Psychological impacts of engaging in a peer-trainer role in an overdose prevention program
Notice bibliographique
Résumé
Background: Peer-led programs have been implemented in a variety of areas, particularly in addiction, mental health, and HIV/AIDS. Research on peer-helpers in these domains has documented numerous psychological benefits associated with the peer-helper role. Specifically, peer-helpers have reported benefits such as increased self-esteem, self-confidence, sense of responsibility, building or improving relationships, having a sense of giving back, hope for the future, and reducing drug use. While these results have been found in the areas of addiction, mental health, and HIV/AIDS, little is known about the peer-helper role in the area of overdose prevention programs. Take-home naloxone programs (THN) represent harm reduction programs with the aim of reducing the number of deaths caused by opioid overdose. Naloxone kits and training on naloxone administration through injection are provided to opioid drug users. Problem: The present problem is that there is a knowledge gap in the literature concerning the benefits and challenges associated with a peer role in overdose prevention research. A THN program, known as PROFAN (prevention and reduction of overdoses - training on, and access to, naloxone) in Montreal has implemented the use of peers training peers, also called peer-trainers. This involves first training drug users in overdose prevention, and giving them the responsibility to then deliver a training session to other users. To our knowledge, this is the first program to allow drug users to train others in overdose prevention. Therefore, the impact of this specific role of being a peer-trainer is unknown. Research Question and Objectives: The main research question guiding this thesis project is: what are the psychological impacts of being a peer-trainer in a THN program? The first manuscript in this thesis represents a literature review on the areas of addiction, overdose prevention, mental health, and HIV/AIDS to explore the experiences of peer-helpers in various domains of peer-led interventions. This review also helped to guide the development of the interview protocol, which was constructed for data collection. The theme of the second manuscript focuses on the personal impacts of being a peer-trainer, reporting on the individual qualitative interview results obtained from the six peer-trainers in the Montreal program. Method: The main objectives of the interviews were to explore peer-trainer experiences of 1) the overdose prevention training that they received, 2) their role as a trainer, and 3) the personal impact of taking on this role. In this thesis, psychological impact is operationalized as empowerment and recovery, as these are two broad themes that have been reported by studies on peer-helpers in the aforementioned areas. Results: Interview results reveal that the six peer-trainers did in fact experience benefits related to empowerment and recovery. As well, there are a number of challenges associated with their role, suggestions to improve the program for future participants, and the desire to be more involved in the program, which suggests that the benefits they gained could be enhanced. The results support findings reported from other domains of peer-led interventions that both the participants (those receiving the training) and peer-trainers are impacted positively by their involvement.
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Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,003 | 0,013 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,001 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,003 | 0,001 |
| Communication savante | 0,002 | 0,001 |
| Science ouverte | 0,001 | 0,003 |
| Intégrité de la recherche | 0,001 | 0,003 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,008 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».