scholarly journals Drug Use in Street Sex worKers (DUSSK) study: results of a mixed methods feasibility study of a complex intervention to reduce illicit drug use in drug dependent female sex workers

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e036491
Author(s):  
Rita Patel ◽  
Niamh M Redmond ◽  
Joanna M Kesten ◽  
Myles-Jay Linton ◽  
Jeremy Horwood ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Drug Use ◽  
Drug Treatment ◽  
Feasibility Study ◽  
Sex Workers ◽  
Service Providers ◽  
Retention Rates ◽  
Inclusion Criteria ◽  
Recruitment And Retention ◽  
Study Results

ObjectivesThe majority of female street-based sex workers (SSWs) are dependent on illicit drugs and sell sex to fund their drug use. They typically face multiple traumatic experiences, starting at a young age, which continue through sex work involvement. Their trauma-related symptoms tend to increase when drug use is reduced, hindering sustained reduction. Providing specialist trauma care to address post-traumatic stress disorder (PTSD) alongside drug treatment may therefore improve treatment outcomes. Aims to (1) evaluate recruitment and retention of participants; (2) examine intervention experiences and acceptability; and (3) explore intervention costs using a mixed methods feasibility study.SettingFemale SSW charity premises in a large UK inner city.ParticipantsFemales aged 18 years or older, who have sold sex on the street and used heroin and/or crack cocaine at least once a week in the last calendar month.InterventionFemale SSW-only drug treatment groups in a female SSW-only setting delivered by female staff. Targeted PTSD screening then treatment of positive diagnoses with eye movement desensitisation and reprocessing (EMDR) therapy by female staff from a specialist National Health Service trauma service.Results(1) Of 125 contacts, 11 met inclusion criteria and provided informed consent, 4 reached the intervention final stage, (2) service providers said working in collaboration with other services was valuable, the intervention was worthwhile and had a positive influence on participants. Participants viewed recruitment as acceptable and experienced the intervention positively. The unsettled nature of participant’s lives was a key attendance barrier. (3) The total cost of the intervention was £11 710, with staff costs dominating.ConclusionsRecruitment and retention rates reflected study inclusion criteria targeting women with the most complex needs. Two participants received EMDR demonstrating that the three agencies working together was feasible. Staff heavy costs highlight the importance of supporting participant attendance to minimise per participant costs in a future trial.

scholarly journals The impact of self-efficacy and health literacy on outcome after bariatric surgery in Sweden: a protocol for a prospective, longitudinal mixed-methods study

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e027272 ◽  
Author(s):  
Maria Jaensson ◽  
Karuna Dahlberg ◽  
Ulrica Nilsson ◽  
Erik Stenberg
Keyword(s):  
Bariatric Surgery ◽  
Mixed Methods ◽  
Health Literacy ◽  
Qualitative Study ◽  
Self Efficacy ◽  
Mixed Methods Study ◽  
Inclusion Criteria ◽  
Study Results ◽  
Prospective Longitudinal ◽  
The Impact

IntroductionA person-centred approach, to know about a person’s individual weaknesses and strengths, is warranted in today’s healthcare in Sweden. When a person suffers from obesity, there are not only risks for comorbidities but also increased risk for decreased health-related quality of life (HRQoL). After bariatric surgery, there are also risks for complications; however, healthcare service expects the person to have sufficient ability to handle recovery after surgery. The need is to investigate how a person’s self-efficacy and health literacy(HL) skills are important to determine their effect on recovery as well as HRQoL after bariatric surgery. It can, involve the person in the care, improve shared decision-making, and perhaps decrease complications and readmissions.Method and analysisThis is a prospective, longitudinal mixed-methods study with the intent of including 700 patients from three bariatric centres in Sweden (phase 1); 20 patients will be included in a qualitative study (phase 2). Inclusion criteria will be age >17 years, scheduled primary bariatric surgery and ability to read and understand the Swedish language in speech and in writing. Inclusion criteria for the qualitative study will be patients who reported a low self-efficacy, with a selection to ensure maximum variation regarding age and gender. Before bariatric surgery patients will answer a questionnaire including 20 items. Valid and reliable instruments will be used to investigate general self-efficacy (10 items) and functional and communicative and critical HL (10 items). This data collection will then be merged with data from the Scandinavian Obesity Surgery Registry. Analysis will be performed 30 days, 1 year and 2 years after bariatric surgery. One year after bariatric surgery the qualitative study will be performed. The main outcomes are the impact of a person’s self-efficacy and HL on recovery after bariatric surgery.Ethics and disseminationThe study has received approval from the ethical review board in Uppsala, Sweden (number 2018/256). The study results will be disseminated through peer-reviewed publications and conference presentations to the scientific community and social media.

Cognitive–Behavioral Therapies for Young People in Outpatient Treatment for Nonopioid Drug Use

2016 ◽  
Vol 28 (3) ◽  
pp. 363-385 ◽  
Author(s):  
Trine Filges ◽  
Anne-Marie Klint Jorgensen
Keyword(s):  
Systematic Review ◽  
Young People ◽  
Drug Use ◽  
Outpatient Treatment ◽  
Behavioral Therapy ◽  
Cognitive Behavioral ◽  
Inclusion Criteria ◽  
Study Results ◽  
Behavioral Therapies ◽  
Cognitive Behavioral Therapies

Objectives: This review evaluates the evidence on the effects of cognitive–behavioral therapy (CBT) on drug use reduction for young people in treatment for nonopioid drug use. Method: We followed Campbell Collaboration guidelines to conduct a systematic review of randomized and nonrandomized trials. Meta-analytic methods were used to quantitatively synthesize study results. Results: The search yielded seven studies that met inclusion criteria. Each of the seven studies compared CBT to another intervention. Authors’ Conclusions: The review found that there was no evidence that CBT interventions perform better or worse than the comparison interventions and additional research is needed. The number of studies included in this review was limited, and therefore should the overall results be interpreted with caution.

A Mixed Methods Analysis of the Venue-Related Social and Structural Context of Drug Use During Sex Among Male Clients of Female Sex Workers in Tijuana, Mexico

2019 ◽  
Vol 24 (3) ◽  
pp. 724-737 ◽  
Author(s):  
Eileen V. Pitpitan ◽  
Teresita Rocha-Jimenez ◽  
Marissa Salazar ◽  
Claudia Chavarin ◽  
Carlos Magis-Rodriguez
Keyword(s):  
Mixed Methods ◽  
Drug Use ◽  
Sex Workers ◽  
Female Sex Workers ◽  
Structural Context ◽  
Female Sex ◽  
Male Clients

scholarly journals Drug use in street sex workers (DUSSK) study protocol: a feasibility and acceptability study of a complex intervention to reduce illicit drug use in drug-dependent female street sex workers

BMJ Open ◽  
2018 ◽  
Vol 8 (11) ◽  
pp. e022728
Author(s):  
Nicola Jeal ◽  
Rita Patel ◽  
Niamh M Redmond ◽  
Joanna M Kesten ◽  
Sophie Ramsden ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Drug Use ◽  
Health Services ◽  
Drug Treatment ◽  
Complex Intervention ◽  
Sex Workers ◽  
Illicit Drug ◽  
Drug Dependent ◽  
Emdr Therapy

IntroductionPoor health of sex workers continues to be a source of international concern. Sex work is frequently linked with problematic drug use and drug-dependent sex workers typically work on the street, experiencing the greatest risks to health compared with the general population. Street sex workers (SSWs) are much more likely to have experienced incidences of physical and sexual assault, increasing their risk of developing post-traumatic stress disorder (PTSD). We have developed a novel complex intervention designed to reduce illicit drug use in drug-dependent female SSWs which involves: female SSW drug treatment groups (provided by a specialist charity) in a female SSW setting (female sex worker charity premises) provided by female-only staff, PTSD care with eye movement desensitisation and reprocessing (EMDR) therapy provided by female staff from National Health Service (NHS) mental health services.Methods and analysisA mixed methods study investigating the feasibility and acceptability of this intervention to inform the design of a future randomised controlled trial. The study aims to recruit up to 30 participants from November 2017 to March 2018 at a single site, with the intervention being delivered until December 2018. It will gather quantitative data using questionnaires and group attendance. Drug treatment group observations and in-depth interviews undertaken with up to 20 service users and 15 service providers to examine experiences and acceptability of the intervention. Study feasibility will be assessed by evaluating the recruitment and retention of participants to the intervention; the feasibility of NHS and third sector organisations working closely to coordinate care for a SSW population; the potential for specialist NHS mental health services to screen and provide EMDR therapy for drug-dependent SSWs and potential costs of implementing the intervention.Ethics and disseminationThis study was approved by South West–Frenchay Research Ethics Committee (REC reference: 17/SW/0033; IRAS ID: 220631) and the Health Research Authority (HRA). Findings will be disseminated through research conferences and peer-reviewed journals.

scholarly journals Intimate Partner Violence Among Female Sex Workers and Their Noncommercial Male Partners in Mexico: A Mixed-Methods Study

2018 ◽  
Vol 25 (5) ◽  
pp. 549-571 ◽  
Author(s):  
Monica D. Ulibarri ◽  
Marissa Salazar ◽  
Jennifer L. Syvertsen ◽  
Angela R. Bazzi ◽  
M. Gudelia Rangel ◽  
...  
Keyword(s):  
Intimate Partner Violence ◽  
Mixed Methods ◽  
Drug Use ◽  
Sex Workers ◽  
Partner Violence ◽  
Female Sex Workers ◽  
Intimate Partner ◽  
Ciudad Juarez ◽  
Male Partners ◽  
Female Sex

Utilizing mixed methods, we examined intimate partner violence (IPV) behaviors among 428 female sex workers (FSWs) who use drugs and their noncommercial male partners in Tijuana and Ciudad Juarez, Mexico. Half of all participants reported perpetrating and experiencing at least one type of IPV behavior in the past year. In interviews, drug use emerged as an important theme associated with IPV behaviors, and we found men and women differed in their motivations for engaging in IPV behaviors. Findings highlight how gender and power are interlinked with and may exacerbate drug use and IPV behaviors among marginalized populations.

scholarly journals Prioritizing Risk in Preparation for a Demonstration Project: A Mixed Methods Feasibility Study of Oral Pre-Exposure Prophylaxis (PREP) among Female Sex Workers in South India

PLoS ONE ◽  
2016 ◽  
Vol 11 (11) ◽  
pp. e0166889 ◽  
Author(s):  
Sushena Reza-Paul ◽  
Lisa Lazarus ◽  
Monika Doshi ◽  
Syed Hafeez Ur Rahman ◽  
Manjula Ramaiah ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Feasibility Study ◽  
Sex Workers ◽  
Female Sex Workers ◽  
South India ◽  
Demonstration Project ◽  
Female Sex ◽  
Exposure Prophylaxis

scholarly journals A feasibility study of ‘The StepSmart Challenge’ to promote physical activity in adolescents

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Rekesh Corepal ◽  
Paul Best ◽  
Roisin O’Neill ◽  
Frank Kee ◽  
Jennifer Badham ◽  
...  
Keyword(s):  
Physical Activity ◽  
Feasibility Study ◽  
Physical Activity Intervention ◽  
Vigorous Physical Activity ◽  
Behavioural Change ◽  
Retention Rates ◽  
Mental Wellbeing ◽  
Post Intervention ◽  
Recruitment And Retention ◽  
School Based

Abstract Background Inactive lifestyles are becoming the norm and creative approaches to encourage adolescents to be more physically active are needed. Little is known about how gamification techniques can be used in physical activity interventions for young people. Such approaches may stimulate interest and encourage physical activity behaviour. The study investigated the feasibility of implementing and evaluating a physical activity intervention for adolescents which included gamification techniques within schools. We tested recruitment and retention strategies for schools and participants, the use of proposed outcome measures, and explored intervention acceptability. Methods This school-based feasibility study of a randomised cluster trial recruited adolescents aged 12–14 years (n = 224) from five schools (three intervention; two control) in Belfast, Northern Ireland. The 22-week intervention (The StepSmart Challenge) informed by self-determination theory and incorporating gamification strategies involved a school-based pedometer competition. Outcomes, measured at baseline, and post-intervention (at 22 weeks post-baseline and 52 weeks post-baseline) included daily minutes of moderate to vigorous physical activity (MVPA) (measured using ActiGraph accelerometer), mental wellbeing (Warwick-Edinburgh Mental Wellbeing Scale), social support for physical activity, time preference (for delayed and larger rewards or immediate and smaller rewards), pro-social behaviour (Strengths and Difficulties Questionnaire (SDQ)) and the influence of social networks. The intervention’s acceptability was explored in focus groups. Results We invited 14 schools to participate; eight showed interest in participating. We recruited the first five who responded; all five completed the trial. Of the 236 pupils invited, 224 participated (94.9%): 84.8% (190/224) provided valid MVPA (minutes/day) at baseline and 57.2% (123/215) at 52 weeks. All other outcomes were well completed apart from the SDQ (65% at baseline). Qualitative data highlighted that participants and teachers found The StepSmart Challenge to be an acceptable intervention. Conclusions The level of interest and high recruitment and retention rates provide support for the feasibility of this trial. The intervention, incorporating gamification strategies and the recruitment methods, using parental opt-out procedures, were acceptable to participants and teachers. Teachers also suggested that the implementation of The StepSmart Challenge could be embedded in a lifelong learning approach to health within the school curriculum. As young people’s lives become more intertwined with technology, the use of innovative gamified interventions could be one approach to engage and motivate health behavioural change in this population. Trial registration NCT02455986 (date of registration: 28 May 2015).

Recruitment and Retention of Adolescent Women in Drug Treatment Research

1996 ◽  
Author(s):  
Lawrence A. Palinkas ◽  
◽  
Catherine J. Atkins ◽  
Pamela Noel ◽  
Christopher Miller
Keyword(s):  
Drug Treatment ◽  
Recruitment And Retention ◽  
Adolescent Women ◽  
Treatment Research

Information-seeking to Support Personal and Community Wellbeing: Report of a study of New Zealand Men Using Focus Groups

2016 ◽  
Author(s):  
Peta Wellstead
Keyword(s):  
New Zealand ◽  
Focus Groups ◽  
Support Services ◽  
Information Seeking ◽  
Service Providers ◽  
Structural Constraints ◽  
Health And Wellbeing ◽  
Study Results ◽  
Groupes De Discussion

This paper reports part of an ongoing study exploring the information behaviour of New Zealand men during periods of diminished health and wellbeing. Focus groups were used for this iteration of the study. Results indicate that New Zealand men face both personal and structural constraints to their information-seeking during periods when their health and wellbeing may be compromised. This study highlights that service providers need to develop more effective information delivery mechanisms and support services for men. These services need to be appealing to men and reflect men’s information seeking preferences. The role of LIS professionals in supporting this endeavour is discussed. Cet article présente une étude en cours explorant le comportement informationnel d’ hommes néo-zélandais durant des périodes où leur état de santé et de bien-être est amoindri. Des groupes de discussion ont été utilisés pour cette itération de l'étude. Les résultats indiquent que les hommes en Nouvelle-Zélande font face à des contraintes à la fois  personnelles et structurelles dans leur recherche d'information pendant les périodes où leur santé et leur bien-être peuvent être affaiblis. Cette étude met en évidence le besoin pour les fournisseurs de services de développer des mécanismes de diffusion de l'information plus efficaces et des services de soutien pour les hommes. Ces services doivent être attrayants et refléter les préférences des hommes dans leurs recherches d’information. Le rôle des professionnels de l'information dans le soutien à cette entreprise est discuté.

Sign in / Sign up

Export Citation Format

Share Document