Evidence map›Paper›PMID 37567035›Full record

ArticleThe International journal on drug policy2023

Applying a mutual capacity building model to inform peer provider programs in South Africa and the United States: A combined qualitative analysis.

Helen E Jack, Morgan S Anvari, Tolulope M Abidogun, Yvonne A Ochieng, Nonceba Ciya, Sibabalwe Ndamase, Alexandra L Rose, Mary B Kleinman, Bronwyn Myers, Jessica F Magidson

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The International journal on drug policy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.6field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 3 countries.

Helen E JackDivision of General Internal Medicine, Department of Medicine, University of Washington, Seattle, WA, USA. Electronic address: HJack@uw.edu.
Morgan S AnvariDepartment of Psychology, University of Maryland, College Park, MD, USA.
Tolulope M AbidogunDepartment of Psychology, University of Maryland, College Park, MD, USA.
Yvonne A OchiengDepartment of Psychology, University of Maryland, College Park, MD, USA.
Nonceba CiyaAlcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council, Parow, South Africa.
Sibabalwe NdamaseAlcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council, Parow, South Africa.
Alexandra L RoseDepartment of Psychology, University of Maryland, College Park, MD, USA.
Mary B KleinmanDepartment of Psychology, University of Maryland, College Park, MD, USA.
Bronwyn MyersAlcohol, Tobacco and Other Drug Research Unit, South African Medical Research Council, Parow, South Africa; Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa; Curtin enAble Institute, Faculty of Health Sciences, Curtin University, Western Australia, Australia.
Jessica F MagidsonDepartment of Psychology, University of Maryland, College Park, MD, USA; Center for Substance Use, Addiction & Health Research (CESAR), University of Maryland College Park, USA.
University of Maryland, College Park · USSouth African Medical Research Council · ZAUniversity of Washington · US

Funding

The influence of neighborhood factors and social determinants of health on OUD treatment outcomesR33DA057747 · NIDA · UNIV OF MARYLAND, COLLEGE PARK · PI MAGIDSON, JESSICA F · 2022 to 2024
$2.6M
Understanding the Impact of COVID-19 on Methadone Treatment Retention and Adherence in an Underserved, Minority Population with OUDR61AT010799 · NCCIH · UNIV OF MARYLAND, COLLEGE PARK · PI MAGIDSON, JESSICA F · 2019 to 2020
$1.2M
Hybrid Effectiveness-Implementation Trial for ART Adherence and Substance Use in HIV Care in South AfricaK23DA041901 · NIDA · UNIV OF MARYLAND, COLLEGE PARK · PI MAGIDSON, JESSICA F · 2016 to 2020
$1.0M
Practice facilitation and supervision to strengthen depression treatment in primary care in ZimbabweK23MH129420 · NIMH · UNIVERSITY OF WASHINGTON · PI Helen Elizabeth Jack · 2022 to 2026
$922k
NCCIH NIH HHS R61 AT010799NIDA NIH HHS K23 DA041901NIDA NIH HHS R33 DA057747NIMH NIH HHS K23 MH129420
6 · The paper itself

Abstract

backgroundGlobally, there is a treatment gap for substance use treatment and harm reduction services. As peer-delivered interventions expand to address this gap in both high-income countries (HICs) and low and middle-income countries (LMICs), they provide an opportunity to examine mutual capacity building, the bidirectional exchange of ideas between distinct settings to address common challenges.

methodsThe aim of this study was to explore the perspectives of patients in Cape Town and Baltimore about the acceptability and feasibility of a peer-delivered intervention using a combined qualitative analysis across a HIC and LMIC. Semi-structured qualitative interviews were conducted with participants in pilot trials in Cape Town, South Africa and Baltimore, USA (n=55). Across both trials, participants received a peer-delivered behavioral intervention focused on problem solving strategies for medication adherence, behavioral activation, and other cognitive-behavioral skills. The datasets from each location were merged and analyzed jointly using thematic analysis to develop codes and themes. Transcripts were coded to theoretical saturation (n=21 from Baltimore, n=16 from Cape Town).

resultsParticipants highlighted what they valued about the peer-delivered intervention: 1) behavioral skills learned, 2) relationship with the peer, 3) ability to help others based on what they learned, 4) improved adherence to HIV or substance use medications, and 5) changes in substance use behaviors. In Baltimore, participants were typically more focused on their supportive relationship with the peer, which contrasted with many other relationships in their lives. In Cape Town, many participants highlighted the value of the skills they learned, such as mindfulness and activity scheduling.

conclusionsAcross sites, participants valued that the peer could support them to accomplish meaningful life goals beyond substance use recovery, such as building relationships or health. Differences between settings may highlight the importance of tailoring peer interventions to fill context-specific gaps in available services.

Indexed as

Capacity BuildingSubstance-Related DisordersBehavior TherapyHealth Services AccessibilityHumansSouth AfricaUnited StatesAcceptabilityBehavioral activationLay health workersPeersQualitative methods

Identifiers

PMID37567035
PMCPMC10758300
OpenAlexW4385687757

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.