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Feasibility and acceptability of a peer provider delivered substance use screening and brief intervention program for youth in Kenya

BACKGROUND: Youth in sub-Saharan Africa are at high risk of substance use yet lack access to substance use interventions. The goal of this project was to evaluate the feasibility and acceptability of a peer-delivered, single-session substance use screening and brief intervention program for youth in...

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Autores principales: Jaguga, Florence, Kwobah, Edith Kamaru, Giusto, Ali, Apondi, Edith, Barasa, Julius, Korir, Mercy, Rono, Wilter, Kosgei, Gilliane, Puffer, Eve, Ott, Mary
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10652467/
https://www.ncbi.nlm.nih.gov/pubmed/37974158
http://dx.doi.org/10.1186/s12889-023-17146-w
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author Jaguga, Florence
Kwobah, Edith Kamaru
Giusto, Ali
Apondi, Edith
Barasa, Julius
Korir, Mercy
Rono, Wilter
Kosgei, Gilliane
Puffer, Eve
Ott, Mary
author_facet Jaguga, Florence
Kwobah, Edith Kamaru
Giusto, Ali
Apondi, Edith
Barasa, Julius
Korir, Mercy
Rono, Wilter
Kosgei, Gilliane
Puffer, Eve
Ott, Mary
author_sort Jaguga, Florence
collection PubMed
description BACKGROUND: Youth in sub-Saharan Africa are at high risk of substance use yet lack access to substance use interventions. The goal of this project was to evaluate the feasibility and acceptability of a peer-delivered, single-session substance use screening and brief intervention program for youth in Kenya. METHODS: This was a convergent parallel mixed methods study utilizing both quantitative and qualitative approaches. Two trained peer providers administered the screening and brief intervention program to 100 youth aged 15–24 years. To evaluate the implementation of the intervention, we collected quantitative and qualitative data. Feasibility and acceptability were quantitatively assessed using the Dissemination and Implementation Measures. Fidelity was assessed by rating all 100 audio-recorded sessions using a checklist. To obtain qualitative feedback on the intervention, we conducted five focus group discussions with 25 youths and six semi-structured interviews with two peer providers and four clinic leaders. The semi-structured interviews were guided by the Consolidated Framework for Implementation Research. Quantitative data was analyzed via descriptive statistics using STATA. Qualitative data was analyzed using thematic analysis with NVIVO. RESULTS: The lifetime prevalence of any substance use was 50%. The mean level of acceptability of the intervention from the perspective of the youth was 3.53 (SD 0.15), meaning that the youth found the intervention to be acceptable “a lot” of the time. Mean levels of implementation outcomes (acceptability, adoption, Acceptability, Appropriateness, Feasibility, Reach/access, Organizational climate, General leadership skills, and Sustainability) as rated by peer providers and clinic staff ranged between 2.61 (“a moderate amount”) and 4.0 (“a lot”). In qualitative data, youth reported that the intervention was helpful and useful in enabling them to stop or reduce substance use. The peer providers felt that the intervention was easy to implement, while the clinic leaders felt that available resources were adequate, and that the intervention aligned well with the goals of the clinic. CONCLUSION: Our findings suggest that the peer-delivered screening and brief intervention program was perceived as acceptable to the youth and feasible to implement. TRIAL REGISTRATION: NCT04998045 Registration date: 10/08/2021. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-023-17146-w.
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spelling pubmed-106524672023-11-16 Feasibility and acceptability of a peer provider delivered substance use screening and brief intervention program for youth in Kenya Jaguga, Florence Kwobah, Edith Kamaru Giusto, Ali Apondi, Edith Barasa, Julius Korir, Mercy Rono, Wilter Kosgei, Gilliane Puffer, Eve Ott, Mary BMC Public Health Research BACKGROUND: Youth in sub-Saharan Africa are at high risk of substance use yet lack access to substance use interventions. The goal of this project was to evaluate the feasibility and acceptability of a peer-delivered, single-session substance use screening and brief intervention program for youth in Kenya. METHODS: This was a convergent parallel mixed methods study utilizing both quantitative and qualitative approaches. Two trained peer providers administered the screening and brief intervention program to 100 youth aged 15–24 years. To evaluate the implementation of the intervention, we collected quantitative and qualitative data. Feasibility and acceptability were quantitatively assessed using the Dissemination and Implementation Measures. Fidelity was assessed by rating all 100 audio-recorded sessions using a checklist. To obtain qualitative feedback on the intervention, we conducted five focus group discussions with 25 youths and six semi-structured interviews with two peer providers and four clinic leaders. The semi-structured interviews were guided by the Consolidated Framework for Implementation Research. Quantitative data was analyzed via descriptive statistics using STATA. Qualitative data was analyzed using thematic analysis with NVIVO. RESULTS: The lifetime prevalence of any substance use was 50%. The mean level of acceptability of the intervention from the perspective of the youth was 3.53 (SD 0.15), meaning that the youth found the intervention to be acceptable “a lot” of the time. Mean levels of implementation outcomes (acceptability, adoption, Acceptability, Appropriateness, Feasibility, Reach/access, Organizational climate, General leadership skills, and Sustainability) as rated by peer providers and clinic staff ranged between 2.61 (“a moderate amount”) and 4.0 (“a lot”). In qualitative data, youth reported that the intervention was helpful and useful in enabling them to stop or reduce substance use. The peer providers felt that the intervention was easy to implement, while the clinic leaders felt that available resources were adequate, and that the intervention aligned well with the goals of the clinic. CONCLUSION: Our findings suggest that the peer-delivered screening and brief intervention program was perceived as acceptable to the youth and feasible to implement. TRIAL REGISTRATION: NCT04998045 Registration date: 10/08/2021. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-023-17146-w. BioMed Central 2023-11-16 /pmc/articles/PMC10652467/ /pubmed/37974158 http://dx.doi.org/10.1186/s12889-023-17146-w Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Jaguga, Florence
Kwobah, Edith Kamaru
Giusto, Ali
Apondi, Edith
Barasa, Julius
Korir, Mercy
Rono, Wilter
Kosgei, Gilliane
Puffer, Eve
Ott, Mary
Feasibility and acceptability of a peer provider delivered substance use screening and brief intervention program for youth in Kenya
title Feasibility and acceptability of a peer provider delivered substance use screening and brief intervention program for youth in Kenya
title_full Feasibility and acceptability of a peer provider delivered substance use screening and brief intervention program for youth in Kenya
title_fullStr Feasibility and acceptability of a peer provider delivered substance use screening and brief intervention program for youth in Kenya
title_full_unstemmed Feasibility and acceptability of a peer provider delivered substance use screening and brief intervention program for youth in Kenya
title_short Feasibility and acceptability of a peer provider delivered substance use screening and brief intervention program for youth in Kenya
title_sort feasibility and acceptability of a peer provider delivered substance use screening and brief intervention program for youth in kenya
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10652467/
https://www.ncbi.nlm.nih.gov/pubmed/37974158
http://dx.doi.org/10.1186/s12889-023-17146-w
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