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Designing a Nurse-Led Program for Self-Management of Substance Addiction Consequences: A Modified e-Delphi Study

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  • Paulo Seabra

    (Nursing School of Lisbon, Av. Prof. Egaz Moniz, 1600-190 Lisbon, Portugal
    Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), Av. Prof. Egaz Moniz, 1600-190 Lisbon, Portugal
    Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto, R. Dr. Plácido da Costa, 4200-450 Porto, Portugal)

  • Inês Nunes

    (Nursing School of Lisbon, Av. Prof. Egaz Moniz, 1600-190 Lisbon, Portugal
    Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), Av. Prof. Egaz Moniz, 1600-190 Lisbon, Portugal)

  • Rui Sequeira

    (Specialized Technical Treatment Unit of Barreiro—Integrated Responses Center, Avenida do Bocage n°34, 2830-002 Barreiro, Portugal)

  • Ana Sequeira

    (Specialized Technical Treatment Unit of Barreiro—Integrated Responses Center, Avenida do Bocage n°34, 2830-002 Barreiro, Portugal)

  • Ana Simões

    (Specialized Technical Treatment Unit of Barreiro—Integrated Responses Center, Avenida do Bocage n°34, 2830-002 Barreiro, Portugal)

  • Fernando Filipe

    (Specialized Technical Treatment Unit of Barreiro—Integrated Responses Center, Avenida do Bocage n°34, 2830-002 Barreiro, Portugal)

  • Paula Amaral

    (Specialized Technical Treatment Unit of Barreiro—Integrated Responses Center, Avenida do Bocage n°34, 2830-002 Barreiro, Portugal)

  • Marissa Abram

    (College of Nursing and Public Health, Adelphi University, One South Avenue, P.O. Box 701, Garden City, NY 11530-0701, USA)

  • Carlos Sequeira

    (Center for Health Technology and Services Research (CINTESIS), Faculty of Medicine, University of Porto, R. Dr. Plácido da Costa, 4200-450 Porto, Portugal
    Nursing School of Oporto, Rua Dr. António Bernardino de Almeida, 4200-072 Porto, Portugal)

Abstract

Therapeutic interventions for people with problematic use of psychoactive substances can help tackle specific needs related to substance addiction consequences. This modified e-Delphi study aimed to establish consensus on a training program for self-management of substance addiction consequences. The study was conducted between February and April 2022, with an experts’ sample of 28 participants in the first round and 24 in the second. A priori consensus criteria were defined for each round. The results revealed a very strong consensus was achieved on the structure of the program and on clinical areas, such as the problematic use of substances, general health knowledge, health-seeking behavior and adherence, self-knowledge and well-being, social role and personal dignity, and family process. Additionally, over 80% participant consensus was achieved on an extensive number of interventions categorized as psychoeducational, psychotherapeutic, socio therapeutic, brief interventions, social skills training, problem solving techniques, relaxation techniques, and counseling. These findings may be able to fulfill a gap concerning structured treatment approaches for people with problematic use of psychoactive substances. Supporting self-management of the consequences of substance addiction and its application can change nurses’ interventions.

Suggested Citation

  • Paulo Seabra & Inês Nunes & Rui Sequeira & Ana Sequeira & Ana Simões & Fernando Filipe & Paula Amaral & Marissa Abram & Carlos Sequeira, 2023. "Designing a Nurse-Led Program for Self-Management of Substance Addiction Consequences: A Modified e-Delphi Study," IJERPH, MDPI, vol. 20(3), pages 1-12, January.
  • Handle: RePEc:gam:jijerp:v:20:y:2023:i:3:p:2137-:d:1045885
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    References listed on IDEAS

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    1. Tam, Hau-lin & Shik, Angela Wai-yan & Lam, Shirley Siu-ling, 2016. "Using expressive arts in relapse prevention of young psychotropic substance abusers in Hong Kong," Children and Youth Services Review, Elsevier, vol. 60(C), pages 88-100.
    2. Grady, P.A. & Gough, L.L., 2014. "Self-management: A comprehensive approach to management of chronic conditions," American Journal of Public Health, American Public Health Association, vol. 104(8), pages 25-31.
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