Evidence map›Paper›PMID 40135425›Full record

ArticleDrug and alcohol review2025

Sociocultural context of SMART recovery in Singapore: A qualitative exploration of members and facilitators perspectives and experiences.

Wan Jie Tan, Briony Larance, Matthew J Schweickle, Angie S X Lim, Kate Lowe, Peter J Kelly

Abstract read
In one paragraph

Article in Drug and alcohol review, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

6 authors.

Wan Jie TanSchool of Psychology, University of Wollongong, Wollongong, Australia.ORCID 0000-0002-0095-1303
Briony LaranceSchool of Psychology, University of Wollongong, Wollongong, Australia.ORCID 0000-0003-3800-7673
Matthew J SchweickleSchool of Psychology, University of Wollongong, Wollongong, Australia.ORCID 0000-0001-7752-8573
Angie S X LimSchool of Psychology, University of Wollongong, Wollongong, Australia.ORCID 0009-0004-1173-3127
Kate LoweDepartment of Sociology, The University of Hong Kong, Pok Fu Lam, Hong Kong.ORCID 0000-0001-5536-6657
Peter J KellySchool of Psychology, University of Wollongong, Wollongong, Australia.ORCID 0000-0003-0500-1865

Funding

University of Wollongong
6 · The paper itself

Abstract

introductionVarious services and mutual-aid groups, such as SMART Recovery, provide support for substance use rehabilitation in Singapore. Despite this, substance use remains a growing public health concern with a large treatment gap. This suggests potential barriers to accessing substance use treatment unique to Singapore's sociocultural context. Culture can play a significant role in shaping members' experiences. Hence, this study sought to explore members' and facilitators' experiences and perspectives of SMART Recovery within Singapore's sociocultural context.

methodsA critical realist position guided the present study. Semi-structured, in-depth interviews were conducted with 18 participants (14 members and 4 facilitators) in 2023. Data were analysed using reflexive thematic analysis.

resultsFive themes were generated from the data: (i) Non-disclosure from fear of negative social evaluation; (ii) Stigma and shame surrounding the use of substances; (iii) Linguistic challenges as a barrier to participation; (iv) A 'second family' fostered through continued engagement with SMART Recovery; and (v) Facilitation approach and quality affected by sociocultural factors (e.g., sensitivity to relational cues). Although there were initial sociocultural challenges, this improved through continued engagement, and the experience of SMART Recovery was largely positive. Facilitators also identified that their facilitation style is influenced by sociocultural factors, which in turn affects members' experience of SMART Recovery. DISCUSSION AND

conclusionsMembers and facilitators in Singapore face sociocultural challenges that influence their experience of SMART Recovery. This study highlights the need to optimise services to the needs of this population. Future research can identify processes of change that foster members' engagement in SMART Recovery.

Indexed as

Substance-Related DisordersAdultFemaleHumansMaleMiddle AgedQualitative ResearchSingaporeSocial StigmaYoung Adultaddictioncross‐culturalimplementationself‐help groupssubstance‐related disorders

Identifiers

PMID40135425
PMCPMC12117300

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LicenceCC BY-NC-ND
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Registered trials

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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.