Abstract Objective: It is common for people attending alcohol and other substance dependence treatment to present with multiple unhealthy lifestyle behaviors such as high rates of smoking, physical inactivity, and poor diet. Healthy lifestyle interventions are increasing in importance in the general population, but have been underexamined within alcohol and other substance use populations. The purpose of the current study was to pilot “Healthy Recovery,” a group program that primarily aimed to help people attending alcohol or other substance dependence treatment to reduce or quit smoking. The program also encourages participants to increase physical activity and to eat more servings of fruit and vegetables. Methods: The current study was conducted as a non-randomized controlled pilot trial. All participants were attending residential substance dependence treatment provided by the Australian Salvation Army. In addition to treatment as usual, participants in the treatment condition completed Healthy Recovery (n = 50) and participants in the control group completed an online depression program (n = 27). The study examined the health outcomes of participants (i.e., smoking, physical activity, fruit and vegetable intake, and symptom distress) and the feasibility of running the group sessions within the residential facilities. Results: Within-treatment effects demonstrated medium to large positive effects for reductions in smoking and increases in physical activity, servings of fruit, and servings of vegetables for people completing Healthy Recovery. When compared to the control condition, there were medium effects in favor of the Healthy Recovery condition for reductions in smoking and increases in physical activity. There was a small effect for servings of fruit and no effect for servings of vegetables. Conclusions: Results from this study demonstrated that people attending residential substance dependence treatment are willing and capable of engaging in multiple health behavior change interventions.

中文翻译：

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健康康复：对参加居家酒精和其他物质依赖治疗的人进行吸烟和其他健康行为改变干预的试点研究

摘要 目的：参加酒精和其他物质依赖治疗的人普遍存在多种不健康的生活方式，例如高吸烟率、缺乏身体活动和不良饮食习惯。健康生活方式干预措施在普通人群中的重要性日益增加，但在酒精和其他物质使用人群中却没有得到充分研究。当前研究的目的是试行“健康康复”，这是一个主要旨在帮助参加酒精或其他物质依赖治疗的人减少或戒烟的团体计划。该计划还鼓励参与者增加体育锻炼并多吃水果和蔬菜。方法：目前的研究是作为一项非随机对照试验进行的。所有参与者都参加了澳大利亚救世军提供的住宅物质依赖治疗。除了照常治疗外，治疗条件下的参与者完成了健康恢复（n = 50），对照组的参与者完成了在线抑郁症计划（n = 27）。该研究检查了参与者的健康结果（即吸烟、体力活动、水果和蔬菜摄入量以及症状困扰）以及在住宅设施内进行小组会议的可行性。结果：治疗内效果表明，对于完成健康康复的人来说，减少吸烟和增加体力活动、水果份量和蔬菜份量有中到大的积极影响。与控制条件相比，有利于健康恢复条件的中等影响，以减少吸烟和增加身体活动。对水果份量的影响很小，而对蔬菜份量没有影响。结论：这项研究的结果表明，参加住宅物质依赖治疗的人愿意并有能力参与多种健康行为改变干预措施。