相关政策，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。双方共同认可了本文所研究的课程培训方案。
本研究首先假设，对赞比亚专业人员开展该课程培训，可改善其对物质使用障碍患者的认知与治疗态度。随后，本研究进一步探讨：经培训人员向服务对象施训的该课程疗法，是否能够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：招募100名专业人员参与培训，该培训为基于课程的无识字要求干预方案，融合认知行为疗法与理性情绪行为疗法技术，通过赞比亚本土艺术形式探讨成瘾康复12步疗法。培训前后的问卷用于采集专业人员对物质使用障碍患者及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开展该课程的实施工作。共有25家机构对该课程的可行性与实施效益进行了评估。本研究共收集200名服务对象的相关数据，记录其培训前后的改变动机、公开分享/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，但他们对物质使用障碍患者的刻板印象并未发生改变。服务对象报告其“改变动机”与“参与/公开分享度”均有提升；酒精、大麻、吸入剂及香烟的使用频率均显著下降。

研究结论
该课程培训有助于解决当地公共卫生需求，对提升服务对象的改变动机等相关变量、降低物质使用频率起到了积极作用。本研究呼吁针对本次研究的局限性开展进一步研究。