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dc.contributor.authorMyers-Franchi, Bronwyn
dc.contributor.authorCarney, T.
dc.contributor.authorBrowne, F.A.
dc.contributor.authorWechsberg, W.M.
dc.date.accessioned2021-09-24T08:12:17Z
dc.date.available2021-09-24T08:12:17Z
dc.date.issued2018
dc.identifier.citationMyers, B. and Carney, T. and Browne, F.A. and Wechsberg, W.M. 2018. Development of a trauma-informed substance use and sexual risk reduction intervention for young South African women. Patient Preference and Adherence. 12: pp. 1997-2006.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/85718
dc.identifier.doi10.2147/PPA.S175852
dc.description.abstract

Purpose: To develop a trauma-informed substance use and sexual risk reduction intervention for young South African women at risk of HIV.

Patients and methods: Guided by the ADAPT-ITT framework for intervention development, we selected four focus groups (n=26) to assess the service needs and preferences of trauma-exposed young women (aged 18–25 years) who use substances. We used findings to develop a needs-based and contextually appropriate intervention. In addition four focus groups (n=30) were selected to explore potential service users’ views of this intervention and recommendations for improving acceptability and appeal. Expert stakeholders were also consulted.

Results: Young women described therapeutic, self-care, and social support needs for coping with traumatic experiences and reducing substance-and sexual-related risks for HIV and further trauma. To address these needs, we expanded the Women’s Health Co-Operative (WHC; an evidence-based HIV prevention program) to include trauma-related psychoeducation; cognitive-behavioral strategies for coping with the emotional impact of trauma, stress, and substance use craving; social support strategies; and self-care components to help young women create a life with purpose. This novel and expanded six-session group-based intervention is called the trauma-informed WHC. Focus group participants and expert stakeholders viewed the trauma-informed WHC as highly relevant and acceptable. They provided recommendations for modifications to the intervention structure and reformatting of intervention materials to enhance the intervention’s appeal and the feasibility of reaching and retaining young women in the program.

Conclusion: Engaging women as potential service users in the process of developing a trauma-informed substance use and sexual risk reduction intervention helped identify service needs not commonly addressed in trauma-informed substance use interventions but critical for recovery and local relevance. It also enhanced the acceptability and appeal of the intervention. While potentially acceptable, the trauma-informed WHC requires feasibility testing before establishing its efficacy in a larger trial.

dc.languageEnglish
dc.publisherDOVE MEDICAL PRESS LTD
dc.rights.urihttp://creativecommons.org/licenses/by-nc/3.0/
dc.subjectScience & Technology
dc.subjectLife Sciences & Biomedicine
dc.subjectMedicine, General & Internal
dc.subjectGeneral & Internal Medicine
dc.subjectparticipatory approach
dc.subjectADAPT-ITT
dc.subjectmental health
dc.subjectsubstance use
dc.subjectHIV
dc.subjectHIV PREVENTION INTERVENTION
dc.subjectCAPE-TOWN
dc.subjectINTERPERSONAL VIOLENCE
dc.subjectASSOCIATION
dc.subjectEXPERIENCES
dc.subjectINITIATION
dc.subjectHISTORIES
dc.subjectDISORDERS
dc.subjectOUTCOMES
dc.subjectCOUPLES
dc.titleDevelopment of a trauma-informed substance use and sexual risk reduction intervention for young South African women
dc.typeJournal Article
dcterms.source.volume12
dcterms.source.startPage1997
dcterms.source.endPage2006
dcterms.source.issn1177-889X
dcterms.source.titlePatient Preference and Adherence
dc.date.updated2021-09-24T08:12:15Z
curtin.departmentEnAble Institute
curtin.accessStatusOpen access
curtin.facultyFaculty of Health Sciences
curtin.contributor.orcidMyers-Franchi, Bronwyn [0000-0003-0235-6716]
dcterms.source.eissn1177-889X
curtin.contributor.scopusauthoridMyers-Franchi, Bronwyn [7202684194]


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